4. Identify the goals and philosophy of maternal and child health nursing.

5. Define common statistical terms used in the field, such as infant and maternal mortality.
6. Discuss the interplay of nursing process, evidence-based practice, and nursing theory as they relate to
the future of maternal and child health nursing practice..
Affective
1. Listen attentively during class discussions
2. Demonstrate tact and respect of other students opinions and ideas
3. Accept comments and reactions of classmates openly.
Psychomotor:
1. Participate actively during class discussions
2. Follow Class rule and Apply Netiquettes
3. Use critical thinking to identify areas of care that could benefit from additional research or
application of evidence-based practice.
4. Integrate knowledge of trends in maternal and child health care with the nursing process to
BACHELOR OF SCIENCE IN NURSING: achieve quality maternal and child health nursing care.

CARE OF MOTHER, CHILD AND

ADOLESCENT (Well Clients) standards-for-improving-quality-of-maternal-and-newborn-care-in-health-facilities
https://www.who.int/docs/default-source/mca-documents/advisory-groups/quality-of-care/standards-
COURSE MODULE COURSE UNIT WEEK for-improving-quality-of-maternal-and-newborn-care-in-health-facilities.pd

1 1 1
Framework for Maternal and Child Health Nursing I. STANDARDS OF MATERNAL AND CHILD HEALTH NURSING PRACTICE
1. Health promotion
- Educating clients to be aware of good health through teaching and role modeling
2. Health maintenance
- Intervening to maintain health when risk of illness is present
 Discuss the course and unit objectives 3. Health restoration
 Comprehend study guide prior to class attendance - Promptly diagnosing and treating illness using interventions that will return client to wellness
 Read required learning resources; refer to unit terminologies for jargons most rapidly.
 Actively participate in classroom discussions 4. Health rehabilitation
 Accomplish and submit assigned course unit tasks on time - Preventing further complications from an illness; bringing an ill client back to an optimal state
of wellness or helping a client to accept inevitable death
 Participate in weekly discussion board (Canvas) Answer and submit course unit tasks
STANDARDS OF CARE AND MEASURES OF QUALITY (WHO)
Standard 1: Every woman and newborn receives routine, evidence-based care and management of
complications during labor, childbirth and the early postnatal period, according to WHO
guidelines.
At the end of this unit, the students are expected to: 1.1a: Women are assessed routinely on admission and during labour and childbirth and are
Cognitive: given timely, appropriate care.
1. Describe the evolution, scope, standards, and professional roles for nurses in maternal and child 1.1b: Newborns receive routine care immediately after birth.
health nursing.
2. Describe family-centered care and ways that maternal and child health nursing could be made more 1.1c: Mothers and newborns receive routine postnatal care.
family centered.
1.2: Women with pre-eclampsia or eclampsia promptly receive appropriate interventions,
3. Identify legal and ethical issues important to maternal and child health nursing. according to WHO guidelines.
 1.3: Women with postpartum haemorrhage promptly receive appropriate interventions, according Standard 8: The health facility has an appropriate physical environment, with adequate water,
to WHO guidelines. sanitation and energy supplies, medicines, supplies and equipment for routine maternal and
newborn care and management of complications.
Standard 2: The health information system enables use of data to ensure early, appropriate action
2.1: Every woman and newborn has a complete, accurate, standardized medical record during 8.1 Water, energy, sanitation, hand hygiene and waste disposal facilities are functional, reliable,
labour, childbirth and the early postnatal period. safe and sufficient to meet the needs of staff, women and their families.
2.2: Every health facility has a mechanism for data collection, analysis and feedback as part of 8.2: Areas for labor, childbirth and postnatal care are designed, organized and maintained so
its activities for monitoring and improving performance around the time of childbirth.to improve that every woman and newborn can be cared for according to their needs in private, to facilitate
the care of every woman and newborn. the continuity of care.
Standard 3: Every woman and newborn with condition(s) that cannot be dealt with effectively with 8.3: An adequate stock of medicines, supplies and equipment is available for routine care and
the available resources is appropriately referred. management of complications
3.1: Every woman and newborn is appropriately assessed on admission, during labour and in II. ADVANCED-PRACTICE ROLES FOR NURSES IN MATERNAL AND CHILD HEALTH
the early postnatal period to determine whether referral is required, and the decision to refer is
Clinical nurse specialists
made without delay.
are nurses prepared at the master’s or doctorate degree level who are capable of acting as
3.2: For every woman and newborn who requires referral, the referral follows a pre-established consultants in their area of expertise, as well as serving as role models, researchers, and teachers of
plan that can be implemented without delay at any time. quality nursing care.
• Neonatal nurse specialists - manage the care of infants at birth and in intensive care settings; they
3.3: For every woman and newborn referred within or between health facilities, there is
provide home follow-up care to ensure the newborn remains well. Childbirth educators teach
appropriate information exchange and feedback to relevant health care staff.
families about normal birth and how to prepare for labor and birth.
Standard 4: Communication with women and their families is effective and responds to their needs • Lactation consultants- educate women about breastfeeding and support them while they learn how
and preferences. to do this.
• Genetic nurse counselors- consult with families about patterns of inheritance and offer support to
4.1: All women and their families receive information about the care and have effective
interactions with staff. families with a child who has inherited a genetic disorder. Case Manager

4.2: All women and their families experience coordinated care, with clear, accurate information • a graduate-level nurse who supervises a group of patients from the time they enter a health care
exchange between relevant health and social care professionals. setting until they are discharged from the setting.
• Case management can be a vastly satisfying nursing role, because if the healthcare setting is
Standard 5: Women and newborns receive care with respect and preservation of their dignity. ―seamless,‖ or one that follows people both during an illness and on their return to the community,
5.1: All women and newborns have privacy around the time of labour and childbirth, and their Nurse practitioners
confidentiality is respected
are nurses educated at the master’s or doctoral level. Recent advances in technology, research,
5.2: No woman or newborn is subjected to mistreatment, such as physical, sexual or verbal and knowledge have amplified the need for longer and more in-depth education for nurse
abuse, discrimination, neglect, detainment, extortion or denial of services. practitioners as they play pivotal roles in today’s health care system. Women’s Health Nurse
Practitioner
5.3: All women have informed choices in the services they receive, and the reasons for • Has advanced study in the promotion of health and prevention of illness in women. Such a nurse
interventions or outcomes are clearly explained. plays a vital role in educating women about their bodies and sharing with them methods to prevent
Standard 6: Every woman and her family are provided with emotional support that is sensitive to their illness; in addition, they care for women with illnesses such as sexually transmitted infections, and
needs and strengthens the woman’s capability. offer information and counsel them about reproductive life planning. Pediatric Nurse Practitioner
(PNP)
6.1: Every woman is offered the option to experience labor and childbirth with the companion of • is a nurse prepared with extensive skills in physical assessment, interviewing, and well-child
her choice. counseling and care. In this role, a nurse interviews parents as part of an extensive health history
6.2: Every woman receives support to strengthen her capability during childbirth. and performs a physical assessment of the child.
• If the PNP determines that a child has a common illness (such as iron deficiency anemia), he or
Standard 7: For every woman and newborn, competent, motivated staff are consistently available to she orders the necessary laboratory tests and prescribes appropriate drugs for therapy.
provide routine care and manage complications. • If the PNP determines that the child has a major illness (such as congenital subluxated hip, kidney
7.1 Every woman and child has access at all times to at least one skilled birth attendant and disease, heart disease), he or she consults with an associated pediatrician; together.
support staff for routine care and management of complications. Neonatal Nurse Practitioner
7.2: The skilled birth attendants and support staff have appropriate competence and skills mix to • is an advanced-practice role for nurses who are skilled in the care of newborns, both well and ill.
meet the requirements of labour, childbirth and the early postnatal period. NNPs may work in level 1, level 2, or level 3 newborn nurseries, neonatal follow-up clinics, or
physician groups.
7.3: Every health facility has managerial and clinical leadership that is collectively responsible for
developing and implementing appropriate policies and fosters an environment that supports
facility staff in continuous quality improvement.
 Family Nurse Practitioner (FNP) Another issue most nursing theorist’s address is how nurses should be viewed or what the goals of
nursing care should be. Extensive changes in the scope of maternal and child health nursing have
• (FNP) is an advanced-practice role that provides health care not only to women and children but
occurred as health promotion, or keeping parents and children well, has become a greater priority.
also to the family as a whole.
• In conjunction with a physician, an FNP can provide prenatal care for a woman with an With health promotion as a major nursing goal, teaching, counseling, supporting, and advocacy are
also common roles (Vonderheid et al., 2007). Nurses care for clients who are more critically ill than ever
uncomplicated pregnancy. Certified Nurse-Midwife
before. Because care of women during pregnancy and of children during their developing years helps
• (CNM) is an individual educated in the two disciplines of nursing and midwifery and licensed. protect not only current health but also the health of the next generation, maternal-child health nurses fill
• Plays an important role in assisting women with pregnancy and childbearing. Either independently these expanded roles to a unique and special degree.
or in association with a physician, the nurse-midwife assumes full responsibility for the care and
management of women with uncomplicated pregnancies. VI. Philosophy of Maternal and Child Health Nursing

III. LEGAL CONSIDERATIONS OF MATERNAL-CHILD PRACTICE • Maternal and child health nursing is family centered; assessment must include both family and individual
assessment data.
• Maternal and child health nursing carries some legal concerns that extend above and beyond other
• Maternal and child health nursing is community centered; the health of families depends on and
areas of nursing, because care is often given to an ―unseen client‖—the fetus—or to clients who are
influences the health of communities.
not of legal age for giving consent for medical procedures. In addition, labor and birth of a neonate
are considered ―normal‖ events, so the risks for a lawsuit are greater when problems arise (O’Grady • Maternal and child health nursing is evidence based, because this is the means whereby critical
et al., 2007) knowledge increases.
• Nurses are legally responsible for protecting the rights of their clients, including confidentiality, and • A maternal and child health nurse serves as an advocate to protect the rights of all family members,
are accountable for the quality of their individual nursing care and that of other health care team including the fetus.
members. • Maternal and child health nursing includes a high degree of independent nursing functions, because
• Understanding the scope of practice and standards of care can help nurses practice within teaching and counseling are major interventions.
appropriate legal parameters. • Promoting health and disease prevention are important nursing roles because these protect the health
• Documentation is essential for protecting a nurse and justifying his or her actions. of the next generation.
• Nurses need to be conscientious about obtaining informed consent for invasive procedures and • Maternal and child health nurses serve as important resources for families during childbearing and
determining that pregnant women are aware of any risk to the fetus associated with a procedure or childrearing as these can be extremely stressful times in a life cycle.
test. • Personal, cultural, and religious attitudes and beliefs influence the meaning and impact of childbearing
• Adolescents who support themselves or who are pregnant are termed ―emancipated minors‖ or and childrearing on families.
―mature minors‖ and have the right to sign for their own health care.
• Circumstances such as illness or pregnancy are meaningful only in the context of a total life.
IV. ETHICAL CONSIDERATIONS OF PRACTICE • Maternal and child health nursing is a challenging role for nurses and a major factor in keeping families
well and optimally functioning.
Some of the most difficult ethical quandaries in health care today are those that involve children and
their families. VII. Goals of Maternal and Child Health Nursing
Examples are: The primary goal of maternal and child health nursing care can be stated simply as the promotion
• Conception issues, especially those related to in vitro fertilization, embryo transfer, ownership of and maintenance of optimal family health to ensure cycles of optimal child- bearing and childrearing.
frozen oocytes or sperm, cloning, stem cell research, and surrogate mothers
• Abortion, particularly partial-birth abortions The goals of maternal and child health nursing care are necessarily broad because the scope of
• Fetal rights versus rights of the mother practice (the range of services and care that may be provided by a nurse based on state requirements)
• Use of fetal tissue for research is so broad. The range of practice includes:
• Resuscitation (for how long should it be continued?)  Preconceptual health care
• Number of procedures or degree of pain that a child should be asked to endure to achieve a
 Care of women during three trimesters of pregnancy and the puerperium (the 6 weeks after
degree of better health
childbirth, sometimes termed the fourth trimester of pregnancy)
• Balance between modern technology and quality of life
 Care of infants during the perinatal period (6 weeks before conception to 6 weeks after birth)
V. Nursing Theory  Care of children from birth through adolescence
One of the requirements of a profession (together with other critical determinants, such as member-set  Care in settings as varied as the birthing room, the pediatric intensive care unit, and the home
standards, monitoring of practice quality, and participation in research) is that the concentration of a
In all settings and types of care, keeping the family at the center of care or considering the family as
discipline’s knowledge flows from a base of established theory.
the primary unit of care is an essential goal. This is because the level of a family’s functioning affects
Nursing theorists offer helpful ways to view clients so that nursing activities can best meet client the health status of its members (Vonderheid, Norr, & Handler, 2007). A healthy family, on the other
needs—for example, by seeing a pregnant woman not simply as a physical form but as a dynamic force hand, establishes an environment conducive to growth and health-promoting behaviors that sustain
with important psychosocial needs, or by viewing children as extensions or active members of a family as family members during crises. Similarly, the health of an individual and his or her ability to function
well as independent beings. Only with this broad theoretical focus can nurses appreciate the significant
effect on a family of a child’s illness or of the introduction of a new member. strongly influence the health of family members and overall family functioning. For these reasons, a
family-centered approach enables nurses to better understand individuals and their effect on others
and, in turn, to provide holistic care.
VIII. World Health Organization’s 17 Sustainable Development Goals 2. What are the latest trends in maternal and child healthcare environment to meet the sustainable
developmental goals of WHO?

Please include your resources or references.

Textbook:

Pilliteri, Silbert-Flagg. (2018). Maternal and Child Health Nursing: Care of the Childbearing and
Childrearing Family. (8 th Ed.) Wolters Kluwer

Devakumar (2019). Oxford Textbook of Global Health of Women, Newborns, Children, and Adolescents.
PB Publishing.

Murray (2019). Foundations of Maternal-Newborn and Women’s Health Nursing, 7th edition. Elsevier.

Flagg (2018). Maternal and Child Health Nursing: Care of the Childbearing and Chilrearing Family.
Wolters Kluwer

Wolters Kluwer. Audrey Berman, Shirlee J. Snyder, Geralyn Frandsen. (n.d.). Fundamentals of Nursing
by Kozier and Erbs (10th ed.).
EBSCO HOST http://search.ebscohost.com Usersname: OLFU PW: #fatima2020 Pearson. Maternal and Child Health. (n.d.). https://apha.org/topics-and-issues/maternal-and-child-health
http://dbctle.erau.edu/initiatives/seven/ Iowa State Center for Excellence in Learning and Teaching.
Maternal, newborn and adolescent health. (n.d.). https://www.who.int/maternal_child_adolescent/en/

Rosalinda Parado Salustiano. (2009). Dr. RPS Maternal & Newborn Care: A Comprehensive Review
Guide and Source Book for Teaching and Learning. C & E Publishing, Inc.

Infant Mortality rate - is the number of deaths among infants from birth to 1 year of age per 1000 live
births.

Maternal Mortality Rate - is the number of resident maternal deaths within 42 days of pregnancy
termination due to complications of pregnancy, childbirth, and the puerperium in
a specified geographic area.

MATERNITY NURSING – involves direct personal care to maternity pts and their newborn infants or
to related activities on their behalf during the various phases of the child
bearing experience.

The most meaningful and important measure of maternal and child health is the infant mortality rate.
This rate is declining steadily, but in the United States it is still higher than in 32 other nations.

1. Look for the most recent statistics for maternal and infant mortality rate in the Philippines. What are the
programs implemented to decrease the number of maternal and infant deaths?