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Care of Mother, Child, Adolescent
Care of Mother, Child, Adolescent
CHILD,ADOLESCENT
FRAMEWORK FOR MATERNAL AND CHILD HEALTH NURSING
Obstetrics – Care of woman during childbirth; derived from Greek
word “obstare” (to keep watch)
Pediatrics – derived from Greek word, “pais” (child)
Focus of MCN – Care of childbearing and childrearing families.
Primary Goal of MCN – Promotion and maintenance of Optimal Family
Health.
GOALS AND PHILOSOPHIES OF
MATERNAL AND CHILD HEALTH
NURSING
Goals of MCN are broad b/c the scope of practice or range of
practice includes the ff:
Preconceptual Health Care
Care of women during 3 trimesters of pregnancy
1st trimester (1st – 3rd month)
2nd trimester (4th – 6th month)
3rd trimester (7th – 9th month)
Care of women during Puerperium or 4th Trimester (6 weeks after childbirth)
Care of infants during Perinatal Period (6 weeks before conception and 6
weeks after birth)
Care of children from birth to adolescence
Neonatal (28 days of life); Infancy (1 – 12 months); Adolescence (after 18 y/o)
6. Care in settings as varied as the birthing room, the PICU, and the home.
Philosophies of MCN
1. MCN is Family Centered; assessment must include both family and individual assessment.
2. MCN is Community Centered; health of families depends on & influences the health of
communities.
3. MCN is Evidence Based because critical knowledge increases
4. MCN includes independent nursing functions because teaching & counselling are major
interventions.
5. MCN Nurse, Advocate (protects the rights of family members, including fetus)
6. Health Promotion and Disease Prevention to protect health of new generation.
7. MCN is a challenging role for nurses
Family – basic unit of society
1. Health Promotion
Educating clients to be aware of good health through teaching and role modelling
Ex. Family planning, teach the importance of safe sex practice, importance of immunizations
1. Health Maintenance
Intervening to maintain health when risk of illness is present
Diagnosing and treating illness using interventions that will return client to wellness fast
Ex. Care of child during illness, care of woman during pregnancy complications
1. Health Rehabilitation
Preventing further complications from an illness
Bringing client back to an optimal state of wellness
Helping client accept inevitable death
No. of deaths per 1000 live births occurring in the 1st 28 days of life
1. Perinatal Death Rate
Perinatal Period – 6 weeks before conception and 6 weeks after childbirth
No. of deaths of fetuses weighing > 500g and within the first 28 days of life per 1000 birth.
1. Infant Mortality Rate – no. of deaths per 1000 live births in the first 12 months of life.
2. Childhood Mortality rate – no. of deaths per 1000 population in children; 1 – 14 y/o
3. Maternal Mortality Rate – no. of maternal deaths per 100,000 live births that occur as
direct result of reproductive process.
Legal Considerations of MCN
Practice
1. Conception Issues
In Vitro Fertilization
Embryo Transfer
Cloning
Stem Cell Research
Surrogate Mothers
1. Abortion
2. Fetal Rights vs Rights of the Mother
1. Use of Fetal Tissue for Research
2. Resuscitation
3. No. of procedures or degree of pain that a child should asked to achieve better health
4. Balance between modern technology and quality of life.