MCN Lesson 1 - 9/2/24

Question 1

The care of women during childbirth

Focuses on pregnancy, childbirth and postpartum

Answer 1

Obstetrics

Question 2

Obstetrics

• Derived from the greek word __________ ( ____________)

Answer 2

obstare ( to keep watch)

Question 3

Focus on life growth and development and health of infants, children, and adolescents below 18 yrs old

Answer 3

Pediatrics

Question 4

Pediatrics

• from the greek word “_________” (___________)

Answer 4

“pais” (child)

Question 5

is a field of nursing that focuses on providing healthcare to childbearing women and their children.

Answer 5

Maternal and Child Health Nursing

Question 6

Maternal and Child Health Nursing

❗CPPR❗

It is _____________, _____________, _____________, and _____________health care for mother and children.

Answer 6

promotive, preventive, curative, and rehabilitative

Question 7

Maternal and child health nursing can be visualized within a framework in which nurses, using ________________, ________________, ________________, to care for families during childbearing and childrearing years

Answer 7

nursing process,
nursing theory,
evidence-based practice

Question 8

4 PHASES OF HEALTHCARE

❗PMRR❗

Answer 8

Health promotion
Health maintenance
Health restoration
Health rehabilitation

Question 9

Educating clients to be aware of good health through teaching and role modeling.

Client: No sickness
What you do: educate

Answer 9

HEALTH PROMOTION

Question 10

Identify the phase of healthcare:

Teaching women the importance of rubella immunization before pregnancy; teaching children the importance of safer sex practices

Answer 10

HEALTH PROMOTION

Question 11

Intervening to maintain health when risk of illness is present.

Client: At risk
What you do: check and teach

Answer 11

HEALTH MAINTENANCE

Question 12

Identify the phase of healthcare:

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

Answer 12

HEALTH MAINTENANCE

Question 13

Promptly diagnosing and treating illness using interventions that will return clients to wellness most rapidly.

Client has the sickness

What you do: collaborate with a doctor and follow the orders ( like giving meds, treatments etc.)

Answer 13

Health Restoration

Question 14

Caring for a woman during a complication of pregnancy or a child during an acute illness

Answer 14

Health Restoration

Question 15

Preventing further
complications from an illness; bringing ill clients back to optimal state of wellness or helping clients to accept inevitable death.

Answer 15

Health Rehabilitation

Question 16

Encouraging a woman with gestational trophoblastic disease to continue therapy or a child with a renal transplant to continue to take necessary medications

Example: gestational diabetes (before pregnancy no diabetes) but after preg, diabetes progressed, teach client to live with or without the condition normally

Fractures

Answer 16

Health Rehabilitation

Question 17

Primary Goal of Maternal and Child Health Nursing

Answer 17

The promotion and maintenance of optimal family health to ensure cycles of optimal childbearing and child rearing.

Question 18

The cycle of optimal childbearing and childrearing:

Answer 18

Healthy families –> Healthy Pregnancy –> Healthy Infants –> Healthy Children –> Healthy Adolescents –> Healthy Adults –>
Healthy Pregnancy –> Healthy Family …. repeat

Question 19

Goals & Philosophies of Maternal and Child Health Nursing

❗FEC❗

Answer 19

Family Centered
Community Centered
Evidence-based Practice

Question 20

Maternal and child health nursing is family centered; assessment must include both family and individual assessment data.

Answer 20

Family centered

Question 21

Maternal and child health nursing is community centered; the health of families depends on and influences the health of communities.

Many healthy families → healthy community

Answer 21

Community centered

Question 22

This is the means whereby critical knowledge increases.

To ensure patient safety

Answer 22

Evidence-based

Question 23

Philosophies

❗AI is the next generation for resources. CCC ❗

Answer 23

A maternal and child health nurse serves as an advocate to protect the rights of all family members, including the fetus.

Maternal and child health nursing includes a high degree of independent nursing function because teaching and counseling

Promoting health and disease prevention are important nursing roles because these protect the health of the next generation.

Maternal and child health nurses serve as important resources for families during childbearing and childrearing as these can be extremely stressful times in a life cycle.

Personal, cultural, and religious attitudes and beliefs influence the meaning and impact of childbearing and childrearing on families.

Circumstances such as illness or pregnancy are meaningful only in the context of a total life..

Maternal and child health nursing is a challenging role for nurses and a major factor in keeping families well and optionally functioning.

Question 24

American Nurses Association/ Society Of Pediatric Nurses

Standards of Care: ENUMERATE
❗ADOPIE❗

Comprehensive pediatric nursing care focuses on helping children and their family and communities achieve their optimum health potentials

This is best achieved within the framework of family-centered care and the nursing process,including primary secondary, tertiary care coordinated across health care and community settings.

Answer 24

Standard 1: Assessment
Standard 2: Diagnosis
Standard 3: Outcome Identification
Standard 4: Planning
Standard 5: Implementation
Standard 6: Evaluation

Question 25

The pediatric nurse collects patient health data.

Answer 25

Standard 1: Assessment

Question 26

The pediatric nurse analyzes the assessment data in determining diagnosis

Answer 26

Standard 2: Diagnosis

Question 27

The pediatric nurse identifies expected outcomes individualized to the child and the family.

Answer 27

Standard 3: Outcome Identification

Question 28

The pediatric nurse develops a plan of care that prescribes interventions to obtain expected outcomes.

Answer 28

Standard 4: Planning

Question 29

The pediatric nurse implements the interventions identified in the plan of care.

Answer 29

Standard 5: Implementation

Question 30

The pediatric nurse evaluates the child's and family's progress toward attainment of outcomes.

Answer 30

Standard 6: Evaluation

Question 31

Standards of Professional Performance: ENUMERATE ❗QPE CEC RR❗

Answer 31

Standard 1: Quality of Care Standard 2: Performance Appraisal Standard 3: Education Standard 4: Collegiality Standard 5: Ethics Standard 6: Collaboration Standard 7: Research Standard 8: Resource Utilization

Question 32

The pediatric nurse systematically evaluates the quality and effectiveness of pediatric nursing practice.

Answer 32

Standard 1: Quality of Care

Question 33

The pediatric nurse evaluates his or her own nursing practice in relation to professional practice standards & relevant statutes and regulations.

Answer 33

Standard 2: Performance Appraisal

Question 34

The pediatric nurse acquires and maintains current knowledge and competency in pediatric nurse practice.

Answer 34

Standard 3: Education

Question 35

The pediatric nurse interacts with and contributes to the professional development of peers, colleagues and other health care providers.

Answer 35

Standard 4: Collegiality

Question 36

The pediatric nurse’s assessment, actions, and recommendations on behalf of children and their families are determined in an ethical manner.

Answer 36

Standard 5: Ethics

Question 37

The pediatric nurse collaborates with the child, family and other healthcare providers in providing client care.

Answer 37

Standard 6: Collaboration

Question 38

The pediatric nurse contributes to nursing and pediatric health care through the use of research methods and finding.

Answer 38

Standard 7: Research

Question 39

The pediatric nurse considers factors related to safety effectiveness, and cost in planning and delivering patient care.

Answer 39

Standard 8: Resource Utilization

Question 40

17 ambitious goals of the UN To reach by 2030 ❗PH GEG❗ ❗WEW IIC❗ ❗RC LL PP❗

Answer 40

No poverty Zero Hunger Good Health and Well-being Quality Education Gender Equality Clean Water and Sanitation Affordable and Clean Energy Decent Work and Economic Growth Industry, Innovation, and Infrastructure Reduced Inequalities Sustainable Cities and Communities Responsible Consumption and Production Climate Action Life Below Water Life on Land Peace, Justice, and Strong Institutions Partnerships for the Goals

Question 41

Statistics Related to the Measurement of of Maternal and Child Health ❗BFFNP MICC❗

Answer 41

Birth rate Fertility rate Fetal death rate Neonatal death rate Perinatal death rate Maternal mortality rate Infant mortality rate Childhood mortality rate Childhood morbidity rate

Question 42

1. ___________________ is the state of being unhealthy for a particular disease or situation, whereas 2.________________ is the number of deaths that occur in a population.

Answer 42

1. Morbidity 2. Mortality

Question 43

The number of births per 1,000 population.

Answer 43

BIRTH RATE

Question 44

The number of pregnancies per 1,000 women of childbearing age.

Answer 44

FERTILITY RATE

Question 45

The fertility rate tends to be low in countries where there are fewer nutritional resources because poor nutrition makes conceiving difficult as well as in countries where the proportion of young adult men is low because of war or disease. This rate tends to be high in countries where the average woman has access to good nutrition and feels safe to begin a family. The US fertility rate is currently at 62.9% a rate typical of a healthy high resource country.

Answer 45

yes

Question 46

The number of fetal deaths (over 500 g) per 1,000 live births.

Answer 46

FETAL DEATH RATE

Question 48

Fetal death before birth but greater than ____ weeks gestation occurs because of maternal factors (such as premature cervical dilation and maternal hypertension) and also because of fetal factors (such as chromosomal abnormalities or poor placental attachment).

Answer 48

20

Question 49

Number of deaths per 1,000 live births occurring at birth or in the first 28 days of life.

Answer 49

NEONATAL DEATH RATE

Question 50

The number of deaths during the perinatal time period (beginning when a fetus reaches 500 g, about week 20 of pregnancy, and ending about 4 to 6 weeks after birth)

Answer 50

PERINATAL DEATH RATE

Question 51

It is the sum of the fetal and neonatal rates.

Answer 51

PERINATAL DEATH RATE

Question 52

___________________________ is a key outcome indicator for newborn care and directly reflects prenatal intrapartum, and newborn care. It has also been proposed as a proxy measure of maternal health status and mortality, but a recent study has cast doubt on its use as a proxy for maternal mortality.

Answer 52

The PMR (Perinatal Mortality Rate)

Question 53

The number of maternal deaths per 100,000 live births that occur as a direct result of the reproductive process.

Answer 53

MATERNAL MORTALITY RATE

Question 54

The number of deaths per 1,000 live births occurring at birth or in the first 12 months of life.

Answer 54

INFANT MORTALITY RATE

Question 55

The number of deaths per 1,000 population in children aged 1 to 14 years.

Answer 55

CHILDHOOD MORTALITY RATE

Question 56

Health problems commonly occurring in large proportions of children today include respiratory disorders (including asthma and tuberculosis), gastrointestinal disturbances, and consequences of injuries. Obesity rates for children aged 2-19 years average, now 17%. Obesity in school-aged children can lead to cardiovascular disorders, self-esteem issues in type 2 diabetes so counseling children about maintaining a healthy weight is an important nursing responsibility. Morbid obesity in pregnant women can lead to complications during pregnancy and birth and following birth.

Answer 56

CHILDHOOD MORBIDITY RATE