Fichas
MCN UNIT I (Chapter 1)
Fichas del conjunto (56)
- 1What is the primary goal of MCN?The promotion and maintenance
of optimal family health to ensure
cycles of optimal childbearing and childrearing - 2What is the purpose of building healthy families?To ensure that the cycle of child bearing and childrearing continues
- 3What is the cycle of MCN?Healthy pregnancy > Healthy Infants > Healthy Children > Healthy Adolescents > Healthy Adults
- 4Does the cycle of MCN end?no
- 5What is the four major practice/scope of MCN?Preconception, Nursing care of women, nursing care of children and nursing care to families
- 6What is provision of PRECONCEEPTION health care?Before getting pregnant. Guide newly couples/couples having/preparing healthy pregnancy
- 7What is the provision of Nursing Care of Women throughout pregnancy, birth, and postpartum period?Caring women who are going through pregnancy, birth and postpartum period
- 8What is trimesters?It is called trimester because pregnancy is approximately 9 months and it is divided 3 months
- 9What are the different trimester?1st trimester (first 3 months), 2nd trimester (2nd 3 months) and 3rd trimester (3rd 3 months)
- 10Is there a 4th trimester?Yes, it is called puerperium. It covers 6 weeks after the child is birth.
- 11What is perinatal?Perinatal covers 20 weeks of pregnancy to 4 weeks of pregnancy. Perinatal means surrounding pregnancy.
- 12What is provision of NURSING CARE OF CHILDREN from birth through adolescence?The scope of MCN is only from birth through adolescence
- 13What is provision of NURSING CARE TO FAMILIES in all settings?It is caring families not only in hospital but also in community.
- 14What are the concepts of Philosophy of MCN?Family-centered, community-centered, and evicdence-based
- 15What is family-centered?You should not only focus on the patient (mother/child) but you should be holistic with the preferences of the family or the caregivers. Always involve them.
- 16What is community-centered?You should always consider the resources available in their communities or the support available on their communities.
- 17What is evidence-based?Nurses are to validate the information our patient share/know. It is actually consensus, explicit and jaudice of current best evidence to make decision for the care of patient.
- 18What are the sources of evidence of the nurses?Based from research, literature and clinical trials.
- 19What is the 1st framework of MCN?Phases of health care (Health Promotion, health maintenance, health restoration and health rehabilitation)
- 20What is health promotion?Health promotion are for healthy people. It is to maintain their status of being healthy.
- 21Example of people who are getting this care?Teaching the people who are planning to get pregnant (no risk) not the people who are pregnant (risk)
- 22What is health maintenance?Intervene to that risk to prevent disease occurrence. For example are child proofing.
- 23What is health restoration?It is where people are already sick. It is to restore their health to pre-disease state.
- 24What is rehabilitation?Rehabilitation is not to cure the patient. The goal is to prevent complication of the existing disease.
- 25What is the 2nd framework for MCN?The steps of the nursing process (ADPIE)
- 26What is ADPIE?Assessment, Nursing Diagnosis, Planning, Implementation and Evaluation.
- 27What is the purpose why nursing theories important to MCN?It offers us helpful ways to view patient so nursing activities can be created to best meet the need of the patient
- 28What is QSEN?It is quality & safety Education for Nurses
- 29What is under QSEN?Patient-Centered Care, Teamwork & Collaboration, Evidence-Based Practice, Quality Improvement, Safety and Informatics.
- 30Legal Considerations Specific to Maternal-Child?License at risk
- 31What are the common legal matters we can encounter?1. Informed consent related to fetal well-being
2. Informed Consent and LEGAL GUARDIANSHIP for procedures performed on children
3. Length of time between HEALTH CARE INCIDENT AND CHILD'S ABILITY TO BRING LAWSUIT.
4. Identifying and reporting SUSPECTED CHILD ABUSE.
5. Concepts of "wrongful birth," "wrongful life," and "wrongful conception" - 32What is assent?It is the consent that the minor can sign but with the signature of the legal guardian.
- 33Why is there a ethical issues?It is a matter of right or wrong. As nurses we should provide factual information. Next is we need to listen to patient. Lastly, we should help the patient and their family clarify their values they need.
- 34What are the alternative healthcare practices commonly used?Acupuncture, homeopathy, therapeutic touch, chiropractic care and herbalism.
- 35Health Setting Magnet StatusThese hospitals demonstrate they value staff nurses, involve them in research-based practice, and encourage and reward them for obtaining additional degrees in nurisng.
- 36Measuring maternal and child healthCommon statistical terms used to report maternal and child health
- 37Birth ratethe number of births per 1000 population
- 38Fertility Ratethe number of pregnancies per 1000 women of childbearing age
- 39Fetal death ratethe number of fetal deaths per 1000 live births
- 40Neonatal death ratethe number of deaths per 1000 live births occurring at birth or in the first 28 days of life
- 41Perinatal Death Ratethe number of deaths during the perinatal time period (beginning when a fetus reaches 500 g, about week of 20 pregnancy, and ending about 4- 6 weeks after birth); it is the sum of fetal and neonatal rates
- 42Maternal Mortality Ratethe number of maternal deaths per 100,000 live births that occur as a direct result of reproductive process
- 43Infant Mortality Ratethe number of deaths per 1,000 live births occurring at birth in the first 12 months of life
- 44Childhood Mortality RateThe number of deaths per 1,000 population in children aged 1 to 14 years.
- 45Childhood Morbidity Ratehealth problems occurring on children
- 46Increasing Alternative Setting and Styles for Health Carehome birth (natural childbirth), labor-delivery-recovery (LDR), labor-delivery-recovery-postpartum (LDRP)
- 47Increasing Use of Technologyfield of assisted reproduction technology such as in vitro fertilization and the possibility of stem cell research are forging new path ways
- 48Meeting work needs of Pregnant and Breastfeeding womenas many as 90% of women work at least part time outside their home, and many pregnant woman want to continue to work during pregnancy
- 49Laws for Pregnant Woman (USA)The Family Medical Leave Act of 1993 and Patient Protection and Affordable Care Act (PPACA)
- 50Regionalizing Intensive Carecommunities are establishing centralized maternal or pediatric health services
- 51Increasing Use of Alternative Treatment Modalitiesgrowing tendency for families to use alternative forms of therapy, in addition to or instead of traditional healthcare measures
- 52Increasing Reliance on Home CareIll children and women with complication of pregnancy may choose to remain at home for care rather than Hospitalized
- 53Health Care Concerns and AttitudesThese Steps can create new concerns
- 54Increasing concern on Quality LifeScope of health care expanded to include the assessment of psychosocial facets of life in such areas as self-esteem and independence
- 55Legal Considerations of Maternal and Child Practice1. understanding the scope of practice
2. documentation is essential for justifying actions
3. nurses needs to give informed consent for invasive procedures in children and determining if pregnant women are aware of any risk to the fetus associated with a procedure or test
4. In divorced or blended family, it is important to establish who has the right to give consent for health care
5. "wrongful birth" and "wrongful life" and "wrongful conception"
6. negligence or breach of duty - 56Ethical Consideration of PracticeMaintaining privacy yet aiding problem solving in these instances can be difficult but is a central nursing role