Chapter 1

Maternal Newborn Nursing: Care for Women, Families, and

Newborn

Traditional Nursing Care

Gloria Nwagwu MSN, FNP-BC, RN

Shifts in Nursing

Health-Wellness Continuum Linear: illness to wellness Circular: motivate family to health promotion,

maintenance, and restoration

Nursing aesthetics

Changing Demands and Demographics

Engaging transpersonal care Social and technological advances Family structure, function, and definition

Contemporary Nursing Care

Family-Centered Care

Nurse as facilitator Assists family in making informed choices

toward outcome of patient/family Cultural sensitivity Cultural competence

Modern Technology and the Caring Touch

Complementary/Alternative Medicine Low-tech, high-touch interventions Supports whole mind, body, energy,

environment, and spiritual healing Goal: patient-centered autonomy

Touch vs. Tech

Evidence-Based Practice

Health Informatics

Professional Organizations/Standards of Care

Additional Professional Nursing Roles

Critical thinker Effective communicator Advocate

Review Questions1. Self-care has gained wide acceptance with

clients, health care community and third party payors due to research findings suggesting:

a. Shortened newborn length of stay

b. Decreased used of home health agencies

c. Reduced health care costs

d. Decreased the number of emergency room visits

Review Questions2. When preparing to teach a group of culturally diverse

childbearing families about hospital birthing options, in order to be culturally competent, the nurse should:

a. Understand that the family has the same values as the nurse

b. Teach the family how childbearing takes place in the US

c. Insist that the client answer questions instead of her husband

d. Learn about the cultural groups that are likely to attend the class

Review Questions3. The client states, “ I am using

homeopathic remedies to help with my morning sickness.” The nurse understands that the client is utilizing

a.A complementary-alternative therapy

b.A holistic nursing care

c.Traditional Chinese medicine

d.Naturopathy

Review Questions

4. A client is asking the nurse about the safety and risks of using CAM . How should the nurse respond? “The use of complementary and alternative therapies is:

a. completely safe and not a problem at all.”

b. not regulated by the FDA and little has been proven about some methods.”

c. very inexpensive and can easily be tried to see if they help your health.”

d. safe as long as you see a certified practitioner.”