Primary Goal of Maternal and Child Health Nursing:
The promotion and maintenance of optimal family health to ensure cycles of optimal childbearing and
childrearing.
Maternal and Child Health Nursing Practice Throughout the Childbearing‒Childrearing Continuum
Provision of preconception health care
Provision of nursing care of women throughout pregnancy, birth, and postpartum period
Provision of nursing care of children from birth through adolescence
Provision of nursing care to families in all settings
A Philosophy of Maternal and Child Health Nursing
Includes the following concepts:
o Family-centered
o Community-centered
o Evidence-based
Two Pillars of the 2020 National Health Goals
Increase quality and years of healthy life
Eliminate health disparities
New objective recommends that all pre-licensure programs in nursing include core content on:
o Counseling for health promotion and disease prevention
o Cultural diversity
o Evaluation of health sciences literature
o Environmental health
o Public health systems
o Global health
Framework for Maternal and Child Health Nursing Care #1
Phases of health care
o Health promotion
o Health maintenance
o Health restoration
o Health rehabilitation
The steps of the nursing process
o Assessment
o Nursing diagnosis
o Planning
o Implementation
o Evaluation
Quality & Safety Education for Nurses (QSEN)
Patient-Centered Care
Teamwork & Collaboration
Evidence-Based Practice
Quality Improvement
Safety
Informatics
Legal Considerations Specific to Maternal–Child Nursing Practice
Informed consent related to fetal well-being
Informed consent and legal guardianship for procedures performed on children
Length of time between healthcare incident and child’s ability to bring lawsuit
Identifying and reporting suspected child abuse
Concepts of “wrongful birth,” “wrongful life,” and “wrongful conception”
Alternative Healthcare Practices Commonly Used
Acupuncture
Homeopathy
Therapeutic touch
Chiropractic care
Herbalism
Statistics Related to the Measurement of Maternal and Child Health #1
Birth rate
Fertility rate
Fetal death rate
Neonatal death rate
Perinatal death rate
Maternal mortality rate
Infant mortality rate
Childhood mortality rate
Childhood morbidity rate
Trends Impacting Maternal and Child Health Nursing
Families contain fewer members.
The number of single parents is increasing.
Ninety percent of women work outside the home; many are the primary wage earner.
The number of homeless women and children is increasing.
Families are becoming more mobile.
Families are more informed.
Child and intimate partner violence is increasing.
Balancing quality and cost containment in health care is an increasing initiative.