12/23/23, 5:17 PM Week 1 Edapt Introduction to Maternal Child Nursing
NUR 251 Week 1 Edapt Introduction to Maternal Child Nursing
Maternity care has changed over the years to
increase the emphasis on safety and quality of
care.
Many expectant mothers have other health
concerns such as obesity, high blood pressure,
and even substance abuse. Their
socioeconomic status can have an impact on
their pregnancy, along with their cultural
preferences. Abuse and human trafficking may
be other risks that these women face during
this period of their lives.
This concept will explore some of the trends in maternal
child nursing and how nurses can
positively influence healthcare outcomes.
Critical thinking and evidence-based practice
must be used, and nurses should also make
sure that the client is involved in their own care.
Planning Care
When planning maternal child care for a client,
nurses and providers must take into
consideration the specific needs of the client.
Match the following service types of care with
the clients and the experience they would best
serve.
Evidenc
e-based
practice
/
Service The care is provided based on the latest
type of research and
care recommendations to promote safety and
positive health outcomes.
Level I facility Low-risk clients, in a hospital setting
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,12/23/23, 5:17 PM Week 1 Edapt Introduction to Maternal Child Nursing
LDR roomMom labors, delivers and recovers in
the same room, but is transferred to a
postpartum unit.
Birth centers Tub births and births may not require as
much medical monitoring.
Home births Specialized physicians and midwives
deliver within a client’s residence.
Level II facility Typically, care is provided for clients
32 weeks gestation in a hospital setting.
LRDP room Mom labors, delivers and recovers in the
same room and stays for 2-4 days.
Level III facility Highest-risk moms and their infant(sfi, in
a hospital setting
Family-Centered Care
Most families now recognize that they have
choices in the childbirth experience. What are
the basic principles of family-centered care?
Family dynamics are
impacted by childbirth.
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,12/23/23, 5:17 PM Week 1 Edapt Introduction to Maternal Child Nursing
Childbirth is typically a
normal, healthy event.
A focus on family or the support person(s) should be
maintained.
Clients can be involved in decision making.
1
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, 12/23/23, 5:17 PM Week 1 Edapt Introduction to Maternal Child Nursing
Maternal Mortality
Which factors will help to reduce maternal
mortality in the United States? Select all that
apply.
Use of a specialized
antepartum maternity
clinic Delivery by a
certified nurse midwife
(CNM) Birthing plans
Availability of high-risk, maternal-infant care centers
Home delivery
Changes in Maternity Care
Changes in Maternity Care Over Time
Prior to the twentieth century (before 1901fi
• Deliveries happened at home; “granny midwives” were
in attendance
• High rates of maternal and infant death, both at home
and in hospitals
• Postpartum hemorrhage, postpartum
infection, toxemia, prematurity, dehydration
r/t diarrhea, contagious diseases
20th century developments
• Increase in physician assisted births in hospitals
• By 1960, 90ffi of all births in the U.S. were in hospitals
• Lay midwifery became increasingly illegal
• Women’s role in delivery became passive; doctors
delivered
• Twilight sleep; narcotic and scopolamine
• Continued problems with poor maternal
about:blank 4/74
NUR 251 Week 1 Edapt Introduction to Maternal Child Nursing
Maternity care has changed over the years to
increase the emphasis on safety and quality of
care.
Many expectant mothers have other health
concerns such as obesity, high blood pressure,
and even substance abuse. Their
socioeconomic status can have an impact on
their pregnancy, along with their cultural
preferences. Abuse and human trafficking may
be other risks that these women face during
this period of their lives.
This concept will explore some of the trends in maternal
child nursing and how nurses can
positively influence healthcare outcomes.
Critical thinking and evidence-based practice
must be used, and nurses should also make
sure that the client is involved in their own care.
Planning Care
When planning maternal child care for a client,
nurses and providers must take into
consideration the specific needs of the client.
Match the following service types of care with
the clients and the experience they would best
serve.
Evidenc
e-based
practice
/
Service The care is provided based on the latest
type of research and
care recommendations to promote safety and
positive health outcomes.
Level I facility Low-risk clients, in a hospital setting
about:blank 1/74
,12/23/23, 5:17 PM Week 1 Edapt Introduction to Maternal Child Nursing
LDR roomMom labors, delivers and recovers in
the same room, but is transferred to a
postpartum unit.
Birth centers Tub births and births may not require as
much medical monitoring.
Home births Specialized physicians and midwives
deliver within a client’s residence.
Level II facility Typically, care is provided for clients
32 weeks gestation in a hospital setting.
LRDP room Mom labors, delivers and recovers in the
same room and stays for 2-4 days.
Level III facility Highest-risk moms and their infant(sfi, in
a hospital setting
Family-Centered Care
Most families now recognize that they have
choices in the childbirth experience. What are
the basic principles of family-centered care?
Family dynamics are
impacted by childbirth.
about:blank 2/74
,12/23/23, 5:17 PM Week 1 Edapt Introduction to Maternal Child Nursing
Childbirth is typically a
normal, healthy event.
A focus on family or the support person(s) should be
maintained.
Clients can be involved in decision making.
1
about:blank 3/74
, 12/23/23, 5:17 PM Week 1 Edapt Introduction to Maternal Child Nursing
Maternal Mortality
Which factors will help to reduce maternal
mortality in the United States? Select all that
apply.
Use of a specialized
antepartum maternity
clinic Delivery by a
certified nurse midwife
(CNM) Birthing plans
Availability of high-risk, maternal-infant care centers
Home delivery
Changes in Maternity Care
Changes in Maternity Care Over Time
Prior to the twentieth century (before 1901fi
• Deliveries happened at home; “granny midwives” were
in attendance
• High rates of maternal and infant death, both at home
and in hospitals
• Postpartum hemorrhage, postpartum
infection, toxemia, prematurity, dehydration
r/t diarrhea, contagious diseases
20th century developments
• Increase in physician assisted births in hospitals
• By 1960, 90ffi of all births in the U.S. were in hospitals
• Lay midwifery became increasingly illegal
• Women’s role in delivery became passive; doctors
delivered
• Twilight sleep; narcotic and scopolamine
• Continued problems with poor maternal
about:blank 4/74
