Maternal and Child Health Overview

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Questions and Answers

What is the primary goal of the MNCHN core package of services?

To improve healthcare access for all citizens

To enhance health tourism in the country

To provide newborns with vaccinations only

To reduce maternal and newborn mortality rates (correct)

Which of the following factors contributes to maternal risk according to the content?

Being married

Having a balanced diet

Attending regular health check-ups

Having multiple pregnancies closely spaced (correct)

What is an essential component of antenatal care for pregnant women?

Cosmetic surgery consultation

Routine dental check-ups

Monitoring and managing maternal infections (correct)

Regular exercise programs

The DOH Maternal Care Package aims to address which of the following issues?

Reducing maternal and neonatal deaths Signup and view all the answers

During which period is postpartum care most critically required?

Immediately after the birth of the child Signup and view all the answers

Which of the following statements is true regarding essential care for newborns?

Essential care includes healthy temperature management Signup and view all the answers

When should women ideally avoid becoming pregnant according to identified risks?

If they are under 20 years of age Signup and view all the answers

What is the significance of maintaining an appropriate birth spacing?

It decreases the risks associated with maternal health Signup and view all the answers

Which of the following is a component of the MNCHN core package of services?

Post-partum care Signup and view all the answers

What is one of the goals of maternal care?

Ensure healthy newborns Signup and view all the answers

During which period is post-partum care provided?

After delivery Signup and view all the answers

Which option indicates a danger sign of pregnancy?

Vaginal bleeding Signup and view all the answers

What is recommended for pregnant women to promote safe motherhood?

Attend regular antenatal check-ups Signup and view all the answers

Which of the following is NOT a risk factor for pregnant women?

Overexertion during physical activities Signup and view all the answers

What is essential care for newborns focused on?

Comprehensive health monitoring Signup and view all the answers

Severe abdominal pain during pregnancy could indicate which condition?

Eclampsia/pre-eclampsia Signup and view all the answers

What could 'looks very ill/fever' indicate during pregnancy?

Possible infection Signup and view all the answers

Which of these is NOT typically monitored in essential antenatal care?

Maternal income level Signup and view all the answers

What is the primary aim of the maternal care strategy mentioned?

To achieve every pregnancy as wanted, planned, and supported. Signup and view all the answers

What is a key aspect of the management throughout pregnancy?

Managing every pregnancy adequately from conception to birth. Signup and view all the answers

What is included in the birth plan during the prenatal period?

Her preference for a birth attendant Signup and view all the answers

What is essential for postpartum and newborn care?

Smooth transitions to comprehensive health care packages. Signup and view all the answers

Which healthcare providers are considered skilled birth attendants?

Doctors, nurses, and midwives Signup and view all the answers

During the postpartum period, how soon can a mother be discharged after an uncomplicated delivery?

24 hours after delivery Signup and view all the answers

What does essential antenatal care for pregnant women focus on?

Offering comprehensive support throughout pregnancy. Signup and view all the answers

What is a focus of the essential care provided for newborns?

To facilitate proper health checks and support for newborns. Signup and view all the answers

What supplement is given to postpartum women to help regain strength and continue breastfeeding?

Vitamin A 200,000 IU Signup and view all the answers

What is a recommended action for postpartum women within the first 6 weeks?

To begin family planning counseling Signup and view all the answers

What type of screening is included in essential antenatal care for pregnant women?

VDRL for STD/Hep.B and HIV Screening Signup and view all the answers

What aspect of newborn care is emphasized in the content provided?

Epidemiology of infectious diseases Signup and view all the answers

What is recommended for deworming during pregnancy?

It is safe to be given during the second trimester Signup and view all the answers

Which of the following factors should be prepared in advance in a birth plan?

Transportation to be used Signup and view all the answers

What type of blood testing is included in essential antenatal care for pregnant women?

Hemoglobin/Blood typing Signup and view all the answers

What is the minimum number of antenatal visits recommended during pregnancy?

Three visits Signup and view all the answers

Which trimester requires the most antenatal visits according to the DOH Maternal Care Package?

3rd trimester Signup and view all the answers

What is one of the main reasons for prenatal check-ups?

To prepare and cope with the pregnancy Signup and view all the answers

How long does neonatal tetanus protection last for infants born to the mother?

Five years Signup and view all the answers

What additional benefit does at least one year of protection provide for the mother?

Protection from neonatal tetanus Signup and view all the answers

Which is NOT part of the essential antenatal care guidelines?

Continuous monitoring of heart rate Signup and view all the answers

What essential service is NOT highlighted in the document regarding maternal and child health?

Family planning Signup and view all the answers

What aspect is emphasized during the postpartum period in maternal health?

Breastfeeding support Signup and view all the answers

What is one important reason for the requirement of multiple antenatal visits?

To allow continuous monitoring of maternal health Signup and view all the answers

Which service is primarily aimed at ensuring healthy newborns?

Regular immunizations Signup and view all the answers

Study Notes

MNCHN Overview

MNCHN stands for Maternal, Newborn, Child Health, and Nutrition; it is essential for assessing healthcare systems.
Maternal and infant mortality rates indicate the efficacy of healthcare delivery in a country.
Modern advancements should eliminate preventable deaths associated with pregnancy and delivery.

Philippine Situation

Approximately 14 million Filipino women aged 15-49 are in the reproductive age group.
Out of these, 9 million are married or have partners, and 6 million are considered at risk during pregnancy due to:
- Being too young (under 20 years)
- Being too old (over 35 years)
- Having more than four pregnancies or closely spaced pregnancies (less than 15 months apart)
- Existing health conditions, mainly anemia or being underweight.
The average fertility rate in the Philippines is 3.7 children per woman, with 2.3 million women expected to become pregnant.

MNCHN Core Package of Services

Services include pre-pregnancy, pregnancy, delivery, postpartum, newborn care, and child care.
Essential danger signs during pregnancy include vaginal bleeding, severe abdominal pain, fever, severe headache with visual disturbance (indicative of eclampsia/pre-eclampsia), respiratory distress, severe vomiting, and loss of consciousness/convulsions.

Maternal Care Goals

Focuses on promoting safe motherhood and women's health, ensuring the health of newborns.
Hidden suffering from pregnancy and childbirth includes disabilities impacting maternal health, especially in less developed countries.

DOH Maternal Care Package

Antenatal care involves a minimum of three visits:
- One in the first trimester, one in the second, and two in the third trimester.
Essential prenatal check-ups facilitate preparation for pregnancy, early illness detection, and necessary health screenings, including:
- Urinalysis
- Hemoglobin/Blood typing
- Screening for STDs, Hepatitis B, and HIV

Birth Planning

Birth plans are crafted during prenatal visits and cover preferences for delivery location, attendant, and preparations for emergencies.

Postpartum Period

Initial assessment occurs 24 hours after delivery; women can be discharged if the delivery was uncomplicated.
Follow-up visits at one week and one month post-delivery for health checks and vitamin supplementation.
Essential postpartum care includes counseling for family planning within six weeks.

Newborn Care and Epidemiology

Minimum health services are crucial for mothers and newborns during and after delivery.
Lifetime risk of maternal mortality for Filipino women is 1:120, with maternal causes attributing to 14% of deaths in reproductive-age women.
The Maternal Mortality Rate (MMR) showed a slow decline from 209/100,000 live births in 1990 to 162/100,000 in 2006.

Historical Data on Mortality Rates

Under-Five Mortality Rate (UFMR) decreased from 61/1000 live births in 1990 to 32/1000 in 2006.
Infant Mortality Rate (IMR) reflected a decline from 42% in 1990 to 26% in 2006, highlighting maternal health's importance during pregnancy for newborn survival.

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Description

This quiz covers the overview of Maternal, Newborn, Child Health, and Nutrition (MNCHN) in the context of the Philippines. It details the challenges faced by women in reproductive age and the significance of healthcare services in reducing maternal and infant mortality. Assess your understanding of MNCHN's core services and the factors affecting maternal health.