Roles and Responsibilities of Maternal Child Nurse PDF

NCM 107 – Care of Mother, Child and the Adolescent (well clients) Roles and Responsibilities of Maternal Child Nurse Roles and Responsibilities of Maternal Child Nurse  Maternal and Child health nursing can be visualized within a...

NCM 107 – Care of Mother, Child and the Adolescent (well clients) Roles and Responsibilities of Maternal Child Nurse Roles and Responsibilities of Maternal Child Nurse  Maternal and Child health nursing can be visualized within a framework in which nurses use: Nursing Process Nursing Theory Qualityand Safety Education for Nurses competencies ❖Care for families during child-bearing and childrearing years and through the four phases of health care. Nursing Process: Assessment (labor and delivery)  Vita signs  Fundal Height (FH) Measurement  FHB/FHR (Leopold’s Maneuvers)  Calculation of AOG & EDD/EDC  Obstetric (OB) Data = Gravida & Para (GTPAL), Prenatal history  Laboratory/diagnostic test results (ex: Ultrasound & blood tests)  Labor Monitoring for Uterine Contractions (duration, frequency, interval)  Internal Examination (IE) Findings  Cervical dilatation (centimeters)  Fetal presentation  Degree of fetal descent  Condition of the membrane/bag of waters = intact, ruptured or leaking Fundal Height Measurement Calculation of AOG & EDD/EDC  Calculate the number of days between the current date and the first day of the LMP.  Divide the total number of days by 7 to find the AOG in weeks.  Use the Naegele’s Rule/ formula in Calculating the EDD/EDC  -3 months, +7 days, + 1 year (except for January, February & March)  For example, LMP is July 12 – 17, 2023  7 / 12 / 2023  -3 +7 + 1  4 / 19 / 2024  EDD = April 19, 2024 Degree of fetal descent Four Phases of Health Care  Healthpromotion – educating parents and children to follow sound health practices through teaching and role modelling.  Healthmaintenance – intervening to maintain health when risk of illness is present  Health restoration – using conscientious assessment to be certain that symptoms of illness are identified, and interventions are begun to return patient to wellness most rapidly  Health rehabilitation – Helping prevent complication from illness; helping a patient with residual effects achieve an optimal state of wellness and independence; helping a patient to accept an inevitable death Roles and Responsibilities of Maternal Child Nurse A maternal-child nurse is often cross trained.  Nurses retain skills and knowledge that allow them to assist the patient during the entire hospital stay.  Thematernal-child nurse serves in roles related to labor, delivery, recovery, operational, postpartum and management of high-risk pregnancies.  Specificroles they may perform include fetal monitoring, assisting in cesarean delivery and identifying postpartum complications. Fetal Monitoring by Cardiotocography (CTG)  Transabdominal Non-Stress Test  Contraction Stress Test  Roles and Responsibilities of MCN  The maternal-child nurse also often needs technical skills to effectively understand advanced equipment and procedures.  Continuing education to stay up-to-date on the latest innovations and new practices in the field. Roles & Responsibilities of MCN  Basicnursing skills are a necessity. Patient management of pain patient and family education, assessment, diagnosis and communication. Roles and Responsibilities of MCN  Caringfor a mother and baby simultaneously This family-centered model of maternity health care encourages family cohesion and bonding and facilitates education. The family-centered care model also encompasses care before and after the delivery. This involves duties such as prenatal stress-testing and checking on new mothers and infants after discharge.  Areas of Expertise in MCN ▪ treating a pregnant teenager, ▪ a critically ill child, or ▪ another group within the community.