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Module V: CHN 1
| Question | Answer |
|---|---|
| What are the 6 family health services? | -Family planning (FP) -Maternal Care -Child Care -Management of Sick Children -Oral health -Adolescent Health |
| Childcare encompasses the package of health interventions and services that must be provided to the following: (5) | -newborns -infants -under-five children -school-aged children -children of older age groups (10-19 years old) |
| Days of newborn care | 0-28 days |
| How many tetanus toxoid vaccine do we give to mothers? a. 1st pregnancy b. Succeeding pregnancy (2 or more) | 2 tetanus toxoid only 1 tetanus toxoid |
| Newborn care immunization | -Hepatitis B1 -If the hospital have BCG (Bacillus Calmette–Guérin ) vaccine within 24 hours (vaccine that fights against tuberculosis) |
| Initiation of breastfeeding lasting for _______ minutes | 90 minutes |
| Days of infant care | 29 days to 11 months old |
| Immunization for infant care | -Bacillus Calmette-Guerin (BCG), -Diptheria, Pertussis, Tetanus-H (DPT-H) -Influenzae type B -Hepatitis B dose 1,2, and 3, -Pneumococcal Conjugate Vaccine (PCV) dose 1,2, and 3 -Oral Polio Vaccine (OPV) dose 1, 2 , and 3, IPV, MMR at 9 months |
| Breastfeeding in infant care | 6 months |
| Pentavalent vaccine given to infant care | combination of DPT, Influenza type B, and Hepatitis B given in 3 doses |
| You can start complementary feeding initiation | at 6 months up to 9 months mix feeding: soft foods |
| Low birth weight infants ages 1-3 are given what supplementation? | Iron supplementation |
| Other Micronutrient Supplementation given especially children who have problem in nutritional status | Ferrous sulfate, Vitamin A and micronutrient powder (MNP) for age 6-23 months |
| What months of age do oral health examination starts? | 6 months of age |
| Age of Under-five children care | 12 months to 4 years old |
| Age of Under-five children immunization | -MMR at 12 months |
| a. Age of Under-five children micronutrient supplementation b. Deworming c. oral health examination and intervention | a. Vitamin A, Micronutrient powder (MNP) b. 2 doses, six months apart commonly given (month of January and July) c. every six months or every year |
| a. School-aged children (range of age) b. deworming c. oral health examination and intervention | a. 5-9 years old b. 2 doses, six months apart c. every 6 months or every year |
| School-based immunization program during school-aged children | Grade-1 |
| Age of adolescents | 10-19 years old |
| Health packages for adolescents same with infant, school-aged children | -Deworming, 2 doses, six months apart -Oral health examination and intervention |
| What grade in adolescents do we give iron with folic acid | Grades 7-12 specifically for females (11-12 years having their menarche) |
| School-based immunization program during adolescent (what grade) | Grade-7 children |
| Management of Sick infants and children -sick infants and children are given what vitamin capsule? -pneumonia cases treated -management of Moderate Acute Malnutrition (MAM) and Severe Acute Malnutrition (SAM) | Vitamin A |
| If an infant or children have diarrhea what do the health services give? | Oral Rehydration Solution/Oral Rehydration Therapy with Zinc |
| It encompasses the package of health interventions and services that must be provided to women from pregnancy, during deliver, and postpartum period | Maternal Care |
| Range of postpartum period | up to 42 days after delivery |
| At least how many prenatal check-ups do mothers need to have? | 4 |
| 3 categorized age groups in Pre-natal care | -10 to 14 years old; (young adolescent) -15 to 19 years old; & -20 to 49 years old (women of reproductive age) |
| Age of Gestation Pre-natal care or checkup a. 1st Tri b. 2nd Tri c. 3rd Tri | a. 1st Tri= up to 12 6/7 weeks AOG (at least 1 check-up) b. 2nd Tri= 13 to 27 6/7 weeks AOG (at least 1 check-up) c. 3rd Tri= 28 weeks AOG and more (at least 2 check-ups) |
| Nutritional status of the pregnant mothers based on Body Mass Index (BMI) - Low/nutritional at risk -Normal -High | BMI less than 18.5 BMI 18.5 to 22.9 BMI above 23 (overweight or obese) |
| Pre-natal care Micronutrient Supplementation: -Complete _____ tablet with ______ acid supplemenation Dosage, Duration? | Complete iron tablet with folic acid supplementation 60 mg of elemental iron with 400mcg Folic acid once a day for 6 months or 180 tablets for the entire pregnancy period |
| Pre-natal care Micronutrient Supplementation: - _________ carbonate supplemenation Dosage, Duration? | Calcium Carbonate Supplementation complete doses (411 tablets) Dosage: 500 mg of elemental calcium Carbonate taken 1 tablet 3x a day starting at 20th week (2nd trim) until delivery |
| Pre-natal care Micronutrient Supplementation: - _________ capsules supplemenation Dosage, Duration? | Iodine Capsules Supplementation Dosage: single dose: 2 capsules (preferably given during the 1st trimester because this is the time where the organogenesis of vital organs happen) |
| Pre-natal care Basic oral health care: _______ examination _______ treatment education and counselling on good _____, _______, and adverse effects of _______ and ________ and ______ | -oral examination -oral prophylaxis/scaling and gum treatment -good oral hygiene, diet, and adverse effects of tobacco/smoking and alcohol and sweetened |
| Diagnoses of Gestational Diabetes Mellitus: | Oral Glucose Tolerance Test >= 200g/dl (11.1mml/L) fast within 8 hours fbs: threshold for diagnoses of GDM (mg/dl) 92 after 1 hour take 75 gm glucose: 180 after 2 hour take 75 gm glucose: 153 |
| measures your blood sugar level two hours after eating. | 2-hour postprandial blood sugar test For people without diabetes, a normal level is less than 140 mg/dL, while for those with diabetes, it should be less than 180 mg/dL. |
| Td dose : interval : percent :duration of protection Td1: as early as possible during 1st pregnancy even in not pregnant Td 2: Td 3: Td 4: Td 5: Td2 to Td5: infants are protected from neonatal tetanus | Td2: 4 wks after Td1 : 80%; (3 yrs protection) Td3: 6 mths after Td2; 95%; (5 yrs protection) Td4: 1 yr after Td3 whether preggy or not; 99%; (10 yrs protection) Td5: 1 yr after Td4 whether preggy or not: 99: (lifetime protection) |
| Intra-partum care is composed of: a. b. | a. delivery attended by skilled health professionals b. delivery in a healthy facility |
| Skilled health professionals are sometimes referred to as | skilled attendants which are the are licensed midwives, doctors or nurses |
| 2 types of mother's place of birth delivery: | a. facility-based delivery b. non-facility based delivery |
| Examples of facility-based delivery | clinics, barangay health centers, rural health units, lying-ins, birthing clinics, hospitals, DOH-licensed ambulances |
| Examples of non-facility based delivery | home or any delivery other than health facility |
| Birthweight: - Low birth weight (small for gestational age) - Normal birth weight (Larger for gestational age) - Unknown | - Low birth weight (small for gestational age): less than 2500 grams - Normal birth weight: 2500 grams and higher but if birth weight 3500 grams considered as (Larger for gestational age) - Unknown: weight not known |
| Delivery outcome a. Premature births b. Full term birth | a. infants born 22 to 36 weeks age of gestation; b. infants born 37 to 42 weeks age of gestation |
| Fetal death/still birth qualifications | death of a fetus in utero that has reached a birth weight of 500 gm, or if birth weight is unavailable, AOG of 22 weeks and above or crown-to-heel length of 25 cm |
| Abortion/miscarriage qualifications | termination of pregnancy before the fetus becomes viable (before the 20th week of pregnancy). Also includes abortus whose weight is <500 gm regardless of AOG |
| 2 types of delivery | -Vaginal: normal spontaneous delivery (NSD) and assisted vaginal deliveries such as vacuum and forceps -Cesarean Section |
| Post-partum care -Given with at least _______ Post-partum check-ups within ______ days after delivery -Micronutrient supplementation of ________ for ______ months -Provision of ______ dose of Vitamin ______ within ______ month after delivery | - 2 post-partum check-ups within 7 days after delivery - iron with folic acid for 3 months - 1 dose of Vitamin A supplementation within 1 month after delivery |
| first check-up for post-partum mothers should be within ______ hours after delivery or before the mother is discharge from the birthing facility | 24 hours |
| second check-up for post-partum mothers should be provided by the midwife/nurse/municipal health officer to the mother together with their newborn within _____ days after delivery | 7 days |
| Post-partum care micronutrient supplementation PP women (Post-partum women) | - Complete Iron with Folic Acid Supplemenation (60 mg of Iron with 400 mcg Folic acid, once a day for 3 months or 90 tablets total); if not taken full course not reported -Vit. A (200,000 I.U. cap given to PP women within 1 month after delivery) |
| Pre-natal Care and Services -Immunization -Deworming -STI test -Lab test | - Immunize against Tetanus Diptheria (2 doses 1st preggy; at least 3 doses for 2nd or more preggy) -1 dose deworming (anti-helminthic tab) -STI test: syphilis, Hepa B, HIV -Lab test (CBC, hemoglobin & hematocrit count, GDM) |
| Pre-natal Care Services -Provision of antibiotic if tested positive for _______ -Provision of antiviral if tested positive for ______, _____ -BOHC | - syphilis -Hepa B, HIV -Basic Oral Health Care |
Created by:
vivoree