UNIT 1. FRAMEWORK FOR MATERNAL AND CHILD HEALTH NURSING EXAM|47 QUESTIONS AND ANSWERS9VERIFIED FOR ACCURACY

PRIMARY GOAL OF MCN Promotion and maintenance of optimal family health to ensure cycles of optimal child-bearing and childrearing PHILOSOPHY OF MATERNAL AND CHILD HEALTH NURSING Maternal and child health nursing is: - Family centered - Community centered - Evidence -based - A challenging role for nurses and a major factor in keeping families well and optimally functioning Family centered assessment should always include the family as well as an individual. Community centered the health of families is both affected by and influenced the health of communities Evidence -based this is the means whereby critical knowledge increases A Maternal and child health nurse: Considers the family as a whole and a s partner in care when planning or implementing or evaluating the effectiveness of care Serves as an advocate to protect the rights of all family members, including the fetus Demonstrates a high degree of independent nursing functions, because teaching and counseling are major interventions. Promotes health and disease prevention are important nursing roles because these protect the health of the next generation. Serve as important resources for families during childbearing and childrearing as these can be extremely stressful times in a life cycle. Respects personal, cultural, and religious attitudes and beliefs as these so strongly influence the meaning and impact of childbearing and childrearing. Encourages developmental stimulation during both health and illness so children can reach their ultimate capacity in adult life. Assesses families for strengths as well as specific needs or challenges Encourages family bonding through rooming-in and family visiting in maternal and child healthcare settings Encourages early hospital discharge programs to reunite families as soon as possible in order to create a seamless, helpful transition process Encourage families to reach out to their community so the family can develop a wealth of support people they can call on in a time of family crisis Common Measures to Ensure Family Centered Maternal and Child Health Care (Principles) Principles The family is the basic unit of society. Families come in many different forms and sizes and represent racial, ethnic, cultural, and socioeconomic diversity. Children grow both individually and as part of a family. Common Measures to Ensure Family Centered Maternal and Child Health Care (Nursing Interventions) Nursing Interventions Consider the family as a whole as well as its individual members. Assess families for strengths as well as for specific needs or challenges. Respect diversity in families as a unique quality of that family. Share or initiate information on health planning with family members so that care is family oriented. Encourage family bonding through rooming-in in both maternal and child health hospital settings. Encourage families to give care to a newborn or ill child. Family members affect other members; individual members affect the total family group. Encourage family and sibling visits in the hospital to promote family contacts. Participate in early hospital discharge programs to reunite families as soon as possible. Include developmental stimulation in nursing care. Encourage families to reach out to their community so that family members are not isolated from their community or from each other. Standards of Maternal and Child Health Nursing Practice was developed by: Division of Maternal-Child Health Nursing Practice of the American Nurses Association in collaboration with the Society of Pediatric Nurses Standards for Nursing Care of Women and Newborns was developed by: Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) STANDARDS OF MCH PRACTICE - Standards of Care (ADOPIE) - Standards of Professional Performance Standards of Care (ADOPIE) I. Assessment II. Diagnosis III. Outcome Identification IV. Planning V. Implementation VI. Evaluation I. Assessment The pediatric nurse collects patient health data. II. Diagnosis The pediatric nurse analyzes the assessment data in determining diagnoses. III. Outcome Identification The pediatric nurse identifies expected outcomes individualized to the child and the family. IV. Planning The pediatric nurse develops a plan of care that prescribes interventions to obtain expected outcomes V. Implementation The pediatric nurse implements the interventions identified in the plan of care. VI. Evaluation The pediatric nurse evaluates the child's and family's progress toward attainment of outcomes. Standards of Professional Performance Standard I: Quality of Care Standard II: Performance Appraisal Standard III: Education Standard IV: Collegiality Standard V: Ethics Standard VI: Collaboration Standard VII: Research Standard VIII: Resource Utilization Standard IX: Practice Environment Standard X: Accountability Standard I: Quality of Care The pediatric nurse systematically evaluates the quality and effectiveness of pediatric nursing practice Standard II: Performance Appraisal The pediatric nurse evaluates his or her own nursing practice in relation to professional practice standards and relevant statutes and regulations. Standard III: Education The pediatric nurse acquires and maintains current knowledge and competency in pediatric nursing practice. Standard IV: Collegiality The pediatric nurse interacts with and contributes to the professional development of peers, colleagues, and other health care providers. Standard V: Ethics The pediatric nurse's assessment, actions, and recommendations on behalf of children and their families are determined in an ethical manner. Standard VI: Collaboration The pediatric nurse collaborates with the child, family, and other health care providers in providing client care. Standard VII: Research The pediatric nurse contributes to nursing and pediatric health care through the use of research methods and findings. Standard VIII: Resource Utilization The pediatric nurse considers factors related to safety, effectiveness, and cost in planning and delivering patient care. Standard IX: Practice Environment The nurse contributes to the environment of care delivery within the practice settings. Standard X: Accountability The nurse is professionally and legally accountable for his/her practice. The professional registered nurse may delegate to and supervise qualified personnel who provide patient care MCH NURSE ROLES AND RESPONSIBILITIES (CaEC Care Provider Advocate Educator Counselor ADVANCED-PRACTICE ROLES FOR NURSES IN MCH 1. Clinical Nurse Specialist 2. Case Manager 3. Nurse Practitioner 4. Women's Health Nurse Practitioner 5. Pediatric Nurse Practitioner 6. Neonatal Nurse Practitioner 7. Family Nurse Practitioner 8. Certified Nurse-Midwife Clinical Nurse Specialist are nurses prepared at the master's or doctorate degree level who are capable of acting as consultants in their area of expertise, as well as serving as role models, researchers, and teachers of quality nursing care. Examples of areas of specialization are neonatal, maternal, child, and adolescent health care; genetics; childbirth education; and lactation consultation Case Manager is a graduate-level nurse who supervises a group of patients from the time they enter a health care setting until they are discharged from the setting or, in a seamless care system, into their homes as well, monitoring the effectiveness, cost, and satisfaction of their health care. help prevent fragmentation of care and ensure that such important qualities as continuity of care and providing a feeling of "medical home" are included in care. Nurse Practitioner are nurses educated at the master's or doctoral level; Doctor of nursing practice programs are designed to prepare nurse practitioners with the highest level of practice expertise integrated with the ability to translate scientific knowledge into complex clinical interventions.