LEC 3

Question 1

______ is the care of woman during childbirth

Answer 1

Obstetric

Question 2

________ is derived from Greek word obstare which means “to keep watch”

Answer 2

Obstetric

Question 3

_______ is a word derived from word pais meaning “child”

Answer 3

Pediatrics

Question 4

Philosophy
Maternal and Child Health Nursing is:

Answer 4

1. Family-centered
2. Community-centered
3. Evidence-based
4. A challenging role for nurses and a major factor in keeping families will and optimally functioning.

Question 5

A Maternal and Child Health Nurse:
Give 3.

Answer 5

1. Promotes health and disease prevention because these protect the health of the next generation.
2. Respects personal, cultural, and spiritual attitude and beliefs.
3. Encourages family bonding through rooming-in and family visits.
4. Encourages early hospital discharge options.

Question 6

PRINCIPLES OF MCN:
The _____ is the basic unit of society .

Families come in many different forms and sizes represent _____, _____, ____, and socio-economic diversity.

Children grow both _____ and as part of a family.

Answer 6

racial, ethnic, cultural
——
individually

Question 7

4 Phases of Health Care

Answer 7

1. Health Promotion
2. Health Maintenance
3. Health Restoration
4. Health Rehabilitation

Question 8

__________ is educating clients to be aware of good health through teaching and role modeling

Answer 8

Health Promotion

Question 9

______ is intervening to maintain health when risk of illness is present

Answer 9

Health Maintenance

Question 10

_______ is promptly diagnosing and treating illness using interventions that will return client to wellness most rapidly

Answer 10

Health Restoration

Question 11

_____ preventing further complications from an ill-ness; bringing ill client back to optimal state of wellness or helping client to accept inevitable death

Answer 11

Health Rehabilitation

Question 12

______ are designed and implemented in a thorough manner utilizing an organized series of steps

Answer 12

Nursing processes

Question 13

Nursing processes are designed and implemented in a thorough manner utilizing an organized series of steps as follows:

Answer 13

1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation

Question 14

A discipline’s knowledge flows from a base of established theory.

Answer 14

Nursing Theory

Question 15

A discipline’s knowledge flows from a base of established theory:

Answer 15

• Callista Roy’s Adaptation Model
• Dorothea Orem’s Self-care Theory
• Patricia Benner’s Novice to Expert Theory

Question 16

What Phase of Health Care?
Teaching women the importance of rubella immunization before pregnancy; teaching children the importance of safer sex practices

Answer 16

Health Promotion

Question 17

Encouraging women to come for prenatal care; teaching parents the importance of safeguarding their home by childproofing it against poisoning

Answer 17

Health Maintenance

Question 18

What Phase of Health Care?
Caring for a woman during a complication of pregnancy or a child during an acute illness

Answer 18

Health Restoration

Question 19

What Phase of Health Care?
Encouraging a woman with gestational trophoblastic disease to continue therapy or a child with a renal transplant to continue to take necessary medications

Answer 19

Health Rehabilitation

Question 20

What Phase of Health Care?
Encouraging a woman with gestational trophoblastic disease to continue therapy or a child with a renal transplant to continue to take necessary medications

Answer 20

Health Rehabilitation

Question 21

Nursing is a caring relationship. Nurses grow from novice to expert as they practice in clinical settings

Answer 21

Patricia Benner’s Novice to Expert Theory

Question 22

The role of the nurse is to aid clients to adapt to the change caused by illness; levels of adaptation depend on the degree of environmental change and state of coping ability; full adaptation includes physiologic interdependence.

Answer 22

Callista Roy’s Adaptation Model

Question 23

The focus of nursing is on the individual; clients are assessed in terms of ability to complete self-care. Care given may be wholly compensatory (client has no role); partly compensatory (client participates in care); or supportive-educational (client performs own care)

Answer 23

Dorothea Orem’s Self-care Theory

Question 24

6 Competencies for Nurses

Answer 24

1. Patient-Centered Care
2. Quality improvement
3. Teamwork and Collaboration
4. Informatics
5. Evidence-based practice
6. Safety

Question 25

The patient or designee is thought of as the source of control and full partner in the provision of compassionate and coordinated care based on respect for the patient’s preferences, values, and needs.

Answer 25

Patient-Centered Care

Question 26

Nurses function effectively within nursing and interprofessional teams, fostering open communication, mutual respect, and shared decision making as they achieve quality patient care.

Answer 26

Teamwork and Collaboration

Question 27

Nurses integrate the best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care.

Answer 27

Evidence-Based Practice

Question 28

Nurses use data to monitor the outcomes of care and use improvement methods to design and test changes to continuously improve the quality and safety of healthcare systems.

Answer 28

Quality Improvement (QI)

Question 29

Nurses use information and technology to communicate, manage knowledge, mitigate error, and support decision making.

Answer 29

Informatics

Question 30

Nurses minimize the risk of harm to patients and providers through both system effectiveness and individual performance.

Answer 30

Safety

Question 31

The _____ and ________ established millennium health goals in _____ in an effort to improve health worldwide.

Answer 31

United Nations and World Health Organization ------ 2000

Question 32

The 2020 National Health Goals concentrate on improving the health of ______ and _____.

Answer 32

women and children

Question 33

The MCHN population is constantly changing because of changes in _____ structure, ______ in family lifestyle, and changing _____ of ______.

Answer 33

social structure, variations, patterns of illness

Question 34

Trend: Families are smaller than in previous decades

Answer 34

Implications for Nursing: Fewer family members are present as support in a time of crisis. Nurses must fulfill this role more than ever before

Question 35

Trend: Single parents are increasing in number

Answer 35

Implications for Nursing: A single parent may have fewer financial resources; this is more likely if the parent is a woman. Nurses need to inform parents of care options and to provide a backup opinion when needed

Question 36

Trend: An increasing number of women work outside the home.

Answer 36

Implications for Nurses: Provide a schedule for health care. Health care must be scheduled at times a working parent can bring a child for care. Problems of “latch-key” (self-care) children & selection of child health care centers need to be addressed.

Question 37

Trend: Families are more mobile, increasing numbers of homeless

Answer 37

Implications for Nurses: Good interviewing and monitoring Good interviewing is necessary with mobile families so a health database can be established; education for health monitoring is important

Question 38

Trend: Domestic violence is increasing in rate

Answer 38

Implications for Nurses: Screening for children and intimate partners. Nurses must be aware of legal responsibilities of reporting abuse.

Question 39

Trend: Families are more health conscious

Answer 39

Implications for Nurses: Families are ripe for health education, providing this can be a major nursing role.

Question 40

Trend: Health care must respect cost containment

Answer 40

Implications for Nurses: Comprehensive care at primary level because health insurance is not available for all families.

Question 41

Nurses are _____ responsible for protecting the _____ of their clients including confidentiality, and are ______ for the quality of their individual nursing care and that of each health care team member.

Answer 41

legally ---- rights ------- accountable

Question 42

In a society in which child abuse is of national concern, nurses are becoming increasingly _______ for identifying and _____ incidents of suspected abuse in children.

Answer 42

responsible ---- reporting

Question 43

Understanding the ____ of ______ and standards of care can help nurses practice within appropriate _____ parameters.

Answer 43

scope of practice ------ legal

Question 44

__________ is essential for protecting a nurse and justifying his or her actions.

Answer 44

Documentation

Question 45

___________ is recommended for all nurses so they do not incur great financial losses during _______or professional negligence suits.

Answer 45

Personal liability insurance ------ malpractice

Question 46

_________ a practitioner who committed a _________.

Answer 46

Reporting ----- mistake

Question 47

ETHICAL CONSIDERATIONS OF PRACTICE The following are just a few of the major potential conflicts:

Answer 47

1. Conception issues, as in in vitro fertilization, embryo transfer, ownership of frozen oocytes, etc. 2. Abortion 3. Fetal rights vs Rights of Mother 4. Use of fetal tissue for research 5. Resuscitation (for how long should it be continued) 6. No. of procedures or degree of pain that a child should be asked to endure to achieve a degree of better health 7. Balance between modern technology and quality of life