MATERNAL LAWS

Question 1

The strategy aims to achieve the following intermediate results

Answer 1

1. Every pregnancy is wanted, planned and supported;
2. Every pregnancy is adequately managed throughout its course;
3. Every delivery is facility-based and managed by skilled birth attendants/skilled health professionals; and
4. Every mother and newborn pair secures proper post-partum and newborn care with smooth transitions to the women’s health care package for the mother and child survival package for the newborn.

Question 2

MNCHN Core Package of Services

Answer 2

1. pre-pregnancy
2. pregnancy
3. delivery
4. postpartum
5. newborn care until the first week of life
6. child care

Question 3

Implementing Health Reforms to Rapidly
Reduce Maternal and Neonatal Mortality

Answer 3

Administrative Order 2008-0029

Question 4

Guidelines Governing the Payment of Training Fees relative to the Attendance of Health Workers to Basic Emergency Obstetric and Newborn Care Skills Training Course at Duly Designated Training Centers

Answer 4

Department Order 2009-0084

Question 5

Establishment of Basic Emergency Obstetric and Newborn Care Training Centers in Regional Hospitals and Medical Centers

Answer 5

Administrative Order 2011-0011

Question 6

Guidelines in the Administration of Life Saving Drugs During Maternal Care Emergencies by Nurses and Midwives in Birthing Centers

Answer 6

Administrative Order 2015-0020

Question 7

Guidelines on the Provision of Quality Antenatal Care in All Birthing Centers and Health Facilities Providing Maternity Care Services

Answer 7

Administrative Order 2016-0035

Question 8

National Policy on the Prevention of Illegal and Unsafe Abortion and Management of Post-Abortion Complications

Answer 8

Administrative Order 2018-0003

Question 9

List the ethical principles (Poll and Beck 2004)

Answer 9

-informed consent
-beneficence and nonmaleficence
-respect for human dignity
-justice and fairness

Question 10

the birth of a disabled child when the parents would have chosen to end the pregnancy if they had been informed about the disability during pregnancy

Answer 10

wrongful birth

Question 11

a claim that negligent prenatal testing on the part of a health care provider resulted in the birth of an unperfect child

Answer 11

Wrongful life

Question 12

denotes a contraceptive measure that failed, allowing ar unwanted child to be conceived and born

Answer 12

Wrongful conception

Question 13

list the ethical issues in Perinatal nursing

Answer 13

1. Conception issues
2. Abortion or pregnancy termination
3. Fetal rights VS Mother’s rights
4. Use of Fetal tissue for researcher
5. Resuscitation/ Confidentiality issues
6. Number of procedures or degree of pain
7. Balance between modern technology and
   quality of life

Question 14

surgical procedure in which tissue from an aborted fetus is grafted into a patient to replace or improve defective tissue, especially to treat Parkinson’s disease or other neurological disorders

Answer 14

Fetal tissue transplantation

Question 15

Childbirth Education Sample Outline for Weekly Expectant Parents Classes

how many lessons

Answer 15

8

Question 16

Review of Physiologic Changes of Pregnancy and Fetal Growth

what lesson of childbirth education

Answer 16

Lesson 1

Question 17

Personal Care During Pregnancy Nutrition, hygiene such as bathing, dental care, exercise, and rest

what lesson of childbirth education

Answer 17

Lesson 2

Question 18

Emotional Changes During Pregnancy

what lesson of childbirth education

Answer 18

Lesson 3

Question 19

Labor and Birth; The process of birth, exercises, and breathing techniques, and medication in labor

what lesson of childbirth education

Answer 19

Lesson 4

Question 20

Plans for Birth; Birth settings available, supplies to take to birth settings, tour or film of a typical birth

what lesson of childbirth education

Answer 20

Lesson 5

Question 21

The Postpartum Period

what lesson of childbirth education

Answer 21

Lesson 6

Question 22

Infant Care - Nutrition and hygiene

what lesson of childbirth education

Answer 22

Lesson 7

Question 23

Reproductive Life Planning

what lesson of childbirth education

Answer 23

Lesson 8

Question 24

list some advantages of hospital birth

Answer 24

● A woman is encouraged to be prepared to con- trol the discomfort of labor through non medication measures such as controlled breathing although anesthesia such as an epidural is readily available.
● A woman is encouraged to be knowledgeable about the labor process and make decisions about procedures performed.
● A woman is encouraged to consider breastfeeding to aid uterine contraction and infant bonding after birth.
● Labor, birth, and immediate postpartum care can all be scheduled in a single room.
● A woman is attended by skilled professionals during labor and birth and the postpartal period.
● Emergency care and extended high-risk care are immediately available.

Question 25

list some disadvantages of hospital birth

Answer 25

● Separation of the family for at least one night
● Mother may not feel as much in control of the childbirth experience as she may wish.
● Care may be fragmented, particularly if a woman’s physician is not present during the entire labor and birth, or if labor nurses change shifts in the middle of labor.

Question 26

reclining chairs with a slide-away seat that allows a woman to assume a comfortable position during labor

Answer 26

Birthing chairs

Question 27

childbirth facilities designed to remove childbirth from the acute care hospital setting while still providing enough medical resources for emergency care should a complication of labor or birth arise

Answer 27

Alternative birthing centers

Question 28

what does ABCs stand for

Answer 28

Alternative birthing centers

Question 29

list some advantages of ABCs

Answer 29

● A woman is encouraged to be prepared to control the discomfort of labor through non medication measures such as controlled breathing.
● A woman is encouraged to be knowledgeable about the labor process and to help care providers with decision making.
● A woman is encouraged to breastfeed to aid uterine contraction and infant bonding after birth.
● Family integrity can be maintained because family members may accompany a woman to the birthing center.
● A woman is attended by skilled professionals during labor and birth.
● Emergency care is immediately available.
● Extended high-risk care is easily arranged

Question 30

list some disadvantages of ABCs

Answer 30

● Extended high-risk care is not immediately available.
● A woman may be fatigued after birth because of a brief health care setting stay.
● She must independently monitor her postpartal status because of a brief health care setting stay.

Question 31

refers to women giving birth without any health care provider supervision

Answer 31

Free birthing (Unassisted birth)

Question 32

list some advantages of home birth

Answer 32

● A woman is encouraged to become knowledgeable about the birth process and be an active participant in independently reducing the discomfort of labor.
● A woman has the greatest freedom for expressing her individuality.
● There is no separation of the family at birth.

Question 33

list some disadvantages of home birth

Answer 33

● Adequate equipment other than first-line emergency equipment is unavailable.
● An abrupt change of goals is necessary if
hospitalization is required.
● The woman and support person may
become exhausted because of the
responsibility placed on them.
● Interference with the “taking-in phase” may
occur postpartally because a woman must
*take hold.”
● A woman must independently monitor her
postpartal status.

Question 34

● birthing room is darkened
● soft music is played
● infant is handled gently and the cord is cut
late
● infant is placed immediately after birth into a
warm-water bath

Answer 34

Leboyer Method

Question 35

The baby is born underwater and immediately brought to the surface for a first breath

Answer 35

Hydrotherapy and Water Birth

Question 36

refers to gate control mechanisms in the substantia gelatinosa that are capable of halting an impulse at the level of the spinal cord so the impulse is never perceived at the brain level as pain

Answer 36

The gating theory of pain perception

Question 37

effleurage,
massage, TENS (transcutaneous electrical
nerve stimulation)

Answer 37

Cutaneous stimulation

Question 38

imagery, breathing
techniques

Answer 38

Mental stimulation

Question 39

promotes uterine blood flow,
reduces anxiety and fear

Answer 39

Relaxation

Question 40

based on the premise that pregnancy and childbirth are joyful, natural processes

Answer 40

BRADLEY (PARTNER-COACHED) METHOD

Question 41

● Developed by Sheila Kitzinger in England during the 1950s
● It includes a program of conscious relaxation and levels of progressive breathing that encourage a woman to “flow with” rather than struggle against contractions

Answer 41

THE PSYCHOSEXUAL METHOD

Question 42

● The premise is that fear leads to tension, which leads to pain.
● If a woman can prevent fear from occurring or can break the chain between fear and tension c tension and pain, then she can reduce the pain of labor contractions

Answer 42

The Dick-Read method

Question 43

● The method is based on the theory that through stimulus-response conditioning, women can learn to use controlled breathing to reduce pain during labor.
● it focuses on preventing pain in labor (prophylaxis) by use of the mind (psyche)

Answer 43

Lamaze Method

Question 44

Patient’s Bill of Rights

list them

Answer 44

1. Considerate & respectful care, irrespective of socio-economic status.
2. Information concerning his diagnosis, treatment and prognosis in terms the patient can understand.
3. Informed consent prior to start of any procedure and or treatment.
4. Refuse treatment / life-giving measures, to the extent permitted by law and to be informed of the medical consequence of his action.
5. Right to privacy concerning his own medical care program.
6. Expect that all communication and records pertaining to his care should be treated as confidential.
7. The patient has the right that within its capacity, a hospital must make reasonable response to the request of patient for services.
8. Obtain information as to any relationship of the hospital to other health care and to other health care and educational institutions in so far as his care is concerned.
9. Be advised if the hospital proposes to engage on or perform human experimentation affecting his care or treatment
10. Expect reasonable continuity of care
11. Examine and receive an explanation of his bill regardless of source of payment.
12. know what hospital rules and regulations apply to his conduct as a patient.

Question 45

Patient’s Responsibilities

list them

Answer 45

1. Know and exercise your rights as a patient responsibly and reasonably.
2. Report to your doctor any unexpected changes) in your condition or symptoms.
3. Ask questions when you do not understand what your doctor or other members of your health care team tell you about diagnosis or treatment and its cost.
4. Provide complete and accurate information for insurance claims and work with the hospital’s Credit Billing and Collection staff to ensure payment settlement.
5. Understand and accept the consequences of your informed consent If you refuse the treatment or advice of the healthcare provider, you must accept the consequences of such decision and relieve the healthcare provider of any liability as a result of the exercise of your right to self-determination
6. Maintain a state of wellness and refrain from indulging in unhealthy lifestyle that has adverse impact on your health.
7. Provide complete and accurate information about your health, including present condition, past illness(es), hospitalization(s), medication(s), natural products and vitamins, and any other matter that pertains to your health
8. Provide complete and accurate information including your full name, address, home telephone number, date of birth, insurance provider, and employer, when it necessary.
9. Provide complete and accurate information including your full name, address, home telephone number, date of birth, insurance provider, and employer, when it necessary.
10. Provide your doctor or the hospital with a copy of your Advance Directive if you have one and want it to apply during your admission.
11. Ask your doctor or nurse what to expect regarding pain and pain management plan. You should tell your doctor or nurse on any concerns about taking pain medication.
12. Respect the physician’s decision to choose whom he/she will treat and his/her religious beliefs. Exercise transparency on all communications between you and your physician.
13. Abide by all hospital rules and regulations.