Maternal-Child and Pediatric Nursing Roles

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Questions and Answers

What is a key consideration when providing care for a newborn from a homeless mother?

The mother's financial status only

The availability of social support systems (correct)

The newborn's weight at birth

The mother's mental health history

Which characteristic of children increases their risk of dehydration?

Higher total circulating blood volume

Larger body surface area (correct)

More mature immune systems

Better glycogen stores

What approach does family-centered care emphasize in maternity-newborn nursing?

Involving all family members in the care process (correct)

Excluding family members from decision-making

Recognizing the family as a temporary support

Prioritizing medical procedures over family wishes

Which of the following best describes a unique physiological difference in infants compared to adults?

Infants have a larger posterior head bone. Signup and view all the answers

What is a common fear among nursing students related to maternity nursing?

Experiencing childlessness Signup and view all the answers

What is often a consequence of children having immature temperature regulation?

They can quickly develop hypothermia if not properly dressed. Signup and view all the answers

Which of the following factors affects the metabolic rate in young children?

High glucose needs Signup and view all the answers

What is a significant ethical dilemma a nurse might face regarding adolescent patients?

A young adolescent seeking permission to die following a diagnosis of aggressive cancer Signup and view all the answers

What is a primary responsibility of a registered nurse (RN) when caring for pregnant patients?

Conducting assessments and monitoring pregnancy progression Signup and view all the answers

What does the principle of beneficence primarily focus on?

Acting in a way that seeks to benefit others while balancing risks Signup and view all the answers

Which advanced practice nurse specializes in women’s health and may focus on pregnancy care?

Certified nurse midwife Signup and view all the answers

What is the role of a clinical nurse specialist in maternal-child and pediatric nursing?

Educate and support nurses in providing care Signup and view all the answers

What is the principle of nonmaleficence concerned with in healthcare?

Avoiding harm and ensuring safety during treatments Signup and view all the answers

Which statement about patient autonomy is accurate?

Patients have the right to make their own healthcare decisions Signup and view all the answers

How do pediatric nurse practitioners (NPs) contribute to healthcare?

They care for children across various developmental stages Signup and view all the answers

Which principle in healthcare refers to fairness in the allocation of resources and services?

Justice Signup and view all the answers

Study Notes

Quality Health Care

Provides holistic care, addressing all patient needs
Utilizes evidence-based practices
Ensures equal care for all patients

Maternal-Child and Pediatric Nursing Roles

LPN: Works under the direction of RNs, NPs, physicians, or midwives, assisting with pregnancy and delivery preparation
RN: Assesses patients, plans and provides care, provides teaching, monitors pregnancy progression, delivers postpartum and newborn care, and cares for pediatric patients across developmental stages
NP: Specializes in women's health, including contraception, fertility, pre-pregnancy, pregnancy, postpartum, lactation, newborn, and menopause care. Pediatric NPs care for children across all developmental periods
CNS: An RN with an advanced degree (MSN) working alongside nurses in clinics and hospitals to educate and support excellent maternity and pediatric care
CNM: Advanced practice nurse with an MSN or DNP, certified in pregnancy and delivery. Provides care throughout pregnancy, labor, delivery, and postpartum. Can prescribe medications and deliver babies in hospitals

Ethical Principles in Healthcare

Autonomy: Patients have the right to control their bodies and make their own decisions, including accepting or refusing treatment, medications, testing, procedures, and surgeries
Beneficence: Acting with compassion and kindness to benefit others. Balancing treatment benefits with risks and costs, considering the family's viewpoint
Nonmaleficence: Avoiding harm or minimizing harm to achieve a beneficial outcome. Includes double-checking dosages and medications during administration
Justice: Fairness in treating individuals, groups, organizations, and communities. Ensures fair allocation of services and resources

Ethical Dilemmas in Maternal-Newborn Nursing

Abortion
Maternal smoking, drinking, or drug use during pregnancy
Patient requesting Cesarean birth
Care for extremely premature newborns
Adolescent mothers leaving hospital without support
Homeless or drug-addicted mothers leaving hospital with newborns
Expensive and unsuccessful infertility treatment
Terminally ill adolescent refusing treatment
Homeless child with asthma discharged to live in a car with family
Child with type 1 diabetes cared for by a mother with mental health diagnoses

Nursing Student Fears in Maternity Nursing

Childlessness
Lack of knowledge about maternity nursing
Being male

Family-Centered Care

Recognizes the family as a constant in the child's life, impacting all members during illness, injury, or hospitalization
Aims to strengthen the family unit by including all members and enhancing communication and outcomes
Emphasizes family empowerment, control over their lives, and enabling them to master the child's care through teaching and support

Anatomical and Physiological Differences Between Children and Adults

Children have smaller airways
Newborns are obligatory nose breathers for the first few weeks
Children have disproportionately large heads, increasing fall and head injury risk
Infants have a large posterior head bone, increasing airway occlusion risk
Children have poorly developed intercostal chest muscles, leading to easier respiratory failure
Children have smaller tidal volume in their lungs
Young children have a larger body surface area, resulting in greater heat loss and insensible water losses
Infants and young children have less total circulating blood volume, increasing dehydration risk
Young children have high glucose needs and poor glycogen stores, increasing their metabolic rate
Children have relatively healthy cardiovascular systems, hypertension and cardiovascular disease are rare
Young children have immature temperature regulation, infants can rapidly experience hypothermia
Young children have immature immune systems and less organ maturation, especially kidney function and urine concentration
Difficulty assessing and treating young children based on the six human symptoms, vital signs, and developmental considerations

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Description

Explore the various roles within maternal-child and pediatric nursing. Understand the responsibilities of different nursing professionals, including LPNs, RNs, NPs, CNSs, and CNMs, in providing holistic and evidence-based care. This quiz will enhance your knowledge of how these positions contribute to quality health care.