Mcn Flashcards

1
Q

Care of women during childbirth

A

Obstetrics Nursing

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2
Q

Obstetrics Nursing
derived from the Greek word _ (to keep watch)

A

Obstare

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3
Q

refers to the child
✓ came from the Greek word _ meaning child

A

Pediatrics

pais

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4
Q

Involves the care of woman and family throughout pregnancy and child birth and the health promotion and illness care of women, children and families.

A

Maternal and Child Health Nursing-

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5
Q

Maternal and Child Health Nursing
GOAL: _

A

Promotion and maintenance of optimal family health to ensure cycles of optimal childbearing and childrearing.

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6
Q

Maternal and Child Health Nursing
The scope of practice include:

A

• Preconception health care
• Care of women during three trimesters of pregnancy and the puerperium (the 6 weeks after childbirth, sometimes termed the fourth trimester of pregnancy)
• Care of infants during the perinatal period (the time span beginning at 20 weeks of pregnancy to 4 weeks after birth)
• Care of children from birth through late adolescent
• Care in a variety of hospital and home care settings

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7
Q

Framework for Maternal and Child Health Nursing Care

A

Nursing Process
Nursing Theory
Quality & Safety Education for Nurses (QSEN)

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8
Q

scientific form of solving problem, serve basis for assessing, making a nursing diagnosis, planning, implementing and evaluating care.

A

Nursing process-

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9
Q

are designed to offer helpful ways to view patients so nursing activities can be created to best meet patient needs.

A

Nursing theory-

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10
Q

Theories Related to MCN

A
  1. Mercer’s Maternal Role Attainment Theory
  2. Sister Callista Roy’s Adaptation Model of Nursing
  3. Dorotea Orem’s Self-care Deficit Nursing Theory
  4. Patricia Benner’s Theory
  5. Dorothy Johnson Behavioral System Models
  6. Imogene King Goal Attainment Theory
  7. Madeleine Leininger Transcultural Nursing Theory
  8. Florence Nightingale’s Environmental Theory
  9. Betty Neuman’s System Model
  10. Ida Jean Orlando Nursing Process
  11. Rosemarie Rizzo Parse: The Human becoming Theory
  12. Hildergard Peplau Interpersonal Relations Theory
  13. Martha Roger’s Unitary Human Beings Theory
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11
Q

Serve as a framework for nurses to provide appropriate health care interventions for nontraditional mothers in order for them to develop a strong maternal identity.

A

Mercer’s Maternal Role Attainment Theory-

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12
Q

4 Stages of Acquisition

A
  1. Anticipatory
  2. Formal
  3. Informal
  4. Personal
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13
Q

Social and psychological adaptation to the maternal role. This includes learning expectations and can involve fantasizing about the role of the mother. Ex: A mother before the delivery date

A

ANTICIPATORY

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14
Q

The assumption of the maternal role at birth. In this stage, behaviors are guided by others in the mother’s social system or network, and relying on the advice of others in making decisions. Ex: A mother few hours after birth

A

FORMAL

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15
Q

Mother develops her own methods of mothering which are not conveyed by a social system. Ex: A mother exploring her own ways of changing the diaper of her newborn.

A

INFORMAL

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16
Q

The joy of motherhood. The mother finds harmony, confidence, and competence in the maternal role. In some cases, she may find herself ready for or looking forward to another child.

A

PERSONAL

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17
Q

Stresses the importance of a nurse/patient to adapt to change cause by illness and other stressors. A person is holistic adaptive system in constant interaction with external and internal environment. The main task of the human system is to maintain integrity in the face of environmental stimuli. The goal is to foster successful adaptation.

A
  1. SISTER CALLISTA ROY’S ADAPTATION MODEL OF NURSING
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18
Q

Examine the ability of the patient to perform self-care. Selfcare deficit is an inability to perform certain daily functions as a result of physical/mental impairment such as surgery, recovery or age-related mobility issues.
- Nurses play an important role when it comes to addressing self-care deficits through assessment and intervention. Suggests patients are better able to recover when they maintain some independence over their own self-care.

A
  1. DOROTHEA OREM’S SELF-CARE DEFICIT NURSING THEORY
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19
Q

Describes how nurses move from novice to expert

A
  1. PATRICIA BENNER’S THEORY-
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20
Q
  1. PATRICIA BENNER’S THEORY-

_: This would be a nursing student in his or her first year of clinical education; behavior in the clinical setting is very limited and inflexible. _ have a very limited ability to predict what might happen in a particular patient situation.

A

Stage 1 Novice

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21
Q
  1. PATRICIA BENNER’S THEORY-

_: Those are the new grads in their first jobs; nurses have had more experiences that enable them to recognize recurrent, meaningful components of a situation. They have the knowledge and the know-how but not enough in-depth experience.

A

Stage 2 Advanced Beginner

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22
Q
  1. PATRICIA BENNER’S THEORY-

_: These nurses lack the speed and flexibility of proficient nurses, but they have some mastery and can rely on advance planning and organizational skills

A

Stage 3 Competent

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23
Q
  1. PATRICIA BENNER’S THEORY-

_: At this level, nurses are capable to see situations as “wholes” rather than parts. _ nurses learn from experience what events typically occur and are able to modify plans in response to different events.

A

Stage 4 Proficient

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24
Q
  1. PATRICIA BENNER’S THEORY-

_: Nurses who are able to recognize demands and resources in situations and attain their goals. These nurses know what needs to be done. They no longer rely solely on rules to guide their actions under certain situations

A

Stage 5 Expert

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25
Q

A person comprises subsystems that must remain in balance for optimal functioning. Any actual or potential threat to this system balance is a nursing concern.

A

Dorothy Johnson Behavioral System Models

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26
Q

Nursing is a process of action, reaction, interaction and transaction; needs are identified based on client’s social system, perceptions, and health; the role of the nurse is to help the client achieve goal attainment.

A

Imogene King Goal Attainment Theory

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27
Q

The essence of nursing is care. To provide transcultural care, the nurse focuses on the study and analysis of different cultures with respect to caring behavior.

A

Madeleine Leininger Transcultural Nursing Theory

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28
Q

The role of the nurse is viewed as changing or structuring elements of the environment such as ventilation, temperature, odors, noise and light to put the client into the best opportunity for recovery.

A

Florence Nightingale’s Environmental Theory

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29
Q

A person is an open system that interacts with the environment; nursing is aimed at reducing stressors through primary, secondary and tertiary preventions.

A

System Model
Betty Neuman

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30
Q

The focus of the nurse is interaction with the client; effectiveness of care depends on the client’s behavior and the nurse’s reaction to that behavior. The client should define his or her own needs.

A

Ida Jean Orlando Nursing Process

31
Q

Nursing is a human science. Health is a lived experience. Man-living- health as a single unit guides practice.

A

Rosemarie Rizzo Parse: The Human becoming Theory

32
Q

The promotion of health is viewed as the forward movement of the personality; this is accomplished through an interpersonal process that includes orientation, identification, exploitation and resolution.

A

Hildergard Peplau Interpersonal Relations Theory

33
Q

The purpose of nursing is to move the client toward optimal health; the nurse should view the client as whole and constantly changing and help people to interact in the best way possible with the environment.

A

Martha Roger’s Unitary Human Beings Theory

34
Q

Framework for Maternal and Child Health Nursing Care

_ –the overall goal is to address the challenge of preparing future nurses with the abilities necessary to continuously improve the quality and safety of the healthcare systems in which they work.

A

Quality & Safety Education for Nurses (QSEN)

35
Q

QSEN COMPETENCIES

A

Patient -centered care
Teamwork and collaboration
Evidenced-based practice
Quality Improvement
Safety
Informatics

36
Q

QSEN COMPETENCIES

_ which focuses on including patients in all decisions and providing compassionate care that’s based on a patient’s needs and values.

A

Patient-centered care

37
Q

QSEN COMPETENCIES

_ which relates to interdisciplinary collaboration and shared decision making among the healthcare team.

A

Teamwork and collaboration

38
Q

QSEN COMPETENCIES

_ which relates to the utilization of current evidence when providing collaborative care.

A

Evidenced-based practice

39
Q

QSEN COMPETENCIES

_ which relates to data collection, evaluation, and improvement of patient outcomes.

A

Quality Improvement

40
Q

QSEN COMPETENCIES

_ which focuses on preventing harm to patients.

A

Safety

41
Q

QSEN COMPETENCIES

_ which relates to the utilization of technology to promote safety and quality.

A

Informatics

42
Q

Philosophy of Maternal and Child Health

A
  1. MCN is family centered
  2. MCN is community centered
  3. MCN is evidence-based
  4. MCN is a challenging role for nurses
43
Q

_ - Assessment includes the family and each member. The nurses see the family as a whole and as a partner in the care of the mother and child.

A

MCN is family centered

44
Q
  • basic unit of the society
  • two or more people who live in the same household, share common emotional bond, and perform certain interrelated social tasks.
A

Family

45
Q

Classification of family

A

Family of orientation
Family of procreation

46
Q

Classification of family

_ - family into which people are born and in which the major part of their socialization takes place.

A

Family of orientation

47
Q

Classification of family

_ - a family established by his/her marriage consists of husband, wife, sons and daughters.

A

Family of procreation

48
Q

Types of Family

A
  1. Nuclear Family
  2. Dyad/ childless Family
  3. Cohabitation Family
  4. Extended (multigenerational) Family
  5. Single-parent/ single mother Family
  6. Blended Family (remarriage or reconstituted Family
  7. LGBT Family
  8. Foster Family
  9. Adoptive Family
49
Q

Types of Family

_ - composed of two parents and children.
_ - two people living together without children.
_ - couples with children, who live together but remain unmarried.

A

Nuclear family
Dyad family/ childless family
Cohabitation family

50
Q

Types of Family

_ - includes not only family but also other family members such as grandmothers, grandfathers, aunts, uncles, cousins and grandchildren.
_ - comprised of a parent and one or more dependent children without the presence and support of a spouse or adult partner who is sharing the responsibility of parenting.

A

Extended (multigenerational) family

Single-parent family/ single- mother family

51
Q

Types of Family

_ - a divorced or widowed person with children marries someone who has children.
_ - lesbian, gay, bisexual and transgender couples live together as partners for companionship, financial security and sexual fulfillment or form the same structure as a nuclear family.

A

Blended family(remarriage or reconstituted family

LGBT family

52
Q

Types of Family

_ - children whose parents can no longer care for them may be placed in a foster or substitute home by a child protection agency.
_ - is a family that raises a child who is not biologically related to them

A

Foster Family
Adoptive family

53
Q

_ , like society at large, has undergone significant changes. Most of the time when a person imagines of the definition of a family, the figure of a mother, father and children is what comes into the mind. The form or structure does not show how healthy it is or how they function.

A

Family structure

54
Q

Family task

A

Physical maintenance
Socialization of the family
Allocation of resources
Maintenance of order
Division of labor
Reproduction, recruitment, and release of family members
Placement of members into the larger society
Maintenance of motivation and morale

55
Q

Stages of Family

A

Stage 1: Marriage
Stage 2: The early childbearing family
Stage 3: The family with a preschool child
Stage 4: The family with a school-age child
Stage 5: The family with an adolescent
Stage 6: The launching state family- The family with young adult
Stage 7: The family of middle years
Stage 8: The family in retirement or older age

56
Q

Philosophy of Maternal and Child Health

_ - the health of the family is affected and influence by the health of the community.

A

MCN is community centered

57
Q

Philosophy of Maternal and Child Health

_ - a means that increases critical knowledge. The care given is based on the product of research.

A

MCN is evidence-based

58
Q

Philosophy of Maternal and Child Health

_ and a major factor in keeping families well and optimally functioning. Nurses role is dynamic and evolving.

A

MCN is a challenging role for nurses

59
Q

Phases of Health Care

A

Health Promotion
Health Maintenance
Health Restoration
Health Rehabilitation

60
Q

PHASES OF HEALTH CARE

_ - WHO define as a process of enabling people to increase control over, and to improve their health. It moves beyond a focus on individual behavior towards a wide range of social and environmental interventions.

A

Health promotion

61
Q

Health Promotion

_ - preventing disease from developing; promoting healthy lifestyle

A

Primary

62
Q

Health Promotion

_ - screening to find early indicators

A

Secondary

63
Q

Health Promotion

_ - minimizing disability from acute/chronic illness/ injury and allowing for most productive life within limitations.

A

Tertiary

64
Q

PHASES OF HEALTH CARE

_ - intervening to maintain health when risk of illness is present.

A

Health maintenance

65
Q

PHASES OF HEALTH CARE

_ - using conscientious assessment to be certain that symptoms of illness are identified and interventions are begun to return patient to wellness most rapidly.

A

Health restoration

66
Q

PHASES OF HEALTH CARE

_ - the action of restoring someone to health or normal life through training and therapy after illness.

A

Health rehabilitation

67
Q

ROLES AND RESPONSIBILITIES OF MATERNAL AND CHILD NURSE
A maternal and child nurse:

A
  1. Consider the family as a whole and as a partner
  2. Serves as an advocate
  3. Demonstrate high degree of nursing function
  4. Serves as important resources for families during childbearing and childrearing
  5. Promotes health and disease prevention
  6. Respect personal, cultural and spiritual attitude and beliefs
  7. Encourages developmental stimulation during both health and illness
  8. Assess families for strength as well as specific needs or challenges
  9. Encourages family bonding through rooming in and family visiting in maternal and child health care setting
  10. Encourages early hospital discharge options
  11. Encourages families to reach out to the community
68
Q

Sustainable Development Goal

A
  1. End poverty in all its forms everywhere.
  2. End hunger, achieve food security and improved nutrition and promote sustainable agriculture.
  3. Ensure healthy lives and promote well-being for all at all ages.
  4. Ensure inclusive and equitable quality education and promote life long learning opportunities for all.
  5. Achieve gender equality and empower all women and girls.
  6. Ensure availability and sustainable management of water and sanitation for all.
  7. Ensure access to affordable, reliable, sustainable and modern energy for all.
  8. Promote sustained, inclusive and sustainable economic growth, full and productive employment and decent work for all.
  9. Build resilient infrastructure, promote inclusive and sustainable industrialization and foster innovation.
  10. Reduce inequality within and among countries.
  11. Make cities and settlements inclusive, safe, resilient and sustainable.
  12. Ensure sustainable consumption and production pattern.
  13. Take urgent action to combat climate change and its impacts.
  14. Conserve and sustainably use the oceans, seas and marine resources for sustainable development.
  15. Protect, restore and promote sustainable use of terrestrial ecosystems, sustainably manage forests, combat desertification, and halt reverse land degradation and halt biodiversity loss.
  16. Promote peaceful and inclusive societies for sustainable development, provide access to justice for all and build effective, accountable and inclusive institutions at all level.
  17. Strengthen the means of implementation and revitalize the Global Partnership for Sustainable Development.
69
Q

_, regarding “Good Health and Well-being“. The targets of SDG 3 cover and focus on various aspects of healthy life and healthy lifestyle.
SDG 3 has 13 targets.

A

Sustainable Development Goal 3(SDG 3 or Global Goal 3)

70
Q

The first nine targets are outcome targets. Those are:

A

• reduction of maternal mortality;
• ending all preventable deaths under five years of age;
• fight communicable diseases;
• ensure reduction of mortality from non-communicable diseases and promote mental health;
• prevent and treat substance abuse;
• reduce road injuries and deaths;
• grant universal access to sexual and reproductive care, family planning and education;
• achieve universal health coverage; and
• reduce illnesses and deaths from hazardous chemicals and pollution.

71
Q

The four means of implementation targets are:

A

• implement the WHO Framework Convention on Tobacco Control;
• support research, development and universal access to affordable vaccines and medicines;
• increase health financing and support health workforce in developing countries; and
• improve early warning systems for global health risks.

72
Q

_ aims to achieve universal health coverage, that seeks equitable access of healthcare services to all men and women. It proposes to end the preventable death of newborns, infants and children under five (child mortality) and endepidemics.

A

SDG 3

73
Q

_ is essential to sustainable development and the 2030 Agenda. It focuses on broader economic and social inequalities, urbanization, climate crisis, continuing burden of HIV and other infectious diseases, not forgetting emerging challenges such as non-communicable diseases.Considering the global pandemic ofCOVID-19, there is a need to give significant attention towards the realization of good health and well being on a global scale.

A

Good health