Chapter 1: A Framework for Maternal
and Child Health Nursing
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
and Child Health Nursing
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
