Framework for Maternal and Child Health Nursing Flashcards
pregnancy or time before giving birth
PRENATAL
6 weeks after childbirth, also known as the 4th trimester of pregnancy
PUERPERIUM
20 weeks of pregnancy to 4 weeks (28 days) after birth
PERINATAL
first 28 days of life
NEONATAL
refers to the
relationship of
mother and child
to one another
and consideration
of the entire
family, as well as
the culture and
socio-economic
to environment
as framework of
the clients.
Maternal and Child Health Nursing
refers to the care of pregnant woman, child and family
Maternal and Child Health Nursing
The worth of evidence is ranked according to:
- Well-designed controlled trials
without randomization - Well-designed cohort or case-
control analytic studies - Multiple time series with or without an intervention
LEVEL II
A scientific form of problem solving,
serves as the basis for assessing,
making a nursing diagnosis,
planning, implementing, and
evaluating care.
NURSING PROCESS
The worth of evidence is ranked according to:
- At least one
properly designed
randomized
controlled trial
LEVEL I
is the conscientious, explicit, and
judicious use of current best
evidence in making decisions about
the care of patients
EVIDENCE-BASED PRACTICE
The worth of evidence is ranked according to:
- Opinions of
respected
authorities, based
on clinical
experience,
descriptive studies,
or reports of expert
committees - Use of evidence- based practice helps to move all
health care actions
to a more solid,
and therefore safer,
scientific base.
LEVEL III
6 QSEN Competencies
- PATIENT-CENTERED CARE
- TEAMWORK & COLLABORATION
- EVIDENCE-BASED PRACTICE
- QUALITY IMPROVEMENT
- SAFETY
- INFORMATICS
QSEN
Quality & Safety Education for Nurses
QSEN COMPETENCY
➢ delivering patient-centered care
PATIENT-CENTERED CARE
QSEN COMPETENCY
➢ working as part of interdisciplinary team
TEAMWORK & COLLABORATION
QSEN COMPETENCY
➢using information technology
INFORMATICS
QSEN COMPETENCY
➢practicing evidence-based medicine
EVIDENCE-BASED PRACTICE
QSEN COMPETENCY
➢focusing on quality improvement
QUALITY IMPROVEMENT
the systematic investigation of problems that have implications for nursing practice and usually carried out by nurses)
NURSING RESEARCH
QSEN COMPETENCY
➢Minimizing risk of harm to the patient
SAFETY
PHASE OF HEALTHCARE
Intervening to maintain health when risk of illness is present
HEALTH MAINTENANCE
4 PHASES OF HEALTH CARE
HEALTH PROMOTION
HEALTH MAINTENANCE
HEALTH RESTORATION
HEALTH REHABILITATION
PHASE OF HEALTHCARE
Educating parents and children to
follow sound health practices through teaching and role
modelling.
HEALTH PROMOTION
PHASE OF HEALTHCARE
Using conscientious
assessment to be certain that symptoms of illness are
identified and interventions are begun to return patient to
wellness most rapidly
HEALTH RESTORATION
They offer helpful ways to
view clients so that nursing activities
can best meet client needs
NURSING THEORISTS
PHASE OF HEALTHCARE
Preventing further complications
from an illness, bringing client back to an optimal state of
wellness, helping client accept inevitable death
HEALTH REHABILITATION
stresses that an important role
of the nurse is to help patient
adapt to change caused by
illness or other stressors
CALLISTA ROY’S THEORY
stresses that an important role
of the nurse is to help patient
adapt to change caused by
illness or other stressors
DOROTHEA OREM’S THEORY
the way nurses move
from novice to expert
as they become more
experienced and
prepared to give inter
professional care
PATRICIA BENNER’S THEORY
Healthy pregnancies & keeping children well protects not only patients at present but also the _________
HEALTH OF THE NEXT GENERATION
the care of women during
childbirth, is derived from the Greek word “obstare”, which means “to keep watch.”
OBSTETRICS
Pediatrics is a word derived from the Greek word, _____ meaning “child”
PAIS
Primary Goal of MCN care
the promotion and
maintenance of optimal family
health to ensure cycles of
optimal childbearing and
childrearing.
assessment must include both family and individual assessment data. Includes “rooming in” and “unang yakap”
FAMILY CENTERED APPROACH
PHILOSOPHY OF MCN
- FAMILY CENTERED
- COMMUNITY CENTERED
- EVEIDENCE-BASED
the health of families
depends on and influences
the health of communities.
COMMUNITY CENTERED
provide guidance and
monitor the interaction between
the family members to promote
the health and well being of the
family unit.
NURSES
The nurse systematically evaluates the quality and effectiveness of pediatric nursing practice.
QUALITY OF CARE
The nurse
evaluates his
or her own
nursing
practice in
relation to
professional
practice
standards and
relevant
statutes and
regulations.
PERFORMANCE APPRAISAL
The nurse
acquires and
maintains
current
knowledge and
competency in
pediatric
nursing
practice.
EDUCATION
The nurse interacts with and contributes to the professional development of peers, colleagues, and other health care providers.
COLLEGIALITY
The nurse’s assessment, actions, and recommendations on behalf of children and their families are determined in an ethical manner.
ETHICS
The nurse
collaborates
with the
child, family,
and other
health care
providers in
providing
client care.
COLLABORATION
The nurse
contributes to
nursing and
pediatric
health care
through the
use of
research
methods and
findings.
RESEARCH
The nurse
considers
factors
related to
safety,
effectiveness,
and cost in
planning and
delivering
patient care.
RESOURCE UTILIZATION
The establishment of________is a major step forwards in improving the health of all people
GLOBAL HEALTH GOALS
It is directed towards ensuring the achievement of the health system goals of:
* better health outcomes,
* sustained health financing,
* a responsive health system by ensuring that all Filipinos, especially the disadvantaged group, have
equitable access to affordable health care.
UNIVERSAL HEALTH CARE (KALUSUGAN PANGKALAHATAN)
AO 2010-0036 (DOH, 2010)
Is a primary health care level
initiative promoted in low- and
middle-income countries to reduce maternal and newborn mortality
BEmONC - Basic emergency obstetric and newborn care
TWO PILLARS OF THE 2020 NATIONAL HEALTH GOALS
- Increased quality and years of healthy life
- Eliminate health disparities
require accurate recording, collection, and analysis and, because, play such a major role in the accurate collection and recording of health- related data, nurses play a major role in allowing the nation’s present and future health to be described in these ways
STATISTICS
the number of births per 1.000 population
BIRTH RATE
the number of pregnancies per 1,000 women of childbearing age
FERTILITY RATE
the number of fetal deaths (over 500g) per 1,000 live births
FETAL DEATH RATE
the number of deaths per 1,000 live births occurring at birth or in the first 28 days of life
NEONATAL DEATH RATE
it is the sum of the fetal and neonatal rates
PERINATAL DEATH RATE
the number of maternal deaths per 100,000 live births that occur as a direct result of the reproductive process
MATERNAL MORTALITY RATE
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 t0 6 weeks after birth);
PERINATAL DEATH RATE
number of deaths per 1,000 live births occurring at birth or in the first 12 months of life
INFANT MORTALITY RATE
the number of deaths per 1,000 population in children age 1 to 14 years
CHILDHOOD MORTALITY RATE
Measures how fast
people are added to
the population
through births.
CRUDE BIRTH RATE
More specific than CBR
GFR -GENERAL FERTILTIY RATE
Number of deaths of infants under one year of age in a calendar
year per one thousand live births in the same period.
Approximation of the risk of dying within the first year of life.
INFANT MORTALITY RATE (IMR)
3 LEADING CAUSE OF INFANT MORTALITY
- CONGENITAL MALFORMATIONS RELATED TO SHORT GESTATION
- SUDDEN INFANT DEATH SYNDROME (SIDS)
- LOW BIRTHWEIGHT
deaths of infants less than 28 days old are due mainly to prenatal or genetic factors.
NEONATAL MORTALITY RATE (NMR)
Deaths among infants 28 days to less
than1 year of age in a calendar
year.} influenced by environmental and nutritional factors as well as infection.
POST NEONATAL MORTALITY RATE (PMR)
Causes of Maternal Death
- Postpartum hemorrhage
- Eclampsia
- Obstructed labor
- Sepsis
refers to the probability of dying between birth and exactly five years of age expressed per 1,000 live births. It encompasses neonatal mortality.
UNDER-5 MORTALITY RATE
includes deaths during pregnancy, childbirth, or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, for a specified year.
MATERNAL MORTALITY RATIO (MMR)
is the death of a woman while
pregnant or within 42 days of termination of
pregnancy, irrespective of the duration and the site
of the pregnancy*, from any cause related to or
aggravated by the pregnancy or its management,
but not from accidental or incidental causes.
MATERNAL DEATH
any health condition attributed to and /or aggravated by
pregnancy and childbirth that has a negative impact on the
woman’s well-being
MATERNAL MORBIDITY
defined by the World Health Organization (WHO) as the near
death of a woman who has survived a complication occurring
during pregnancy or childbirth or within 42 days of the
termination of pregnancy – to non-life-threatening morbidity,
which is more common by far.
MATERNAL MORBIDITY
Framework of MCN
- NURSING PROCESS
- NURSING THEORY
- QSEN
Areas of Expertise in MCN
- treating a pregnant teenager,
- a critically ill child,
- another group within the community.
Considers the family as a whole and as partner care when planning or
implementing or evaluating the
effectiveness of care.
MCN HEALTH NURSE
