1.

01 A FRAMEWORK TO MATERNAL AND CHILD HEALTH NURSING

Dr. Nera Galan || Month Year NCM 107 - OB
Transcribers: Aserdano
Editors: Competente BLOCK B

2. Community-centered
o health of families depends on and influences the
OUTLINE health of communities

I. Maternal and Child Health Nursing Goal 3. Evidence-based

II. Philosophy of Maternal and Child Health Nursing o the means whereby critical knowledge increases
III. Quality and Safety education for Nurses (QSEN)
IV. Legal Considerations Specific to MCHN Practice
V. Alternative Healthcare Practices Commonly Used A. quality
1. Increase 2 Pillarsand
of the 2020ofNational
years healthyHealth
life Goals
VI. Measurement of Maternal and Child Health 2. Eliminate health disparities
VII. Trends impacting MCHN
Others:
New objective recommends that all pre-licensure programs in
Indications: nursing include core content on
o counseling for health promotion and disease
Lecturer Book Significant Unfamiliar term Keyword prevention
o cultural diversity
☞ ✎ B I U o the evolution of health sciences literature
o environmental health
o public health systems
o global health

I. MATERNAL
AND CHILD HEALTH NURSING GOAL
B. Framework for MCHN Care
● Goal: The promotion and maintenance of optimum family Includes the:
health to ensure cycles of healthy childbearing and
childrearing. A. The Nursing Process
B. The Nursing Theories
● Therefore, maternal and child health nursing are not separate C. Quality & Safety Education for Nurses
entities but rather are a continuum, D. Evidence-Based Practice - the conscientious, explicit,
and judicious use of current best evidence in making decisions about
the care of patients
E. Nursing Research - the systematic investigation of
problems that have implications for nursing practice and usually
carried out by nurses which plays an important role in improving
evidence-based practice.

Nursing care for the mother and child is given:

1. before conceiving (pre-conceptual) health care
2. pregnancy to birth to postpartum (after birth)

● MCHN Practices Throughout the Childbearing-

Childrearing Continuum PHASES OF HEALTH CARE
o Provision of preconception healthcare Health - educating clients to be aware of good health through
o Provision of nursing care of women throughout Promotion teaching and modeling
pregnancy, birth and postpartum period
o Provision of nursing care of children from birth Health - intervening to maintain health when risk of
through adolescent
Maintenance illness is present
o Provision of nursing care to families in settings
Health - promptly diagnosing and treating illness using
II. PHILOSOPHY OF MCHN Restoration interventions that will return client to wellness most
Includes the following concepts: rapidly

1. Family-centered Health - preventing further complications from an illness

o assessment must include both family and individual Rehabilitation - bringing an ill client back to an optimal state of
assessment data wellness
- helping a client to accept inevitable death

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 - the number of fetal deaths (over 500g) per
C. The Nursing Process 1,000 live births
- may be caused by:
- It is a tool for both students and nurses to help ensure a consistent and
strategic approach to patient care. a. Maternal factors: maternal disease, premature
cervical dilation, or maternal malnutrition
1. Assessment (collects patient data) b. Fetal factors: fetal disease, chromosome
2. Nursing Diagnosis (analyzes assessment data) abnormality, or poor placental attachment
3. Planning (develops a plan of care that prescribes interventions to
obtain expected outcome) - the measurement of overall quality maternal health and
4. Implementation (implements intervention identified in the plan of prenatal care
care)
5. Evaluation (evaluates progress toward attainment of outcome) Neonatal Death Neonate - a child within his first 28 days of life
Rate (neonatal period which is less than a month)
- Nursing process is applied in every nursing intervention (admission,
labor, postpartum) - the number of deaths per 1,000 live births
occurring at birth or in the first 28 days of
III. QUALITY AND SAFETY EDUCATION FOR NURSES (QSEN) life
- leading causes:
 patient-centered care
 teamwork and collaboration a. prematurity (early gestational age)
 evidence-based practice b. low birth weight (weighs less than 2500 g)
c. congenital anomalies
 quality improvement
 safety - reflects the quality of care available to women during
 informatics pregnancy and childbirth, and to infants during their first
month of life
Perinatal Death - the sum of the fetal and the neonatal death rates
1. InformedIV. LEGAL
consent related to CONSIDERATIONS
fetal well-being Rate
2. Informed consent and legal guardianship for procedures - the number of deaths of fetuses more than 500g and in
performed on children the first 28 days of life per 1000 live births
3. Length of time between healthcare incident and child’s ability to
bring lawsuit Maternal - the death of a mother during childbirth
4. Identifying and reporting suspected child abuse Mortality Rate - the number of maternal deaths that occur as a
5. Concepts of “wrongful life,” and “wrongful conception” direct result of reproductive process per 100,000
live births
1.V.Acupuncture
ALTERNATIVE HEALTHCARE PRACTICES
o involves the insertion of very thin needles through your Infant Mortality Infant - a child in the period of birth to at least 12 months
skin at strategic points on your body Rate
- the number of deaths per 1,000 live births
2. Homeopathy occurring at birth or in the first 12 months of life
o treatment based on the use of highly diluted substances,
which practitioners claim can cause the body to heal - index of a country’s general health because it
itself measures the quality of
- pregnancy care
3. Therapeutic Touch - nutrition
o does not attempt to cure disease, but rather to stimulate - sanitation
the body's natural healing process - infant health

4. Chiropractic Care
o concerned with the diagnosis, treatment and prevention Childhood Childhood - the period of child development from 1 to 14
of mechanical disorders of the musculoskeletal system, Mortality Rate years of age
especially of the spine
- the number of deaths per 1,000 populations in children (1-
5. Herbalism 14 years of age)
o study of pharmacognosy and the use of medicinal
plants, which are a basis of traditional medicine - risk of death in the first year of life is higher than that in
any other year before age 55
VI. MEASUREMENT OF MATERNAL AND CHILD HEALTH

Birth Rate - the number of births per 1,000 population Prepubescent period (5-14 y/o) – lowest mortality rate
of any child age group
Fertility Rate - the number of pregnancies per 1,000 population
- the proportion of women who could have babies

Fetal Death Fetus - a child inside the uterus weighing 500g or more,
Rate roughly the weight of the fetus of 20 weeks or more of
gestation

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Childhood Morbidity - the incidence of disease or the rate of illness
Morbidity Rate
- health problems commonly occurring in large proportions
of children include
1. respiratory disorders (asthma, TB)
2. GI disturbances
3. consequences of injuries
4. obesity which can lead to
- cardiovascular disorders
- self-esteem issues
- type 2 diabetes

VII. TRENDS IMPACTING MATERNAL AND CHILD HEALTH NURSING

1. Families contain fewer members

2. Increasing number of single parents
3. 90% of women work outside the home; many are the primary
wage earner
4. Increasing number of homeless women and children
5. Families becoming more mobile
6. Families are more informed
7. Increasing Child and Intimate partner violence
8. Increasing initiative on balancing quality and cost
containment in health care

VIII. REFERENCES
PowerPoint presentation shared by Dr. Nera Galan