Maternal and Child Health Nursing (NCM 107A) PDF

NCM 107A - MATERNAL AND CHILD HEALTH NURSING MCN INITIATIVES 8. Administration of IVF, blood volume expander/blood transfusion MCN HEALTH PROGRAMS DOH...

NCM 107A - MATERNAL AND CHILD HEALTH NURSING MCN INITIATIVES 8. Administration of IVF, blood volume expander/blood transfusion MCN HEALTH PROGRAMS DOH 9. Newborn Resuscitation 10. Treatment of neonatal sepsis PRN 1. ANTENATAL REGISTRATION 11. Oxygen support for newborns Republic Act No. 11148 : An act - Cesarean delivery and scaling up the national and local management of newborn health and nutrition programs complications through a strengthened integrated - Life support management: strategy for maternal, neonatal, child Low birth weight newborns health and nutrition in the first one Premature newborns thousand (1000) days of life, Sepsis appropriating funds therefore and for Fetal Alcohol syndrome other purposes. Asphyxia Severe birth trauma Severe jaundice 5. CLEAN AND SAFE DELIVERY POST PARTUM: 1st Visit - 1 week postpartum, 2. TETANUS TOXOID preferably 3-5 days Vaccine, tetanus toxoid 0.5 mL, IM 2nd Visit - 6 weeks postpartum upper arm After completion of the 5 doses, the mother is called a FULLY IMMUNIZED MOTHER 3. MICRONUTRIENTS SUPPLEMENT 6. FAMILY PLANNING 4. TREATMENT OF DISEASE AND OTHER CONDITIONS Facilities: Update BHS, RHU, District and Community hospitals (with proper training) Emergency Services: 1. Prenatal administration of oxytocin on the 3rd stage of labor 2. Prenatal administration of loading dose of anticonvulsant 7. ESSENTIAL INTRAPARTUM AND 3. Prenatal administration of antibiotics NEWBORN CARE 4. Assisted delivery during imminent First 90 Minutes of Life breech delivery Immediate and thorough drying, First 5. Manual removal of placenta 30 seconds 6. Removal of retained placental Skin to skin contact, After first 30 fragments seconds 7. Prenatal administration of loading Proper timed cord clamping, 1-3 dose of steroids for premature labor minutes postpartum (for lung surfactant) 1  NCM 107A - MATERNAL AND CHILD HEALTH NURSING Non-separation of the newborn from - Low percentage of fully mother to initiate breastfeeding. immunized children Within 1st 90 minutes of life Routine immunization for Infants/Children/Women through 8. INFANT AND YOUNG FEEDING (IYF) reaching every Barangays strategy Initiate breastfeeding within 1hr of to improve access to routine birth immunization and reduce drop-outs Exclusive BF for the 1st 6 months of Supplemental immunization life Activity for unvaccinated children of Continue BF 2 years and beyond children who did not develop Complementary feeding at 6 months sufficient immunity post-vaccination with appropriate food, excluding milk Strengthening supplements Vaccine-preventable Disease Characteristics of complementary feeding: Surveillance for Disease Timely eradication Adequate Safe Properly fed ✔ Advantages of BF to INFANT: Nutritionally complete for infants, improves immunity (IgA), safe for rehydrating the sick child, reduces exposure to infection, and improves cognitive development. 11. INTEGRATED MANAGEMENT OF ✔ Advantages of BF to MOTHER: CHILDHOOD DISEASES Decrease risk of maternal blood lost, natural Target population: Under 5 years old FP method: LAM and decrease ovarian Sick child under 2 months to 5 years breast cancer and osteoporosis. old Sick young infant age 1 week up 2 ✔ Advantages of BF to FAMILY: months Economical LAW: E0 51 - Milk Code RA 7600 - Rooming in and Direct Breastfeeding Act of 1992 RA 8976 - Food fortification law 12. WOMEN AND CHILD PROTECTION 9. NEWBORN SCREENING PROGRAM RA 9288 : Newborn Screening Act of 2004 4 “R” of Abuse NBS performed within 24-72 hours 1. Recognizing after birth 2. Reporting A sample of child’s blood is taken 3. Recording through the heel prick test 4. Referral ATMTCFEINEIW 10. EXPANDED PROGRAM ON IMMUNIZATION RA 10152: Mandatory Infants and Children Health Immunization Act 2011 - High prevalence rate of immunizable diseases 2