Chapter 1: A Framework for Maternal and Child Health Nursing Exam Questions and Answers

Chapter 1: A Framework for Maternal and Child Health Nursing Exam Questions and Answers What is the primary goal of maternal and child health nursing? -Answer-the promotion and maintenance of optimal family health to ensure cycles of optimal childbearing and childrearing What are some examples of maternal and child health practice? -Answer-preconceptual health care Care of women during three trimesters of pregnancy and the puerperium ( 6 weeks afteter childbirth, sometimes termed the fourth trimester of pregnancy) care of infants during the perinatal period (the time span beginning at 20 weeks of pregnancy to 4 weeks after birth) Care of children from both through young adulthood care in settings as diverse as birthing room, a pedatric intensive care unit or the home What is the childbearing-childrearing continuum? -Answer-provision of preconceptual health care- care recieve before pregnancy- can be expensive, not covered until pregnant, having fertlitily issues, pay for ferltility provision of nursing care of women throughout pregancy, birth, and postpartum- so many prenatal visits, labor and birth, 48 hour postpartum period Provision of nursing care of children from birth-adolesence- find a provider for the baby and child- take care from birth throughout adolescence Provision of nursing care to families in all settings- care to all patients no matter setting, home, clinic, hospital (all posibilities) What does the philosophy of maternal and child health nursing include? -Answer-family centered- take whole family into account-provide care to entire family, what's bringing them all in Community centered-public health and marry it with child health- much of public health is taking care of mom and baby Evidence based- conscientious, explicity, and judicious use of current best evidence in making decisions about the care of patients. Can be a combination of research, clinical expertise, and patient preferences or values- what gives merit to make sure it is correct What are the two pillars of the 2020 National Health Goals? -Answer-Increase quality and years of healthy life Eliminate health disparities What do the new objectives recommend as part of Healthy 2020? -Answer-That all prelicensure programs in nursing include core content on: counseling for health promotion and disease prevention Cultural diversity Evaluation of health sciences literature Enviornmental health Public health nursing Global health What are the Global Health Goals of 2020? -Answer-End poverty and hunger achieve universal primary education Promote gender equality and empower women Reduce child mortality Improve maternal health Combat HIV/AIDs, malaria, and other diseases Ensure enviornmental sustainability Develop a global partnership for development Health promotion -Answer-educating parents and children to follow health practices through teaching and role modeling ex. teaching women the importance of rubella immunization before pregnancy; teaching adolescents the importance of safer sex practices Health maintenance -Answer-intervening to maintain health when risk of illness is present ex. encouraging women to be partners in prenatal care; teaching parents the importance of safe-gaurding their home by childproofing against poisoning Health restoration -Answer-using conscietious assessment to be certain that symptoms of illness are identified and interventions are begun to return client to wellness most rapidly ex. Caring for a woman during a complication of pregnancy such as gestational diabetes or a child during an acute illness such as pneumonia Health rehabilitation -Answer-helping prevent complications from illness; helping a client with residual effects achieve an optimal state of wellness and independence; helping a client to accept inevitalble death ex. encouraging a woman with gestational trophoblastic disease (abnormal placenta growth) to continue therapy or a child with a renal transplant to continue to take necessary medications What is the nursing process? -Answer-scientific form of problem solving, serves as the basis for assessing, making a nursing diagnosis, planning, implementing and evaluating care. Process broad enough to serve as the basis for modern nursing care because it is applicalbe to all health care settings, from the home to ambulatory clinics to intensive care units. Assess -Answer-gather information about the patient's condition Diagnose -Answer-Identify the patient's problems Plan -Answer-set goals of care and designed outcomes and identify appropriate nursing actions Implement -Answer-perform the nursing actions identified in planning Evaluate -Answer-determine if the goals and expected outcomes are achieved QSEN (Quality and safety education for nurses) -Answer-patient-centerd care teamwork & collaboration Evidence-based practice Quality improvement Safety Informatics What is the overall goal of QSEN? -Answer-address the challenge of preparing future nurses with the abilities necessary to continoulsy improve the quality and safety of the health care systems in which they work. Patient-Centered Care -Answer-the patient is thought of as the source of control and full parnter in the provison of compasionate and coorinated care based on respect for the patient's preferences, values and needs Teamwork & Collaboration -Answer-Nurses function effectively within nursing and interprofessional teams, fostering open communication, mutual repsect and shared decsion making as they achieve quality patient care Evidence-based practice -Answer-nurses integrate the best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care Quality Improvement -Answer-Nurses can use data to monitor the outcomes of care and use improvement methods to design and test changes to continously improve the quality and safety of health care systems Safety -Answer-Nurses minimize the risk of h