Maternal and Child Health Flashcards
1
Q
Give Essential Health Care Programs:
A
- Family Health Program
- Prevention and Control of Non-communicable Diseases (NDCs)
Prevention and control of Communicable disease - Environmental Health and Sanitation 5. Other priority health programs
2
Q
It works with local public health departments, community-based organizations, statewide organizations, and other providers to provide and/or assure quality health services are delivered to mothers, children, and families in the country.
A
WHO Philippines MCH Program
3
Q
What are the primary areas of work focus are:
A
- Increasing healthy birth outcomes;
- Promoting and assuring comprehensive primary care for children, from birth to 21 years old, including children with special health care needs;
- Promoting healthy lifestyles among school-age youth, ages 6-21, including children with special health care needs;
- Promoting access to safe, healthy child care, including children with special health care needs; and
- Caring for the mother from pre-conception
4
Q
What is the objective of the Maternal Health Program?
A
To improve the survival, health, and well-being of mothers and unborn child.
5
Q
What is the Maternal health services that pregnant women can avail the free prenatal services at their respective health centers?
A
Antenatal Registration
6
Q
A series of 2 doses of tetanus toxoid vaccination must be received by a pregnant women one month before delivery and 3 booster doses after childbirth.
A
Tetanus Toxoid Immunization
7
Q
Vitamin A and Iron supplement for the prevention of anemia and Vit. A deficiency.
A
Micronutrient Supplementation
8
Q
These is for the women who is diagnosed as under the high risk pregnancy.
A
Treatment of diseases and other conditions
9
Q
What prenatal visits as early as possible before 4 months or during 1st trimester?
A
First Visit
10
Q
What is the Prenatal Visit during the second trimester?
A
Second Visit
11
Q
What is the Prenatal Visit during the third trimester?
A
Third Visit
12
Q
What is the Prenatal Visit after 8 months until she delivers the child?
A
Every 2 weeks
13
Q
What are the common lab examinations/tests before the woman delivers the child?
A
- Complete Blood Count (CBC)
- Blood Sugar Examination (FBS, RBS)
- Oral Glucose Tolerance Test
- Papsmear
- Hepatitis B
- Rapid Plasma Reaging Test
14
Q
In Tetanus Toxoid, What vaccine for the minimum age interval in early as possible during pregnancy?
A
TT1
15
Q
How many percent are protected by the TT1 vaccine?
A
80%
16
Q
In Tetanus Toxoid, What vaccine for the minimum age interval at least 4 weeks later?
A
TT2
17
Q
How many percent are protected by the TT2 vaccine?
A
80%
18
Q
What is the duration of Protection in TT2 vaccine?
A
Gives 3 years protection for the mothers
19
Q
What vaccine for the minimum age interval at least 6 months later?
A
TT3
20
Q
How many percent are protected by the TT3 vaccine?
A
90%
21
Q
What is the duration of Protection in TT3 vaccine?
A
Gives 5 years protection for the mothers
22
Q
What vaccine for the minimum age interval at least 1 year later?
A
TT4 and TT5
23
Q
How many percent are protected by the TT4 and TT5 vaccine?
A
99%
24
Q
What is the duration of Protection in TT4 vaccine?
A
Gives 10 years protection for the mothers
25
What is the duration of Protection in TT5 vaccine?
Gives lifetime protection for the mothers
26
T/F: When given to women of childbearing age, vaccines that contain tetanus toxoid not only protects women against tetanus but also prevent
neonatal tetanus in their newborn
infants.
T
27
A national mandated priority public health program to attain the country's national health development. a health intervention program and an important tool for the improvement of the health and welfare of mothers, children, and other members of the family.
Family Planning Program
28
It also provides information and services for the couples of reproductive age to plan their family according to their beliefs and circumstances
through legally and medically acceptable family planning.
Family Planning Program
29
It means that each family has the right and duty to determine the desired number of children they might have and when they might have them.
Responsible Parenthood
30
And beyond responsible parenthood is _______ which is the proper upbringing and education of children so that they grow up to be upright, productive, and civic-minded citizens.
Responsible Parenting
31
The 1987 Constitution states that the government protects the sanctity of life. Abortion is NOT a FP method.
Respect for Life
32
It refers to interval between pregnancies (which is ideally 3 years. It enables women to recover their health improves women's potential to be more productive and to realize their personal aspirations and allows more time to care for children and spouse/husband.
Birth Spacing
33
It is upholding and ensuring the rights of couples to determine the number and spacing of their children according to their life's aspirations and reminding couples that planning size of their families have a direct bearing on the quality of their children and their own lives.
Informed Choice
34
T/F: In 2003, there are about 84 million Filipinos to grow annually at 2.36 percent and expected to double in 29 years because of the Family Planning Program.
T
35
T/F: In 2003, among married women, 48.8% use any form of contraceptive method and 51.1% do not use any form of contraceptive method at all.
T
36
T/F: The goal of the Family Planning Program is to provide universal access to family planning information and services wherever and whenever these are needed. It aims to contribute to Reduce neonatal, infant, under-five, and maternal deaths.
T
37
T/F: The objectives of the Family Planning Program are to help couples and individuals achieve their desired family size within the context of responsible parenthood and to improve their reproductive health to attain sustainable growth.
T
38
T/F: The objectives of the Family Planning Program are to ensure that quality FP services are available in DOH-retained hospitals, LGU-managed health facilities, and the private sector.
T
39
What are the 3 types of Family Planning?
1. Natural
2. Artificial
3. Permanent
40
What type of Family Planning is the standard days method?
Natural
41
What type of Family Planning is the Lactational Amenorrhea Method?
Natural
42
What type of Family Planning is the Basal Body Temperature?
Natural
43
What type of Family Planning is the Billings Ovulation/Cervical Mucus Method?
Natural
44
What type of Family Planning is the Symptothermal?
Natural
45
What type of Family Planning when you use Condoms and Injectables?
Artificial
46
What type of Family Planning when you use Oral Contraceptive Pills?
Artificial
47
What type of Family Planning when you use an Intrauterine Device?
Artificial
48
What type of Family Planning when you do Vasectomy and Bilateral Tubal Ligation?
Permanent
49
Newborns, infants, and children are vulnerable age group for common childhood diseases.
Child Health Programs
50
To address problems, child health programs have been created and available in all health facilities which includes:
* Infant and Young Child Feeding
* Newborn Screening (NBS)
* Expanded Program on Immunization (EPI)
* Management of Childhood Illnesses
* Micronutrient Supplementation *Dental Health
*Early Child Development Child Health Injuries
51
What is the goal of Child Health Programs?
To reduce morbidity and mortality rates for children 0- 9 years with the strategies necessary for the program.
52
There is global evidence that good nutrition in the early months and years of life plays a very significant role, affecting not only the health and survival of infants and children but also their intellectual and social development, resulting in a life-long impact on school performance and overall productivity.
INFANT AND YOUNG CHILD FEEDING
53
T/F: Breastfeeding, especially exclusive breastfeeding during the first half-year of life is an important factor that can prevent infant and childhood morbidity and mortality.
T
54
T/F: Timely, adequate, safe, and proper complementary feeding will prevent childhood malnutrition.
T
55
What are the Benefits of Breastfeeding for the infant?
* A complete food for the infants
* Strengthen immune
system thus preventing infections
* Increases IQ points
56
What are the Benefits of Breastfeeding for the Mothers?
* Reduces excessive blood loss after birth
* Natural method of delaying pregnancies
* Reduces the risk of ovarian and breast cancers
57
What are the Products covered by the milk code that consist of breast milk substitutes, e.g. infant formula, other milk products, and bottle-fed complementary foods?
Milk code (EO 51)
58
This requires both public and private institutions to promote rooming-in, it encourages and support the practice of breastfeeding.
Rooming-In Breastfeeding Act of 1992 (RA 7600)
59
It is an act establishing the Philippine Food Fortification Program and for other purposes.
Food Fortification Law (RA 8976)
60
It is vital in the promotion of optimal health and to compensate for the loss of nutrients during the processing and storage of food.
Food fortification
61
It is "the addition of one or more essential nutrients to food, whether or not it is normally contained in the food, for the purpose of preventing or correcting a demonstrated deficiency of one or more nutrients in the
population or specific population groups"
Fortification
62
It is a public health program aimed at the early identification of infants who are affected by certain genetic/ metabolic/ infectious conditions.
Newborn Screening (NBS) Act of 2004 (RA 9288)
63
It is early identification and timely intervention can lead to significant reduction of morbidity, mortality, and associated disabilities in affected infants.
Newborn Screening (NBS)
64
Newborn screening is ideally done on the 48th - 72nd hour of life. However, it may also be done after _____ hours
from birth.
24
65
T/F: A few drops of blood are taken from the baby's heel, blotted on a special absorbent filter card, and then sent to the Newborn Screening Center (NSC).
T
66
What are the Disorders Tested for Newborn Screening?
* CH (Congenital Hypothyroidism)
* CAH (Congenital Adrenal Hyperplasia)
* GAL (Galactosemia)
* PKU (Phenylketonuria)
* G6PD (Glucose-6-Phosphate Dehydrogenase)
67
It results from the lack or absence of thyroid hormone which is essential for the physical and mental development of a child.
CH (Congenital Hypothyroidism)
68
It is an endocrine disorder that causes severe salt loss, dehydration, and abnormally high levels of male sex hormones in both boys and girls. If not detected and treated early, babies with CAH may die within 7-14 days.
CAH (Congenital Adrenal Hyperplasia)
69
It is a condition in which babies are unable to in the process galactose, the sugar present in milk. Accumulation of excessive galactose in the body can cause many problems, including liver damage, brain damage, and cataracts.
GAL (Galactosemia)
70
It is a rare condition in which the baby cannot properly use one of the building blocks of a protein called phenylalanine. Excessive accumulation of phenylalanine in the blood causes brain damage.
PKU (Phenylketonuria)
71
It is a condition where the body lacks the enzyme called _____. Babies with this deficiency may have hemolytic anemia resulting from exposure to oxidative substances found in drugs, foods, and chemicals.
G6PD (Glucose-6-Phosphate Dehydrogenase)
72
What is the Effect of CH if NOT SCREENED and SCREENED and Managed?
NOT SCREENED: Severe Mental Retardation
SCREENED: Normal
73
What is the Effect of CAH if NOT SCREENED and SCREENED and Managed?
NOT SCREENED: Death
SCREENED: Alive and Normal
74
What is the Effect of GAL if NOT SCREENED and SCREENED and Managed?
NOT SCREENED: Death or Cataracts
SCREENED: Alive and Normal
75
What is the Effect of PKU if NOT SCREENED and SCREENED and Managed?
NOT SCREENED: Severe Mental Retardation
SCREENED: Normal
76
What is the Effect of G6PD Deficiency if NOT SCREENED and SCREENED and Managed?
NOT SCREENED: Severe anemia, Kernicterus
SCREENED: Normal
77
The Expanded Program on Immunization/EPI was launched in _______ by the DOH in cooperation with WHO and UNICEF.
July 1976
78
The original objective was to reduce the morbidity and mortality among infants and children caused by the seven childhood diseases.
Expanded Program on Immunization/EPI
79
Every ______ is designated as immunization day in all parts of the country.
Wednesday
80
"Mandatory Infants and Children Health
Immunization Act of 2011 was signed by President Benigno Aquino I ni July 26, 2010.
Republic Act No. 10152
81
What are the 4 strategies of EPI?
1. Sustaining high routine FIC coverage of at least 90%
2. Sustaining a polio-free country for global certification
3. Eliminating measles by 2008
4. Eliminating neonatal tetanus by 2008
82
It is the process by which vaccines are introduced into the body before injection sets in.
Immunization
83
These are administered to
induce immunity thereby causing the recipient's immune system to react to the vaccine that produces antibodies.
Vaccines
84
T/F: It is safe and immunologically effective to administer al EPI vaccines on the same day at different sites of the body.
T
85
T/F: Moderate fever, malnutrition, mild respiratory infection, cough, diarrhea and vomiting are not contraindicated to vaccination.
T
86
These are contraindicated to a child who has had convulsion or shock within 3 days the previous dose.
DPT2 and DPT3
87
T/F: It is safe and effective with mild side effects after vaccination. (Ex. Local reaction, fever)
T
88
T/F: Live vaccines like BCG must not be given to individuals who are
immunosuppressed due to malignant disease, therapy with immunosuppressive agents or irradiation.
T
89
This shall be given to all school entrants both in private and public schools regardless of the presence or absence of a BCG scar.
BCG immunization
90
Number of Doses in BCG?
1
91
T/F: BCG cannot protects the infant
from the possibility of TB meningitis &other TB infections.
F
92
Number of Doses of DPT and OPV?
3
93
Minimum of Age at 1st Dose in BCG?
Birth or anytime after birth
94
Minimum Age at 1st dose in DPT and OPV?
6 weeks
95
Minimum Interval Between Doses in DPT and OPV
4 weeks
96
T/F: DPT can reduce the chance of pertussis.
T
97
T/F: OPV is the protection against Polio Disease
T
98
Minimum Age at 1st Dose of Hepa B
At birth
99
Number of Doses of Hepa B
3
100
What is the Minimum Interval between Doses of Hepa B?
6 weeks interval from 1st dose to 2nd dose; 8 weeks interval from 2nd to 3rd
dose
101
T/F: Hepa B can reduce the chance of being infected and becoming a carrier.
T
102
T/F: Measles can prevent deaths, malnutrition and protection from measles.
T
103
What is the storage temperature of Oral Polio (live attenuated)?
-15°C to -25°C (at the freezer)
104
What is the storage temperature of Measles (Freeze-dried)?
-15°C to -25°C (at the freezer)
105
What are the most sensitive to heat?
-Oral Polio
106
What is the vaccine that their storage temperature is +2 °C to + 8°C (in the body of the refrigerator)?
1. DPT/Hep B
2. Hepatitis B
3. BCG (Freeze-dried)
4. Tetanus Toxoid
107
In DPT, _____toxoid is a weakened toxin
D
108
In DPT, _______killed bacteria
P
109
In DPT, _______ toxoid is also a weakened toxin
T
110
Vaccine: BCG
Dose: 0.05 ml
Route of Administration: Intradermal
Site of Administration: Right Deltoid region
111
Vaccine: DPT
Dose: 0.5 ml
Route of Administration: Intramuscular
Site of Administration: Upper outer portion of the thigh
112
Vaccine: OPV
Dose: 2 drops
Route of Administration: Oral
Site of Administration: Mouth
113
Vaccine: Measles
Dose: 0.5 ml
Route of Administration: Subcutaneous
Site of Administration: Outer part of the arm
114
Vaccine: Hepa B
Dose: 0.5 ml
Route of Administration: Intramuscular
Site of Administration: Upper outer portion of the thigh
115
Vaccine: Tetanus
Dose: 0.5 ml
Route of Administration: Intramuscular
Site of Administration: Deltoid region
116
What are the common nutritional deficiencies?
Vitamin A, Iron and lodine.
117
T/F: Malnutrition continues to be a public health concern in the country.
T
118
This program goal is to improve quality of life of Filipinos through better nutrition, improved health and increased productivity.
Nutritional Program
119
It is one of the interventions to address the health and nutritional needs of infants and children and improve their growth and survival.
Micronutrient Supplementation
120
The twice-a-year distribution of Vitamin A capsules through the "Araw ng Sangkap Pinoy" (ASAP), known as ______________is the approach adopted to provide micronutrient supplements to 6-71 months old preschoolers on a nationwide scale.
Garantisadong Pambata or Child Health Week
121
The goal of this is Attainment of improved quality of life through promotion of oral health and quality oral health care
Dental Health
122
T/F: Oral disease continues to be a serious public health problem in the Philippines. The prevalence of dental caries on permanent teeth has generally remained above 90% throughout the years. About 92.4% of Filipinos have tooth decay (dental caries) and 78% have gum diseases (periodontal diseases).
T
123
What are Dental Health Objectives?
* The prevalence of dental caries is reduce
* The prevalence of periodontal disease is reduced
* Dental caries experience is reduced
* The proportion
of Orally Fit Children (OFC) 12-71 months old is increased
