1. Family-Centered and Community-Based Maternal and Pediatric Nursing
Chapter 2:
Family-Centered and Community-Based Maternal and Pediatric Nursing

2. The Family as a Social Unit
Basic social unit
Provides for survival and teaches the knowledge, customs, values and beliefs of the family’s culture
Family function
Physical sustenance
Emotional support
Intellectual stimulation
Socialization
Spirituality

3. The Family as a Social Unit (cont.)
Family structure
Nuclear family
Extended family
Single-parent family
Communal family
Gay or lesbian family
Stepfamily and blended family
Cohabitation family
Adoptive family

4. Question Tell whether the following statement is true or false.
In a gay or lesbian family, complex issues are often faced. Perhaps that is why research has shown that being a member of this type of family socially harms a child.

5. Answer
False
Rationale: Although gay and lesbian families often face complex issues, including discrimination, studies of such families show that membership in this type of family does not harm children.

6. The Family as a Social Unit (cont.)
Factors that influence childbearing and child rearing
Family size
Sibling order and gender
Parental behavior
Divorce
Culture

7. Health Care Shift: From Hospital to Community
Sophisticated health care costs strained funding
Emergence of community-based health care
Emphasis on wellness and preventative health care
Bears direct influence on normal and at-risk maternity care
Positive factor in children’s care

8. Health Care Shift: From Hospital to Community (cont.)
Community-based nursing
Focus wellness and prevention
Goals are to help people and families meet their health care needs
Primary prevention
Secondary prevention
Tertiary prevention

9. The Health Care Shift: From Hospital to Community (cont.)
Community care setting for the maternity client
Prenatal and postpartum home health care
Settings for birth
Home
Birthing centers
Hospitals

10. Health Care Shift: From Hospital to Community (cont.)
Community care settings for the child
Outpatient settings
Home health care
Schools and camps
Community centers and parishes
Residential programs

11. Health Care Shift: From Hospital to Community (cont.)
Skills of the community-based nurse
Nursing process
Communication
Education
Case management
Client advocacy

12. Health Care Shift: From Hospital to Community (cont.)
Challenge of community-based nursing
Aspects of community based nursing
Issues facing pregnant women, children, and families
Poverty
Lack of information
Questionable decisions about priorities
Ineffective coping skills

13. Question
The Community Health Nurse uses a different set of skills than those used by an institution-based nurse. Which skill, used by the community health nurse, is a process which ensures that a client’s health and service needs are met?
a. Client advocacy
b. Nursing process
c. Prioritization
d. Case management

14. Answer d. Case management
Rationale: Case management, a systematic process that ensures that a client’s multiple health and service needs are met, may be a formal or an informal process.