FRAMEWORK FOR MATERNAL AND CHILD HEALTH NURSING FOCUSING ON AT RISK, HIGH RISK AND SICK CLIENTS Flashcards
refers to the relationship of mother and child to one another and consideration of the entire family, as well the culture and socio-economic environment, as framework of the clients.
Maternal and Child Health
refers to the care of the pregnant woman, child, and family
Maternal and Child Health Nursing
Principles of Maternal and Child Health Nursing:
- The family is the basic unit of the society.
- Families represent racial, ethnic, cultural and socio-economic diversities.
- Children grow both individually and as part of a family.
FRAMEWORK FOR MATERNAL AND CHILD HEALTH NURSING
- Nursing process
- Nursing Theory
- Quality and Safety Education for Nurses
Quality and Safety Education for Nurses
- Patient-centered Care
- Teamwork and Collaboration
- Evidence-based Practice
- Quality Improvement
- Safety
- Informatics
Phases of Health Care in Maternal and Child Health
- Health Promotion
- Health Maintenance
- Health Restoration
- Health Rehabilitation
Educating client to be aware of healthy living teaching and role modeling.
Health Promotion
intervening to maintain health when at risk of illness.
Health Maintenance
Using conscientious assessment to be certain that symptoms of illness are identified and interventions are begun to return pt to wellness
Health Restoration
preventing further complications from an illness, bringing the ill client back to an optimal state
Health Rehabilitation
Role of a Nurse in Caring for Childbearing Families:
- Healthcare provider
- Teacher
- Collaborator
- Researcher
- Manager of care
REPUBLIC ACT OF 7600
ROOMING IN AND BREASTFEEDING OF INFANTS ACT OF 1992
ROOMING IN AND BREASTFEEDING OF INFANTS ACT OF 1992
REPUBLIC ACT OF 7600
An Act Expanding the Promotion of Breastfeeding
RA NO. 10028 (2010)
Breastfeeding Awareness Month
August
LAW THAT STATES NO MILK COMPANY SHOULD SUPPORT
BREASTFEEDING ACTIVITIES
Philippine Milk Code of 1986 of Executive Order 51
LAW THAT STATES NO HEALTH AND NUTRITION WORKER SHOULD PROMOTE OR SELL INFANT FORMULA AND OTHER MILK PRODUCTS AND BOTTLES
Philippine Milk Code of 1986 of Executive Order 51
is one of the most sensitive indicators of health status of a country or community
Infant Mortality Rate
Infant Mortality results from:
- Poor maternal conditions
- Unhealthy environment
- Inadequate healthcare delivery system
Leading causes of infant mortality:
- Respiratory conditions of the fetus and newborn
- Pneumonia
- Congenital anomalies
- Birth injury and difficult labor
- Diarrheal diseases
- Septicemia
- Measles
- Meningitis
- Other diseases of the respiratory system
- Aminovitaminosis and other nutritional deficiency
It is the major indicator of a woman’s health status
Maternal Mortality
Define by WHO as the death of a woman while pregnant or within 42 days of termination of pregnancy from any cause related to, or aggravated by the pregnancy or its management, but not from accidental or incidental causes.
Maternal Mortality
Leading causes of maternal mortality:
- Normal delivery and other complications related to pregnancy occurring in the course of labor, delivery and
puerperium. - Hypertension complicating pregnancy, childbirth, and
puerperium - Postpartum hemorrhage
- Pregnancy with abortive outcome
- Hemorrhages related to pregnancy
Ultrasound
Process:
visualization
Amniocentesis
Process:
aspiration
amount of aspirate in amniocentesis
15-30 cc
Purposes of Ultrasound:
- To checkthe calcium in the placenta
- To locate placenta and determine gender
- To measure amount of amniotic fluid
Amniocentesis
- L:S ratio – fetal lung maturity
- Chromosomal defect
- Neural tube defect
- Monitor UC p amniocentesis
– might administer tocolytics
Chorionic Villi Sampling (CVS)
Process:
catheter insertion
Chorionic Villi Sampling (CVS) is done at:
10th – 12th week
Chorionic Villi Sampling (CVS) is done for:
chromosomal defect
Maternal Serum Alpha Fetoprotein (MSAFP)
Process:
blood extraction
Maternal Serum Alpha Fetoprotein (MSAFP) is done at:
14th – 16th week
Maternal Serum Alpha Fetoprotein (MSAFP) blood sample:
<38 mg/dL
– chromosomal defect
>42 mg/dL
– neural tube defect
to determine reaction of FHR to fetal activity
Non-stress Test (NST)
Non-stress Test (NST) is done at:
30th – 32nd week
Non-stress Test (NST) expected:
normal FHR acceleration
Non-stress Test (NST) reactive:
additional 15 bpm
to determine reaction of FHR to uterine contraction
Contraction Stress Test (CST)
Contraction Stress Test (CST) is done at:
34th – 36th week
Contraction Stress Test (CST) expected:
normal FHR
Contraction Stress Test (CST) reactive:
fetal deceleration
To give you information about how genetic conditions could affect you or your family
Genetic Counseling
