Roles and Responsibilities of Nurse Maternal and Child Health

(MCH)
BY: DR. KAILASH NAGAR

The function of community health nurse are:

1) Direct Care Provider

a) Antenatal care ( The care of the women during pregnancy)
i. Contact – contacting every pregnant mother in the primary stage of pregnancy
ii. History – taking history of general health ( previous and present pregnancy)
iii. Antenatal examination – conducting physical birth and present pregnancy
b) Intranatal care
 Preparing the place of birth
 Arranging the necessary equipment’s
 Giving mental support to mothers
 Preparing mother on delivery
 Ensuring safe delivery, examining umbilical cord and nothing abnormalities
 Noting the correct time of birth
c) Postnatal care

-Week immediately after the child birth

 Observing the blood pressure, temp. and pulse of mother immediately after the
delivery and then during the following period
 Collecting information about the general condition of mother
 Protecting the mother from the complication
d) Neonatal care
 Observing the respiration of newborn, immediately after birth and if necessary
providing resuscitation
 Taking care of the umbilical cord and cutting the cord and tying it using proper
techniques
 Taking notice abnormalities
  Assessing the physical condition of the newborn by his APGAR score
 Cleaning the newborn child
 Taking care of the newborn skin and eyes
 Keeping the newborn child on safe bed and providing breast feeding to baby at the
earliest
 Maintaining normal body temperature of the new born
 Function related to maternal clinics
 Home visits – during home visit the nurse should focus the attention of mother on
the following points
 Antenatal checkup is importance
 Diet during pregnancy
 Plans for delivery
 Neonatal care
 Family planning
2) Managerial function
 Organizing and managing the nursing homes
 Playing the role of liaison officer under referral system, for sending the mother to
hospital for safe delivery
 Taking part in community activities
 Explaining the importance of reproductive and child health in community
 Supervising the work of midwives and female health workers and giving them
appropriate suggestion
 Organizing and managing maternal clinics
 Coordinating between the doctor, family and patients
 Storing and maintaining the records of maternal and child health service
 Assisting the research work in the field of maternal and child health service
3) Educational function
 Providing health education to mother and family either individually or in the group
 Educating (using demonstration) pregnant mothers and relatives about maternal
nursing
  Community health nurse should discuss following topics with pregnant mothers
 Importance of regular antenatal check up
 Personal hygiene and proper diet
 Clean environment
 Importance of hospital delivery or delivered or delivery or delivery by trained worker
 Taking care of infant

Advance- Practice Roles for Nurses in Maternal and Child

Health
BY: ADELE PILLITTERI

1) Clinical Nurse Specialist

 Nurses prepared at the master’s or doctorate degree level who are capable of acting as
consultants in their area of expertise, as well as serving as role models , researchers, and
teachers of quality nursing care.
 Examples of areas of specialization are neonatal, maternal, child and adolescent health
care.
 A clinical nurse specialist could be instrumental in helping a primary nurse organize care
and in meeting with the parents to help them accept what is happening.

2) Nurse Practitioner
 Nurse educated at the master’s or doctoral level.
 Doctor of nursing practice programs are designed to prepare nurse practitioners with the
highest level of practice expertise integrated with the ability to translate scientific
knowledge into complex clinical intervention
 Preparing the nurse practitioners at the doctor of nursing practice level has the potential to
expand the scientific basis for practice as well as create leaders for organization and system
management, quality improvement, health policy development, and interdisciplinary
collaboration.
3) Pediatric Nurse
 Nurse prepared with extensive skills in physical assessment, interviewing, and well-child
counseling and care. A nurse interviews parents as part of an extensive health history and
performs a physical assessment of the child.
 The nurse has served as a primary health caregiver or as the sole health care person the
parents and child see at that visits.
 Nurse practitioners may also work in inpatient or specialty settings such as genetics or
cardiac care or emergency department settings providing continuity of care to children and
adults.

4) Neonatal Nurse Practitioner

 Advanced-practice role for nurses who are skilled in the care of newborns, both well and
ill.
 NNP’s responsibilities include managing and caring for newborn assessments in intensive
care units, conducting normal newborn assessment and physical examinations, and
providing high-risk follow-up discharge planning.
 They also are responsible for transporting ill infants to these different care settings.
 Episcopal Diocese of Southern Philippines
Brent Hospital and Colleges Incorporated
R.T. Lim Boulevard, Zamboanga City

Maternal and Child health

Goals and Standards

Submitted To
Mrs. Mary Anne M. Occo

Submitted By
Dela Torre, Justine Rose R.
Gonzales, Jaycee-Lynn G.
Gumampang, Sarama H.
Cajote, April Rose B.
Casumpang, Ann Kimberly R.
Crauz, Daisy Mae P.
Bautista, Jawiya Y.

July 22, 2019