Framework of Maternal and Child Nursing

Philosophy
-Family Centered
-Community Centered
-Research Oriented
-Nursing Theory and Evidence Based Practice
-Advocate Rights
-High Degree of Dependent Nursing Actions
-Promoting Health
-Alteration of Family Life
-Circumstances such as illness or pregnancy are meaningful only in the context of a total life
-Challenging role of a nurse

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National health goals

Leading health indicators
Physical activity
Overweight and obesity
Tobacco use
Substance abuse
Responsible sexual behavior
Mental health
Injury and violence
Environmental quality
Immunization
Access to health care

Standards of professional performance

(Association of Women’s Health, Obstetric and
Neonatal Nurses standards and guidelines)
Standard I – Quality of care
Standard II – Performance Appraisal
Standard III – Educations
Standard IV - Collegiality
Standard V – Ethics
Standard VI – Collaboration
Standard VII - Research
Standard VIII – Resource Utilization
Standard IX – Practice Environment
Standard X - Accountability

Patricia Benner

Nurses grow from novice to expert as they practice

in clinical settings.

Dorothy Johnson

A person comprises subsystems that must remain

balance for optimal functioning.

Imogene King

Nursing is a process of action, reaction, interaction

and transaction; needs are identified based on social
system, perceptions and health

Madeleine Leininger
To provide transcultural care, the nurse focuses the
study and analysis of different cultures with respect
to caring behavior

Florence Nightingale

The role of the nurse is viewed as changing or

structuring elements of the environment

Betty Neuman

A person is an open system that interacts with the

environment.

Dorothea Orem

Care is given may be wholly compensatory; partly

compensatory or supportive-educational.

Ida Jean Orlando

The client should define her needs.

Rosemarie Rizzo Parse

Health is lived experience.

Hildegard Peplau
The promotion of health is viewed as the forward
movement of personality.

Martha Rogers

The nurse views the client as a whole and

constantly changing and help people to interact in
the best way possible with the environment

Roles and responsibilities of a maternal and child health nurse

Consider the family as a whole as well as its individual members

Encourage families

Encourage family bonding

Participate in early hospital discharge

Assess families for strengths

Respect diversity in families

Encourage family and sibling visits

Include developmental stimulation in nursing care

Share or initiate information on health planning with family members

WHO’s Sustainable Development Goals

Goal 1: No poverty

Goal 2: Zero hunger

Goal 3: Good health and well-being

Goal 4: Quality education

Goal 5: Gender equality

Goal 6: Clean water and sanitation

Goal 7: Affordable and clean energy

Goal 8: Decent work and economic growth

Goal 9: Industry, innovation, and infrastructure

Goal 10: Reduced inequality

Goal 11: Sustainable cities and communities

Goal 12: Responsible consumption and production

Goal 13: Climate action

Goal 14: Life below water

Goal 15: Life on land

Goal 16: Peace and justice strong institutions

Goal 17: Partnerships to achieve the goal

Concept Of Unitive And Procreative

Marriage
Sex

“as one flesh” Unitive

Possibility of having children Procreative

Sexual Act Inseparable

Marital Acts Respect

Procreation Creation Evolution

1.Making – all things from nothing
2.Past
3.Act of God
4.Time

Random actions

1.Life came into existence

2.Primitive life evolved into

more and more complex
organism and eventually
producing mankind

Sexual Identity

Gender identity
Identifies:
-Perceives
-Social structures
Ethnic group, employment status,
religion or irreligion and family

Gender Role - Set of perceived behavioral norms in a

given social group or system

Traditional Gender Stereotypes

Feminine
Not aggressive
Dependent
Easily influenced
Submissive
Passive
Masculine
Aggressive
Independent
Not easily influenced
Dominant
Active
Worldly
Family of Orientation-family to which one is born
Family of Procreation-established by the person by his/her marriage

Characteristics of the Family as a client

1.behaving functioning organism
2.develops own lifestyle
3.group
4.accomodates the need of individual

Characteristics of Healthy Families

Communicates(listens)
Develops(trust)
Support its members
Plays(shares sense of humor)
Teaches(respect)
Strong sense of family
Seeks help

Productive and Pubertal Development

Gonads-Oocytes
Adrenarche
Thelarche

Puberty Changes in Boys:

1. Growth Spurt: Begins around age 12-16, with peak growth occurring between ages 13-15.
2. Voice Changes: Typically begins around age 13-15.
3. Facial and Body Hair: Begins around age 14-17 and continues into early adulthood.
4. Adam's Apple Development: Becomes more noticeable around age 14-15.
5. Enlargement of Genitalia: Begins around age 11-14.
6. Muscle Development: Muscle mass increases during the growth spurt, peaking around ages
15-17.
7. Acne: Commonly starts around ages 14-17.
8. Mood Swings: Emotional changes can occur throughout puberty.

Puberty Changes in Girls:

1. Menstruation Onset: Begins around age 12-14, but the age can vary widely.
2. Breast Development: Typically starts around age 9-13.
3. Body Hair: Begins around age 10-14.
4. Hip Widening: Occurs during the early stages of puberty, typically around age 10-14.
5. Enlargement of Genitalia: Begins around age 9-13.
6. Voice Changes: Minor changes may occur, but not as pronounced as in boys.
7. Acne: Commonly starts around ages 14-17.
8. Mood Swings: Emotional changes can occur throughout puberty.