Chapter 1: A Framework for Maternal and Child Health Nursing

ROSETE, HEAVEN ANGEL BLESS A. S.N

MCHN REVIEWER

PAGE 1

LECTURE NOTES

CHAPTER 1: A Framework for Maternal and Child Health Nursing

PRIMARY GOAL OF MATERNAL AND CHILD

HEALTH NURSING:

The promotion and maintenance of

optimal family health to ensure cycles of

optimal childbearing and childrearing.

MATERNAL AND CHILD HEALTH NURSING

PRACTICE THROUGHOUT THE CHILDBEARING‒

CHILDREARING CONTINUUM

• Provision of preconception health

care

• Provision of nursing care of women

throughout

• pregnancy, birth, and postpartum

period

• Provision of nursing care of children

from birth through adolescence

• Provision of nursing care to families in

all settings

A PHILOSOPHY OF MATERNAL AND CHILD

HEALTH NURSING

INCLUDES THE FOLLOWING CONCEPTS:

• Family-centered

• Community-centered

• Evidence-based

HEALTHY PEOPLE 2030 LEADING HEALTH

INDICATORS

• Maternity - Reduce Maternal Deaths

• Baseline: 17.4 maternal deaths per

100,000 live births occurred in 2018

• Target: 15.7 maternal deaths per

100,000 live births

• Women in the United States are more

likely to die from childbirth or

problems related to pregnancy than

women in other high-income

countries.

• There are persistent disparities by

race/ethnicity. Improving the quality

of medical care for women before,

during, and after pregnancy can

help reduce maternal deaths.

• Infants - Reduce the rate of infant

deaths within 1 year of age

• Baseline: 5.8 infant deaths per 1,000

live births occurred within the first

year of life in 2017

• Target: 5.0 infant deaths per 1,000 live

births

• Every year in the United States,

thousands of infants die from causes

like preterm birth, low birth weight,

and sudden infant death syndrome.

• Although the rate of infant deaths

has fallen over the past decade,

there are disparities by

race/ethnicity, income, and

geographic location.

• Equitable, high-quality care for moms

and babies and community-based

interventions can help reduce the

rate of infant deaths.

FRAMEWORK FOR MATERNAL AND CHILD

HEALTH NURSING CARE #1

PHASES OF HEALTH CARE

• Health promotion Educating parents

and children to follow sound health

practices through teaching and role

modeling (e.g. teaching women the

importance of rubella immunization

before pregnancy)

• Health maintenance Intervening to

maintain health when risk of illness is

present (e.g. teaching parents the

importance of safeguarding their

home by childproofing against

poisoning)

• Health restoration Using

conscientious assessment to be

certain that symptoms of illness are

identified and interventions are

begun to return patient to wellness

most rapidly (e.g. caring for a woman

during a complication of pregnancy

such as gestational diabetes)

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PRIMARY GOAL OF MATERNAL AND CHILD HEALTH NURSING: The promotion and maintenance of optimal family health to ensure cycles of optimal childbearing and childrearing. MATERNAL AND CHILD HEALTH NURSING PRACTICE THROUGHOUT THE CHILDBEARING‒ CHILDREARING CONTINUUM

Provision of preconception health care
Provision of nursing care of women throughout
pregnancy, birth, and postpartum period
Provision of nursing care of children from birth through adolescence
Provision of nursing care to families in all settings A PHILOSOPHY OF MATERNAL AND CHILD HEALTH NURSING INCLUDES THE FOLLOWING CONCEPTS:
Family-centered
Community-centered
Evidence-based HEALTHY PEOPLE 2030 LEADING HEALTH INDICATORS
Maternity - Reduce Maternal Deaths
Baseline: 17.4 maternal deaths per 100,000 live births occurred in 2018
Target: 15.7 maternal deaths per 100,000 live births
Women in the United States are more likely to die from childbirth or problems related to pregnancy than women in other high-income countries.
There are persistent disparities by race/ethnicity. Improving the quality of medical care for women before, during, and after pregnancy can help reduce maternal deaths. - Infants - Reduce the rate of infant deaths within 1 year of age - Baseline: 5.8 infant deaths per 1, live births occurred within the first year of life in 2017 - Target: 5.0 infant deaths per 1,000 live births - Every year in the United States, thousands of infants die from causes like preterm birth, low birth weight, and sudden infant death syndrome. - Although the rate of infant deaths has fallen over the past decade, there are disparities by race/ethnicity, income, and geographic location. - Equitable, high-quality care for moms and babies and community-based interventions can help reduce the rate of infant deaths. FRAMEWORK FOR MATERNAL AND CHILD HEALTH NURSING CARE # PHASES OF HEALTH CARE - Health promotion Educating parents and children to follow sound health practices through teaching and role modeling (e.g. teaching women the importance of rubella immunization before pregnancy) - Health maintenance Intervening to maintain health when risk of illness is present (e.g. teaching parents the importance of safeguarding their home by childproofing against poisoning) - Health restoration Using conscientious assessment to be certain that symptoms of illness are identified and interventions are begun to return patient to wellness most rapidly (e.g. caring for a woman during a complication of pregnancy such as gestational diabetes)