UNICEF and ENNS

Question 1

Triple burden of malnutrition in philippines

Answer 1

1. Under nutrition
2. Micronutrient deficiency
3. Overweight and obesity

Question 2

6 causes of all forms of malnutrition

Answer 2

Poverty and inequality
Social culture factors
Poor water quality
Poor sanitation and hygiene
Maternal nutrition
Poor diets

Question 3

Forms of malnutrition occurs at 3 levels

Answer 3

1 individual
2 household
3 populations

Question 4

4 Drivers and determinants of triple burden

Answer 4

1. Nutrition transition from globalization & urbanization
2. Social economic inequities
3. Climate and environmental changes
4. Humanitarian crisis and health pandemic

Question 5

A process of considering all forms of malnutrition when designing and implementing programs and policies

Answer 5

Double duty actions

Question 6

Questions to ask in doing double duty actions

Answer 6

1. What actions can have co-benefits?
2. How can the co-existence of under nutrition and overweight, obesity and NCDs can be addressed

Question 7

Double duty actions

Answer 7

1. Maternal and antenatal programs
2. Promote, protect early initiation of breast feeding
3. Promote complementary feefing
4. School food policies and programs
5. Regulations on marketing

Question 8

Different and distinct stages of breast milk

Answer 8

1. Colostrum
2. Transitional milk
3. Mature milk - fore and hind milk

Question 9

first stage of breast milk; either yellowish or creamy; thicker than milk produced later in breastfeeding

Answer 9

Colostrum

Question 10

occurs after colostrum and lasts for approximately two weeks; includes high levels of fat, lactose, and water-soluble vitamins; have MORE calories than colostrum

Answer 10

Transitional milk

Question 11

the final milk that is produced. 90% of it is water, which is necessary to keep your infant hydrated; other 10% is comprised of carbohydrates, proteins, and fats

Answer 11

Mature milk

Question 12

2 types of mature milk

Answer 12

1. Fore milk
2. Hind milk

Question 13

Type of mature milk ejected at the beginning that contains water, vitamins, and CHON

Answer 13

Fore milk

Question 14

Type of mature milk ejected after initial release; contains HIGH amount of FAT necessary for wt. gain

Answer 14

Hind milk

Question 15

Complementary feeding is given

Answer 15

From 6 - 24 months

Question 16

Process of formation of milk in mothers

Answer 16

Lactogenesis

Question 17

Practice of placing newborn in the same room as the mother right after delivery up to discharge to facilitate bonding and initiate breastfeeding

Answer 17

Rooming in

Question 18

A hormone that simulates milk production; major trigger this hormone to be released is SUCKING

Answer 18

Prolactin

Question 19

Hormone for letdown or ejection of milk; plays role in uterine contractions during delivery and after delivery by sealing blood vessels and shrink in size

Answer 19

Oxytocin

Question 20

Colostrum is rich in multiple immunoglobulins; it is abundant with ___.

Answer 20

IgA (remember “A” gAtAs!)

Question 21

Colostrum component

Answer 21

High CHON; low in CHO and Fats

Question 22

Component of hind milk

Answer 22

Abundant in fat globules, rich in phospholipid (cell growth and development), and cholesterol (myelination of CNS)

Question 23

Main proteins present in colostrum

Answer 23

Ig A and lactoferrin

Question 24

Major CHO in human milk

Answer 24

Lactose

Question 25

Major CHON in human milk

Answer 25

Casein

Question 26

Major CHON in human milk

Answer 26

Casein

Question 27

Casein to whey ration in human milk

Answer 27

10:90 fore milk 40:60 hind milk 50:50 late lactation Remember: whey is the liquid thus, mas mataas siya sa foremilk (fore milk is watery!)

Question 28

Breast milk must be performed _____ after delivery

Answer 28

30 minutes

Question 29

Mature milk is similar concentration as _____ which is HIGH in FAT, LOW in CHON

Answer 29

Plasma

Question 30

Components of human milk per 1 fluid oz

Answer 30

21.6 kcal 0.317g CHON 2.12g CHO 1.35g Fat

Question 31

Human milk is nutrient dense than formula milk except

Answer 31

Iron Vit D Vit K

Question 32

Protein requirement for lactating women

Answer 32

1.1 g/kg/day

Question 33

Law that limit the marketing/ promotion of breastmilk substitutes

Answer 33

Milk Code or EO 51

Question 34

Law that limit the marketing/ promotion of breastmilk substitutes

Answer 34

International: Intl Code of Marketing of Breastmilk Substitutes Phil: Milk Code or EO 51

Question 35

Taxation of unhealthy food like SSB

Answer 35

RA 10963 (TRAIN Law)

Question 36

Opportunities for using existing platforms to deliver DDA

Answer 36

- national food based dietary guidelines - policies - health system - humanitarian aid and emergency nutrition programs - local policies and ordinances

Question 37

First name of PPAN from year 1974-1982

Answer 37

PNP

Question 38

PPAN 1984-1987

Answer 38

FNP

Question 39

PPAN 1987-1992

Answer 39

PFNP

Question 40

PPAN 1987-1992

Answer 40

PFNP

Question 41

When PPAN was used

Answer 41

1993

Question 42

Immediate determinants of malnutrition

Answer 42

1. Poor quantity and quality of diets 2. Poor care due to suboptimal practices, inadequate services

Question 43

Underlying determinants

Answer 43

Unhealthy food choices, food availability, accessibility, affordability Poor practices and behavior Fragmented and low quality nut and related services

Question 44

Enabling determinants

Answer 44

Insufficient resources Incorrect beliefs and practices of parents, health and nutrition workers Low priority of nutrition of LGU, absence of policy, programs and related situations

Question 45

Enabling determinants

Answer 45

Insufficient resources Incorrect beliefs and practices of parents, health and nutrition workers Low priority of nutrition of LGU, absence of policy, programs and related situations

Question 46

T or F In pregnant and lactating, there is a decreasing trend for nutritionally at risk pregnant and CED among lactating women while INCREASING trend for obese lactating women

Answer 46

True

Question 47

T or F Among 0-23 months, there’s and increasing prevalence in stunting and wasting

Answer 47

False A: Decreasing

Question 48

T or F Among age groups there is an increasing prevalence of overweight and obesity

Answer 48

True