Maternal and Child Health Nursing
(Framework, Reproductive and Sexual
Health & Prenatal Care)
✅✅-Cephalocaudal
fashion of the development of organs; head to toes/tail -
Promotion and Maintenance of Optimal Family Health - ✅✅-Primary Goal of MCHN
Philosophies of MCHN - ✅✅-Family centered
Community-based
Evidence-based practice
Advocates
2020 National Health Goals (reviewed every 10 years) - ✅✅-1. To increase quality
and years of healthy life.
2. To eliminate health disparities.
Millennium Health Goals - ✅✅ -1. To reduce child mortality.
2. To improve maternal health.
✅✅-"Ensure healthy lives and
WHO's 17 Sustainable Developmental Goals
Goal #3: Good health and well-being for people. -
promote well-being for all at all ages."
· Motherhood as a process of mother-child bond divided in steps.
✅✅
· Motherhood is a developmental and interactional process through which the mother
and child bond over time - -Mercer's Theory of Maternal Role
the mother to be adjusts to the anticipated realities of her new role. Includes learning
social expectations with motherhood, adapting to physical and physiological changes in
✅✅
pregnancy, fantasizing motherhood, and dealing with health concerns including prenatal
care and preparations for childbirth; anticipatory stage - -Commitment,
Attachment, and Preparation
✅✅
new mother adapts to the role by modeling learned behaviors and conforming closely to
family and social norms; formal stage - -Acquaintance, Learning, and Physical
Restoration (ALP)
, ✅✅
the stage wherein the mother learns to be comfortable with her decision making on
mothering skills and develops her own maternal identity; informal stage - -Moving
towards the New Normal
(around 4 months after birth) point where the new mother has successfully integrated
prior learning with personal experience and feels confident, competent, and
✅✅
accomplished in her role and experiences joy in motherhood and secures attachment to
the child; personal stage - -Achievement of Maternal Identity
Scopes of MCHN - ✅✅ -- preconception
- 9 months of pregnancy
- infancy
- community setting
ROLES AND RESPONSIBILITIES OF A MCN - ✅✅ -1. Consider family as a whole.
2. Advocate for family including the fetus.
3. Teaches and counsels as an independent nursing function.
4. Promote health and prevent diseases.
5. Resource Managers - resources for families especially during childbearing and
childrearing period.
6. Encourages developmental stimulation.
7. Assess families' needs.
8. Encourage family bonding, early hospital discharge and reaching out to the
community.
MCHN AS A CHANGING DISCIPLINE - ✅✅ -1. Trends in the MCHN population,
changes in lifestyle and social structure. Family groups and structures have evolved.
2. Changes in the settings of maternity and childcare, decreased home childbirth and go
to tertiary hospitals instead in order to ensure safety and convenience.
3. More involvement of technology (Portable dopplers, Ultrasound Machines, etc.)
4. New Government Policies
Includes 105 days of maternity leave and 14 days of paternity leave. - ✅✅-Expanded
Maternity Leave Act
✅✅-Prepuce (foreskin)
incised during circumcision -
opening from the urethra - ✅✅-External Urethral Meatus
, innermost portion where the urine and semen travels through - ✅✅-Urethra
erectile tissue - ✅✅-Corpus Cavernosa
✅✅
- responsible for making Testosterone
- Producing sperm - -Testis
primary male sex hormone - ✅✅-Testosterone
brings sperm to maturity - ✅✅-Epididymis
where sperm travels - ✅✅-vas deferens
✅✅
fluid composed of 65% of total semen produced; produces fructose for energy and
motility - -seminal vesicle
✅✅
semen combines with the fluid produced by prostate and bulbourethral gland -
-ejaculatory duct
✅✅
fluid lessens acidity of urethra (sperm cannot survive in acidic environment) -
-Bulbourethral Gland
Spermatogenesis - ✅✅-production of sperm in the testis
Sperm - ✅✅ -it travels to the epididymis 12-20 days; matures w/in 65-75 days; amt = >
20 million sperms per mL
Endocrine Gland - ✅✅-hormonal influence
Anterior Pituitary Hormone - ✅✅-FSH and LH
Pubertal development - ✅✅-Increase in height and weight; Enlargement of testes and
scrotum; Appearance of body hair; Penile growth and enlargement; Nocturnal
emissions; spermatogenesis
Ejaculate or the Semen (amount) - ✅✅-2.5-5 ml, sticky
flow of ejaculation - ✅✅-Testis
Epididymis
Vas Deferens
(Framework, Reproductive and Sexual
Health & Prenatal Care)
✅✅-Cephalocaudal
fashion of the development of organs; head to toes/tail -
Promotion and Maintenance of Optimal Family Health - ✅✅-Primary Goal of MCHN
Philosophies of MCHN - ✅✅-Family centered
Community-based
Evidence-based practice
Advocates
2020 National Health Goals (reviewed every 10 years) - ✅✅-1. To increase quality
and years of healthy life.
2. To eliminate health disparities.
Millennium Health Goals - ✅✅ -1. To reduce child mortality.
2. To improve maternal health.
✅✅-"Ensure healthy lives and
WHO's 17 Sustainable Developmental Goals
Goal #3: Good health and well-being for people. -
promote well-being for all at all ages."
· Motherhood as a process of mother-child bond divided in steps.
✅✅
· Motherhood is a developmental and interactional process through which the mother
and child bond over time - -Mercer's Theory of Maternal Role
the mother to be adjusts to the anticipated realities of her new role. Includes learning
social expectations with motherhood, adapting to physical and physiological changes in
✅✅
pregnancy, fantasizing motherhood, and dealing with health concerns including prenatal
care and preparations for childbirth; anticipatory stage - -Commitment,
Attachment, and Preparation
✅✅
new mother adapts to the role by modeling learned behaviors and conforming closely to
family and social norms; formal stage - -Acquaintance, Learning, and Physical
Restoration (ALP)
, ✅✅
the stage wherein the mother learns to be comfortable with her decision making on
mothering skills and develops her own maternal identity; informal stage - -Moving
towards the New Normal
(around 4 months after birth) point where the new mother has successfully integrated
prior learning with personal experience and feels confident, competent, and
✅✅
accomplished in her role and experiences joy in motherhood and secures attachment to
the child; personal stage - -Achievement of Maternal Identity
Scopes of MCHN - ✅✅ -- preconception
- 9 months of pregnancy
- infancy
- community setting
ROLES AND RESPONSIBILITIES OF A MCN - ✅✅ -1. Consider family as a whole.
2. Advocate for family including the fetus.
3. Teaches and counsels as an independent nursing function.
4. Promote health and prevent diseases.
5. Resource Managers - resources for families especially during childbearing and
childrearing period.
6. Encourages developmental stimulation.
7. Assess families' needs.
8. Encourage family bonding, early hospital discharge and reaching out to the
community.
MCHN AS A CHANGING DISCIPLINE - ✅✅ -1. Trends in the MCHN population,
changes in lifestyle and social structure. Family groups and structures have evolved.
2. Changes in the settings of maternity and childcare, decreased home childbirth and go
to tertiary hospitals instead in order to ensure safety and convenience.
3. More involvement of technology (Portable dopplers, Ultrasound Machines, etc.)
4. New Government Policies
Includes 105 days of maternity leave and 14 days of paternity leave. - ✅✅-Expanded
Maternity Leave Act
✅✅-Prepuce (foreskin)
incised during circumcision -
opening from the urethra - ✅✅-External Urethral Meatus
, innermost portion where the urine and semen travels through - ✅✅-Urethra
erectile tissue - ✅✅-Corpus Cavernosa
✅✅
- responsible for making Testosterone
- Producing sperm - -Testis
primary male sex hormone - ✅✅-Testosterone
brings sperm to maturity - ✅✅-Epididymis
where sperm travels - ✅✅-vas deferens
✅✅
fluid composed of 65% of total semen produced; produces fructose for energy and
motility - -seminal vesicle
✅✅
semen combines with the fluid produced by prostate and bulbourethral gland -
-ejaculatory duct
✅✅
fluid lessens acidity of urethra (sperm cannot survive in acidic environment) -
-Bulbourethral Gland
Spermatogenesis - ✅✅-production of sperm in the testis
Sperm - ✅✅ -it travels to the epididymis 12-20 days; matures w/in 65-75 days; amt = >
20 million sperms per mL
Endocrine Gland - ✅✅-hormonal influence
Anterior Pituitary Hormone - ✅✅-FSH and LH
Pubertal development - ✅✅-Increase in height and weight; Enlargement of testes and
scrotum; Appearance of body hair; Penile growth and enlargement; Nocturnal
emissions; spermatogenesis
Ejaculate or the Semen (amount) - ✅✅-2.5-5 ml, sticky
flow of ejaculation - ✅✅-Testis
Epididymis
Vas Deferens
