Framework for Maternal and Child Health Nursing
(MCN) Focusing on at-Risk, High Risk, and Sick Clients
National Health Situation on MCN
Statistics on MCN
Genetics and Genetic Counseling
Primary Goal of Maternal and Child Health Nursing

Is the promotion and maintenance of optimal
family health.
Philosophy of Maternal and Child Health Nursing
Maternal and Child Health Nursing
a) Family-centered, assessment data must include
a family and individual assessment.
b) Community-centered; the health of families
depends on and influences the health of
communities.
c) Research-oriented, because research is the
means whereby critical knowledge increases.
d) Both nursing theory and evidence-based
practice provide a foundation for nursing care
Maternal and Child Health Nurse Serves As An:
1. Advocate to protect the rights of all family
members, including the fetus
2. Demonstrate a high degree of independent
nursing functions, because teaching and
counseling are so frequently required.
3. Promoting health is an important nursing role,
because this protects the health of the next
generation
4. Pregnancy of childhood illness can be stressful
and can alter family life in both subtle and
extensive ways
5. Respect personal, cultural, and religious
attitudes and beliefs influence the meaning of
illness and its impact on the family.
Circumstances such as illness or pregnancy are
meaningful only in the context of a total life.
6. Maternal and child health nursing is a
challenging role for a nurse and is a major factor
in promoting high-level wellness in families
STANDARDS OF MATERNAL AND CHILD HEALTH
NURSING PRACTICE
1. Nurse helps attain optimum health
2. Nurses assist the family in maintaining balance
between personal growth needs and family
functioning
3. Nurse intervenes with vulnerable families
4. Nurse promotes a healthy environment
5. Nurse detects changes and deviations
6. Nurse carries out interventions and treatments
7. Nurses assist in the Coping period
8. Nurse actively pursues strategies
9. Nurse continues to improve MCN practice
THE GLOBAL HEALTH GOALS (UN & WHO, 2000)
1. To end poverty and hunger
2. To achieve universal primary education
3. To promote gender equality and empower
women
4. Reduce child mortality
5. To improve maternal health
6. To combat HIV/AIDS, malaria, and other
diseases
7. To ensure environmental sustainability
8. To develop global partnership for development
THE GLOBAL HEALTH GOALS (UN & WHO, 2000)
The establishment of global health goals is a major step
forward in improving the health of all people, as
contagious diseases, poverty, and gender inequality do
not respect national boundaries but follow people
across the world and into all nations.
A FRAMEWORK FOR MATERNAL AND CHILD HEALTH
NURSING CARE
Maternal and child health nursing can be visualized
within a framework in which nurses, using nursing
process, nursing theory, and Quality and Safety
Education for Nurses (OSEN), care for families during
childbearing and childrearing years through four phases
of health care:
1. Health Promotion
2. Health Maintenance
3. Health Restoration
4. Health Rehabilitation