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Questions and Answers
What is the primary goal of maternal and child health nursing care?
What is the primary goal of maternal and child health nursing care?
Which factor is NOT covered in the discussion of maternal and child health in the Philippines?
Which factor is NOT covered in the discussion of maternal and child health in the Philippines?
What is the significance of genetic counseling in maternal and child health care?
What is the significance of genetic counseling in maternal and child health care?
When assessing high-risk mothers and children, which method is least likely to be utilized?
When assessing high-risk mothers and children, which method is least likely to be utilized?
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What aspect is NOT included in the nursing process of genetic assessment?
What aspect is NOT included in the nursing process of genetic assessment?
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Which of the following is a likely outcome of effective maternal and child health nursing care?
Which of the following is a likely outcome of effective maternal and child health nursing care?
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Which component is essential for mothers and children at risk when planning nursing interventions?
Which component is essential for mothers and children at risk when planning nursing interventions?
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What is the primary reason multifactorial inheritance disorders do not follow Mendelian laws?
What is the primary reason multifactorial inheritance disorders do not follow Mendelian laws?
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Which childhood disorder is most often associated with a higher incidence in females due to multifactorial inheritance?
Which childhood disorder is most often associated with a higher incidence in females due to multifactorial inheritance?
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What does a karyotype represent?
What does a karyotype represent?
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What occurs during nondisjunction in meiosis?
What occurs during nondisjunction in meiosis?
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What is the chromosomal composition of an individual with Down Syndrome?
What is the chromosomal composition of an individual with Down Syndrome?
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What is the leading cause of death in children under 1 year of age?
What is the leading cause of death in children under 1 year of age?
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Which cause of death becomes prominent in children aged 1 to 4 years?
Which cause of death becomes prominent in children aged 1 to 4 years?
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Which of the following interventions is NOT included in the Essential package of child survival interventions?
Which of the following interventions is NOT included in the Essential package of child survival interventions?
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What percentage of under-five mortality is attributed to unintentional injuries?
What percentage of under-five mortality is attributed to unintentional injuries?
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In the age group of 5 to 9 years, which cause of death is common?
In the age group of 5 to 9 years, which cause of death is common?
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What is considered a danger sign of pregnancy that requires immediate referral?
What is considered a danger sign of pregnancy that requires immediate referral?
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Which of the following is part of the DOH Programs for childcare?
Which of the following is part of the DOH Programs for childcare?
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What is a key factor associated with deaths in children aged 10 to 14 years?
What is a key factor associated with deaths in children aged 10 to 14 years?
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Which cause of death is noted to affect teenagers aged 15 to 24 years?
Which cause of death is noted to affect teenagers aged 15 to 24 years?
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Regular prenatal care primarily aims to prevent what?
Regular prenatal care primarily aims to prevent what?
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Which of the following is NOT a service aimed at improving maternal and child health?
Which of the following is NOT a service aimed at improving maternal and child health?
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Which of the following is NOT listed as a cause of death in children under 1 year?
Which of the following is NOT listed as a cause of death in children under 1 year?
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What is the under-five mortality rate reported at?
What is the under-five mortality rate reported at?
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Which vitamin supplementation is typically included in micronutrient supplementation for mothers and children?
Which vitamin supplementation is typically included in micronutrient supplementation for mothers and children?
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Which condition is commonly associated with underweight prevalence in children less than five years?
Which condition is commonly associated with underweight prevalence in children less than five years?
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Which of these is a key aspect of injury prevention and control in childhood?
Which of these is a key aspect of injury prevention and control in childhood?
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What factor does NOT contribute to increased maternal and fetal mortality?
What factor does NOT contribute to increased maternal and fetal mortality?
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Which of these is primarily responsible for the decline in child mortality rates?
Which of these is primarily responsible for the decline in child mortality rates?
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Which symptom does NOT typically indicate a maternal health complication during pregnancy?
Which symptom does NOT typically indicate a maternal health complication during pregnancy?
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What does the Integrated Management of Childhood Illness program primarily focus on?
What does the Integrated Management of Childhood Illness program primarily focus on?
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What is one major factor contributing to the high rate of maternal and neonatal deaths?
What is one major factor contributing to the high rate of maternal and neonatal deaths?
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Which of the following is NOT a reason for the delay in referral to healthcare facilities?
Which of the following is NOT a reason for the delay in referral to healthcare facilities?
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What is a consequence of more than 59% of births occurring at home?
What is a consequence of more than 59% of births occurring at home?
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Which of the following is a common misconception that might delay management of complications?
Which of the following is a common misconception that might delay management of complications?
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What do congenital anomalies and chromosomal abnormalities have in common regarding childhood mortality?
What do congenital anomalies and chromosomal abnormalities have in common regarding childhood mortality?
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How does lack of community support contribute to maternal and neonatal deaths?
How does lack of community support contribute to maternal and neonatal deaths?
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What is the leading cause of childhood mortality according to the information provided?
What is the leading cause of childhood mortality according to the information provided?
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Which of the following factors does NOT contribute to the three delays in maternal and neonatal health?
Which of the following factors does NOT contribute to the three delays in maternal and neonatal health?
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What is a primary aim of education regarding unintentional injuries in childhood?
What is a primary aim of education regarding unintentional injuries in childhood?
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Study Notes
Maternal and Child Health Nursing (MCN)
- Current Situation: Maternal and child health in the Philippines faces high mortality and morbidity rates, particularly during pregnancy, childbirth, and postpartum.
- Causes: Complications related to pregnancy, childbirth, postpartum hemorrhage, and hypertension are major contributors. High percentages of births in rural areas occur outside of health facilities which increases the risk of death.
- Basic Principles: Genetic inheritance plays a significant role in maternal and child health. Identifying potential genetic disorders within families is crucial for preventative care and informing future generations.
- Learning Outcomes (LO1): Integrating current Philippines maternal and child health data, genetic inheritance, and appropriate nursing care for at-risk mothers and children.
- Learning Outcomes (LO3): Assessing high-risk mothers and children using specific methods and tools to address existing health needs.
- Learning Outcomes (LO4): Formulating nursing diagnoses to address the needs and problems of high-risk mothers and children.
- Learning Outcomes (LO5): Implementing safe and quality nursing interventions for high-risk mothers and children.
- Learning Outcomes (LO7): Evaluating health outcomes of nurse-client relationships for high-risk mothers and children.
- Primary Goal: The main aim of maternal and child health nursing is to promote and maintain optimal family health for optimal childbearing and rearing.
- Maternal, Neonatal, and Child Mortality: Maternal deaths are still high. Significant improvements have been made in recent decades in maternal and child care.
- Infant Mortality Rate: The infant mortality rate has improved in the Philippines for recent years, but figures in subnational levels remain concerning.
- Maternal Mortality Rate (MMR): The MMR is still high, standing at 160 per 100,000 live births, and decreasing slowly.
- Risk Factors for Maternal Death: These are highly influenced by frequency and spacing of births, maternal nutritional level, maternal stature, access to appropriate medical and midwife support, and prompt emergency treatment.
- Infant Mortality Risk Factors: Major causes of infant mortality include pneumonia, bacterial sepsis, and respiratory distress.
- Delays Leading to Maternal and Neonatal Deaths: These are identified as delays in recognizing complications, delays in seeking appropriate care, and delays in receiving adequate treatment or care.
- Frequent Cause of Childhood Death: Unintentional injuries are the most frequent type of childhood death.
- High Risk Conditions: Various high-risk conditions in mothers and children are outlined, including high-risk pregnancies, existing chronic conditions, and genetic predisposition to disorders.
Genetic Inheritance
- Inherited Disorders: Disorders may be passed down from generation to generation. These disorders result from a problem with a gene or chromosome's structure.
- Genetic Inheritance Patterns: Various patterns of inheritance exist including dominant and recessive patterns. X-linked dominant and recessive patterns also affect inheritance of disorders.
- Dominant Traits: Dominant traits are visible even if only one gene in a pair is affected.
- Recessive Traits: A recessive trait is only apparent if a person inherits two affected genes for the same trait.
- Heterozygous: When an individual has one affected and one unaffected gene for a trait.
- Homozygous: When an individual has two affected genes for a trait.
- Autosomal Dominant Disorders: Over 3,000 forms exist, many aren't compatible with life beyond birth.
- Autosomal Recessive Disorders: Over 1500 have been identified.
- X-linked Disorders: Located on the X chromosome, these disorders have varying effects among males and females.
- Chromosomal Disorders: Caused by problems with the number or structure of chromosomes.
Nursing Assessment and Counseling
- Assessment for Genetic Disorders: The process involves reviewing family history for three generations, considering the individual's ethnic background, and performing a physical examination to identify genetic disorders.
- Diagnostic Testing: Comprehensive testing such as DNA analysis, karyotyping, and other specific tests can help identify genetic disorders.
- Nursing Diagnoses: Possible diagnoses for families experiencing genetic disorders are decisional conflict, fear, altered sexuality, etc.
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Description
This quiz focuses on the current situation of maternal and child health in the Philippines, highlighting the high mortality rates during pregnancy and childbirth. It also covers the role of genetic inheritance in maternal and child health, emphasizing the need for preventative care. Participants will assess high-risk groups using specific methods to address health needs.
