Maternal and Child Health Nursing

Question 1

Care of woman during childbirth; derived from Greek word “obstare” (to keep watch)

Answer 1

Obstetrics

Question 2

derived from Greek word, “pais” (child)

Answer 2

Pediatrics

Question 3

Care of childbearing and childrearing families.

Answer 3

Focus of MCN –

Question 4

Promotion and maintenance of Optimal Family Health.

Answer 4

Primary Goal of MCN

Question 5

Goals of MCN are broad b/c the scope of practice or range of practice includes the ff

Answer 5

1. Preconceptual Health Care
2. Care of women during 3 trimesters of pregnancy
    1st trimester (1st – 3rd month)
    2nd trimester (4th – 6th month)
    3rd trimester (7th – 9th month)
3. Care of women during Puerperium or 4th Trimester (6 weeks after childbirth)
4. Care of infants during Perinatal Period (6 weeks before conception and 6 weeks after birth)
5. Care of children from birth to adolescence
    Neonatal (28 days of life); Infancy (1 – 12 months); Adolescence (after 18 y/o)
6. Care in settings as varied as the birthing room, the PICU, and the home

Question 6

assessment must include both family and individual assessment.

Answer 6

MCN is Family Centered;

Question 7

health of families depends on & influences the health of communities

Answer 7

MCN is Community Centered

Question 8

because critical knowledge increases

Answer 8

MCN is Evidence Based

Question 9

because teaching & counselling are major
interventions.

Answer 9

MCN includes independent nursing functions

Question 10

(protects the rights of family members, including fetus)

Answer 10

. MCN Nurse, Advocate

Question 11

to protect health of new generation

Answer 11

Health Promotion and Disease Prevention

Question 12

MCN is a

Answer 12

challenging role for nurses

Question 13

basic unit of society

Answer 13

Family

Question 14

Framework for MCN

Answer 14

1. Nursing Process (ADPIE)
2. Evidence Based Practice
3. Nursing Research
4. Nursing Theory

Question 15

Educating clients to be aware of good health through teaching and role modelling
Ex. Family planning, teach the importance of safe sex practice, importance of immunizations

Answer 15

Health Promotion

Question 16

Intervening to maintain health when risk of illness is present
Ex. Encourage prenatal care, importance of safeguarding homes by childproofing it against poisoning

Answer 16

. Health Maintenance

Question 17

Diagnosing and treating illness using interventions that will return client to wellness fast
Ex. Care of child during illness, care of woman during pregnancy complications

Answer 17

Health Restoration

Question 18

 Preventing further complications from an illness
 Bringing client back to an optimal state of wellness
 Helping client accept inevitable death

Answer 18

Health Rehabilitation

Question 19

safeguarding and advancing the interests of clients and their families

Answer 19

Client Advocacy

Question 20

Fewer family members are present as support people in
times of crisis
Role of Nurse: Fullfill the role

Answer 20

Families are smaller in size

Question 21

Fewer financial resources esp. woman
Role of Nurse: Inform parents of care options and back –
up opinion

Answer 21

Increased Single Parents
(most common type of parent in US)

Question 22

Healthcare must be scheduled at times a working parent
can care for her own self or bring a child for care.
Role of Nurse: Discuss selection of child care centers

Answer 22

Increased mothers working outside
home at least part – time (90%)

Question 23

Good interviewing & health monitoring are necessary so
health database can be established and continuity of care.

Answer 23

Families are more mobile; Increased no.
of homeless women & children

Question 24

Screening for child or intimate partner abuse; Nurses must
be aware of legal responsibilities for reporting abuse

Answer 24

Child and Intimate Partner Abuse

Question 25

Provide Health Education

Answer 25

Families are more health consciou

Question 26

Comprehensive care is necessary in primary care settings because referral to specialists may no longer be an option; Health insurance is not available in all families.

Answer 26

Health care should respect cost containment

Question 27

no. of births per 1000 population

Answer 27

. Birth Rate

Question 28

no. of pregnancies per 1000 women of childbearing age

Answer 28

Fertility Rate

Question 29

no. of fetal deaths weighing more than 500 g or more per 1000 live births

Answer 29

Fetal Death Rate

Question 30

1st 28 days of life; Infant is called Neonate  No. of deaths per 1000 live births occurring in the 1st 28 days of life.

Answer 30

Neonatal Period –

Question 31

6 weeks before conception and 6 weeks after childbirth

Answer 31

Perinatal Period

Question 32

– no. of deaths per 1000 live births in the first 12 months of life.

Answer 32

Infant Mortality Rate

Question 33

– no. of deaths per 1000 population in children; 1 – 14 y/o

Answer 33

Childhood Mortality rate –

Question 34

no. of maternal deaths per 100,000 live births that occur as direct result of reproductive process.

Answer 34

Maternal Mortality Rate

Question 35

reducing the cost of health by closely monitoring the cost of personnel, use and brands of supplies, length of hospital stays, no. of procedures carried out, and no. of referrals while maintaining quality care.

Answer 35

Cost containmen

Question 36

a more natural childbirth environment as a birthing room. Family members are invited to stay to be a part of childbirth.

Answer 36

LDRP Rooms (Labor – Delivery – Recovery – Postpartum)

Question 37

NICU (Neonatal Intensive Care Unit) or ICN (Intensive Care Nursery)  PICU (Pediatric Intensive Care Unit)

Answer 37

Increasing Intensive Care Units

Question 38

– ex. Premature infant transferred to regional hospital

Answer 38

Regionalizing Intensive Care

Question 39

alternative method of therapies such as acupuncture and therapeutic touch; herbal remedies

Answer 39

Increasing the Use of Alternative Treatment Modalities

Question 40

– decreased hospital stay

Answer 40

Increasing Reliance on Home Care

Question 41

– use of internet, charting in computer, using Doppler

Answer 41

Increasing Use of Technology

Question 42

women giving birth without health care provider supervision; unassisted birth

Answer 42

Free birthing –

Question 43

breathing techniques

Answer 43

LAMAS

Question 44

Legal Considerations of MCN Practice

Answer 44

1. Identifying and Reporting Child Abuse 2. Child can bring a lawsuit when they reach legal age 3. Informed Consent for invasive procedure and any risk that may harm the fetus 4. In divorced or blended families, nurse has the right to give consen

Question 45

Ethical Considerations of Practice

Answer 45

1. Conception Issues  In Vitro Fertilization  Embryo Transfer  Cloning  Stem Cell Research  Surrogate Mothers 2. Abortion 3. Fetal Rights vs Rights of the Mother 4. Use of Fetal Tissue for Research 5. Resuscitation 6. No. of procedures or degree of pain that a child should asked to achieve better health 7. Balance between modern technology and quality of life.