Chapter 1: A Framework for Maternal and Child Health Nursing

What is the primary goal of maternal and child health nursing? - 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? - 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? - 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? - 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? - Increase quality and years of healthy life Eliminate health disparities What do the new objectives recommend as part of Healthy 2020? - 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? - 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 - 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 - 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