8

NOT

HEALTH
Quarter 2 - Module 2
(Pregnancy-related Concerns and Prenatal Care)

NOT
Health — Grade 8
Alternative Delivery Mode
Quarter 2 — Module 2: Pregnancy related concern and Pre-natal care
First Edition, 2020

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Published by the Department of Education – Division of Gingoog City

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8 HEALTH
Quarter 2 - Module 2
(Pregnancy Related Concerns and Pre-natal Care)
This page is intentionally blank
 Table of Contents

What This Learning Package is about................................................................................... i

What I Need to Know ............................................................................................................. i
How to learn from this learning package .............................................................................. .ii
Icons of this learning package .............................................................................................. .ii
What I Know ......................................................................................................................... ..iii

Lesson 1:
(Pregnancy-Related Concerns and Prenatal Care)
What’s In .………………………………………………………………………………..…………1
What I Need To Know ..……………………………………………………………………………1
What’s New……………………………………………………………………………………...…. 2
Activity 1: Know It ……...……………………………………………………………………… 8
Activity 2: Name It ……...…………………………………………………………………… 8
What Is It ..……………………………………………………………………………………...…. 9
What’s More……………………………………………………………………………………..…. 11
Activity 3: Feed Me ...……... …..…………………………………………………………… 11
Activity 4: What Is On My Plate ..…………………………………………………………… 11
What I Have Learned ……………….…………………………………………………………… 12
Activity 5: Mother’s Care...... …..……………………………………………………………… 12
What I Can Do …………….………………………………………………………………….. 12
Activity 6: I am Different ……..……………………………………………………………. 12

Lesson 2:
(Newborn)
What’s In…………………………………………………………………………………………… 13
What’s New……………………………………………………………………............................. 14
Activity 1: Cup of Love.……... …..…………………………………………………………… 16
Activity 2: Name Me ……….. ..…………………………………………………………… 16
What Is It ………………………………………………………………………………………..….. 17
What’s More………………………………………………………………………………………… 19
Activity 3: Window ……….. ..……………………………………………………… . . .. 19
Activity 4: Test Me ……….. ..……………………………………………………… . . .. …19
What I Have Learned …………………………………………………………………………… 20
Activity 5: Needs of the Baby ..……………………………………………………… . . .. 20
Activity 6: Child On My Own .. ..……………………………………………………… . . .. 20
What I Can Do …………………………………………………………………………… 21
Activity 6: Keyword ………… .. ..……………………………………………………… . . .. 21

Summary……………………………………………………………………………………………..22
Post Test……………………………………………………………………………………………..23
Glossary…………………………………………………………………………………...…………24
Key to Answer………………………………………………………………………………...……..25
References………………………………………………………………………………………..…31
This page is intentionally blank
What this module is all about

This module discussed about pregnancy related concerns and pre-natal care.

Pregnancy is a time of many changes. The body of the pregnant person will experience physical and

biological changes. It also Influences. The emotional and mental aspects of the person.

This lesson is designed for you to develop understanding of pregnancy related concerns,

prenatal care, and importance of maternal nutrition during pregnancy, essential newborn protocol, and

advantages of breastfeeding to have a harmonious relationship in a family.

What I Need to Know

This unit is designed for you to learn and understand the pregnancy related concerns, prenatal
care, and importance of maternal nutrition during pregnancy, essential newborn protocol, and
advantages of breastfeeding to have a harmonious relationship in a family.

OBJECTIVES꞉

At the end of the lesson, you are expected to꞉

1. Discusses various maternal health concerns (pre-during-post pregnancy).

H8FH-IIc-d-29
2. Discusses pregnancy-related concerns. H8FH-IIc-d-30
3. Explains the importance of maternal nutrition during pregnancy.H8FH-IIe-f-31

i
How to Learn from this Module
To achieve the objectives cited above, you are to do the following:
• Take your time reading the lessons carefully.
• Follow the directions and/or instructions in the activities and exercises diligently.
• Answer all the given tests and exercises.

Icons of this Module

What I Need to This part contains learning objectives that

Know are set for you to learn as you go along the
module.

What I know This is an assessment as to your level of

knowledge to the subject matter at hand,
meant specifically to gauge prior related
knowledge
What’s In This part connects previous lesson with that
of the current one.

What’s New An introduction of the new lesson through

various activities, before it will be presented
to you

What is It These are discussions of the activities as a

way to deepen your discovery and under-
standing of the concept.

What’s More These are follow-up activities that are in-

tended for you to practice further in order to
master the competencies.

What I Have Activities designed to process what you

Learned have learned from the lesson

What I can do These are tasks that are designed to show-

case your skills and knowledge gained, and
applied into real-life concerns and situations.

ii
 What I Know

Pre-test
Multiple choice
Direction: Choose the letter of the correct answer. Write it in your activity
notebook.
1. The reproductive process wherein the male gamete and female gamete unite
to form a new single cell.
A. Fertilization B. Ovulation C. Implantation D. Gestation

___2. The fertilized egg develops into a baby in the _______.

A. Ovaries B. Fallopian tube C. Uterus D. Stomach

___3. The developing human is called ______.

A. Fetus B. Zygote C. Baby D. Embryo

___4. The developing human is fed in the woman’s womb through.

A. Mammary gland B. Placenta C. Uterus D. Bladder
___5. The place of pregnancy that starts from week 13 to 27.
A. First trimester B. Second Trimester
C. Third Trimester D. Second and third trimester
___6. The phase of pregnancy that lasts from week to birth
A. First trimester C. Third Trimester
B. Second Trimester D. Second and third trimester
___7. The process of birth wherein the doctor removes the baby from the womb.
A. Ceasarian section C. Surgical operation
B. Normal delivery D. Painless Delivery
___8. The behavioural development of a healthy baby wherein he/she learns to
vocalize and controls movement of the head.
A. 0-1 month B. 4-5 months C. 6-7 months D. 2-3 months
___9. The best and ideal form of infant feeding is through _______.
A. Breastfeeding B. Bottle feeding C. Mix feeding D. All of the above
----10. Lactation is the period of milk production initiated by what hormone in the
mammary gland?
A. Progesterone B. Estrogen C. Prolactin D. None of the above

iii
 Lesson PREGNANCY-RELATED CONCERNS AND PRE-NATAL CARE

1
What’s In

Choosing a lifetime partner involves some processes; like crushes, courtship, dating and
engagement are practiced and exercised. Dating leads to the development of intimacy between
couples. Dating is helpful in developing healthy relationship. Dating provides a quality time to know
the person better.
The union of man and woman is given dignity by the sacrament of matrimony. Marriage is
a promise, a covenant to keep partnership for life not only for the sake of staying together but more
for the growth and good of each other and for responsible rearing of children.
Couples should be strongly united and focused not only to each other but also practice
responsible parenthood. In this kind of reproduction, the reproductive cells of man and woman
Join together to make a new human cell. And so, pregnancy occur and a normal pregnancy
generally lasts until 9 months or 38 to 40 weeks.

What I Need to Know

After marriage, a couple’s desire is to build a family. Humans are reproduced through
sexual reproduction. In this kind of reproduction, the reproductive cells of man and woman join
together to make a new human cell. This process is called fertilization.
Pregnancy is the time when a new cell is formed during fertilization, grows and develops
into a baby in the woman’s uterus. From the time that the ovum and the sperm cell unite until the
end of the eight week, the developing human is called embryo. From the eight week until birth, the
developing human is called the fetus. A normal pregnancy generally lasts until 9 months or 38-40
weeks.

1
 What’s New

A New Beginning

After marriage, a couple’s desire is to build a family. Humans are reproduced through
sexual reproduction. In this kind of reproduction, the reproductive cells of man and woman join
together to make a new human cell. This process is called fertilization.
Fertilization is a reproductive process wherein half of the genes of the father and mother
combine to form a single cell; the new cell then divides and forms more cells. This ball of cells
enters the uterus and attaches itself to the uterine wall. The attachment of the developing cells to
the uterus is called implantation.
Pregnancy is the time when a new cell is formed during fertilization, grows and develops
into a baby in the woman’s uterus. From the time that the ovum and the sperm cell unite until the
end of the eight week, the developing human is called embryo.

Teenage Pregnancy (Mccoy and Wibbelsman, 1992-235-236)

An unplanned and unwanted pregnancy can cause emotional anguish, possible health
rsiks, and in ome cases, limited life options. Teenage pregnancies are premature because they
occur in mothers who maybe too young and / or immature to care for a child adequately. In such
cases, the mother may be so young endangering pregnancy.

Consider this statistics>

1. Teens at 15 and younger face a 60% higher risk of death during pregnancy and child birth
than young mothers at the age of 20.
2. Babies born too young teenage mothers are two to three times more likely to die during
their first year than babies born to older mothers.
3. Teen mothers are twice more likely to have low birth weight infants (at risk of physical and
mental defects as well as increased risk of dying).
4. Seventy percent (70%) of teen mothers get no medical care at all during critical first months
of pregnancy and 25% get no prenatal care at all. This is specifically dangerous because,
while a teen may be able to conceive a baby, her body may not be quite ready for the
stresses of pregnancy and child birth. Thus, she is at higher risk for complications like high
blood pressure, toxemia, prolonged and difficult labor, more vaginal lacerations during
childbirth, and more after-delivery complications and infections.
5. Even with good prenatal care, teenage mothers are more likely to have premature labor
and to deliver low birth-weight babies.

2
 6. Young teen mothers are likely to drop out of school and face high risk of unemployment,
poverty, and dependence on parents.
7. If they marry due to pregnancy, their risk of break up, or separation is high.
8. The young mother is more likely to be angered and disillusioned by her baby’s demands
and may become an abusive parent. Each mother is a distinct individual. Some young
women make wonderful mothers and manage to build satisfying lives for themselves.
Unfortunately, these tend to be the minority. Chances are young pregnancy is a problem
for the pregnant teenager and her family.

Changes in the Mother’s Body

During pregnancy, a woman’s body undergoes many changes. As soon as implantation

happens, the mother’s uterus releases special hormones, which is only released by the woman’s
body during pregnancy.
Some of the hormones produced by the pregnant woman’s body makes her nauseated,
this situation is called “morning sickness” and usually last for 3 months.
The same hormones make the woman’s breast enlarge and prepare to produce milk.
Over the 9-month period, the woman’s uterus stretches to hold a full-sized newborn baby.
This stretching makes her abdomen get larger. A pregnant woman also experiences swelling of
legs, difficulty in sleeping, restlessness, and irritability as the fetus gets larger. Many woman, feel
clumsy or uncomfortable too because of the changes that taking place.

Nourishing the Baby

Almost everything that goes into the mother’s body enters her bloodstream and goes to the
placenta. The placenta is an organ that grows in the woman’s uterus during pregnancy and allows
nutrients, gases, and wastes to be exchanged between the mother and the fetus.
The mother’s blood circulates on one side of the placenta, while the fetus blood circulates
on the other side. Nutrients, fluids, and oxygen flow through the membrane from the mother to the
fetus. Waste products and carbon dioxide flow across the placenta from the fetus to the mother.
During pregnancy, the fetus gets its nutrition from food the mother eats. To ensure the
health of the fetus, the mother needs to eat healthy foods and take special vitamins. She should
get regular medical check-ups to protect her health and the health of the growing fetus.

3
Normal physical changes and symptoms throughout pregnancy
Although they can range from mild to severe, the following conditions are common during
pregnancy:
 Fatigue
 Morning sickness
 Sleep problems
 Breast changes
 Heartburn
 Changes in vaginal discharge. A thin, milky-white discharge (leukorrhea) is normal
throughout pregnancy. Also, the tissue lining of the vagina becomes
thicker and less sensitive during pregnancy.
 Nosebleeds and bleeding gums
 Hemorrhoids and constipation
 Varicose veins
 Hair changes
 Stretch marks, itchiness, and other skin changes
 Leg cramps
 Back pain and sciatica
 Pelvic ache and hip pain
 Hand pain, numbness, or weakness (carpal tunnel syndrome)

4
 First Second Third trimester
trimester trimester
Descriptions
characterizing  Fatigue  Breast changes  Braxton Hicks contractions,
condition  Breast  Leg cramps which are "warm-up"
tender-  Back pain contractions that do not thin
ness  Pelvic ache and hip and open the cervix (do not
 Increased pain lead to labor)
urination  Stretch marks and  Fatigue
 Fullness or other skin changes  Back pain
mild aching  Hemorrhoids and  Pelvic ache and hip pain
in your lower constipation Hemorrhoids and
abdomen Heartburn (also a symptom constipation
 Nausea with of gastroesophageal reflux  Heartburn
or without disease, or  Breathing difficulty, the
vomiting, Nosebleeds and expanding uterus is just
also known bleeding gums below the rib cage, leaving
as morning Hand pain, numbness, or lungs less room to expand.
sickness weakness (carpal tunnel  Mild swelling of the feet and
syndrome) ankles (edema). Pregnancy
Braxton Hicks causes more fluid to build
contractions, which are up in your body. This, plus
"warm-up" the extra pressure that
contractions that uterus places on the legs,
do not thin and can lead to the swelling of
open the cervix your feet and ankles.
(do not lead to  Difficulty sleeping and
labor) finding a comfortable
position. Lying on your
back interferes with blood
circulation, and lying on the
stomach isn't possible.
Sleep on your side, using
pillows to support your belly
and between your knees.
Later in your pregnancy, it
is best to lie on your left
side. When you lie on your
right side or on your back,
the increasing weight of
your uterus can partly block
the large blood vessel in
front of your backbone.
 Frequent urination, caused
by an enlarged uterus and
the pressure of the fetus on
the bladder

5
Phases of pregnancy
The first trimester of pregnancy lasts from week 1 through week 12. Your first sign of pregnancy
may be a missed menstrual period.
The second trimester of pregnancy (from week 13 to week 27) is the time when most women start
to look pregnant and may begin to wear maternity clothes. By 16 weeks, the top of your uterus,
called the fundus, will be about halfway between your pubic bone and your navel. By 27 weeks,
the fundus will be about 2 in. (5 cm) or more above your navel.
You may find that the second trimester is the easiest part of pregnancy.
For some women, the breast tenderness, morning sickness, and fatigue of the first trimester ease
up or disappear during the second trimester, while the physical discomforts of late pregnancy have
yet to start.
Pressure on your bladder may be less as the uterus grows up out of the pelvis. The third
trimester lasts from week 28 to the birth. Many women have some discomfort during this time as
their belly gets bigger. Sleep problems are common during this period.

Complications of Pregnancy

Special Condition Prevention and Management

Nausea / Improper body weight small frequent feedings instead of three large
meals and high carbohydrates, low fat foods
such as crackers and jelly and liquids should
be taken between meals

proper nutrition
Toxemia

Morning Sickness iron and folic acid prescribed by the

physician
Anemia
folic acid prescribed by the doctor
Diabetes
proper nutrition
Constipation
fluid intake, proper nutrition and exercise

6
BIRTH
The passage of a baby from its mother’s uterus to the outside of her body is called birth.
During birth, the uterus contracts many times and pushes the baby through the vagina and outside
the mother’s body.
Labor is the process that lasts from the time contractions starts until the delivery of the child
and the placenta. Labor lasts a different amount of time for every woman and every pregnancy.

There are three distinct stages of labor:

1st Stage – Begins with the first contraction and last until the cervix has opened enough to allow
the baby to pass through. Contraction happens every few minutes and lasts a minute.

2nd Stage – Starts when the cervix is completely open and lasts until the baby is delivered. During
this period, contraction happens every 2-3 minutes. After the baby is born, the doctor cuts the
umbilical cord. Healthy babies breathe and cry almost immediately.
28
3rd Stage – This is the final stage of labor. It is when the placenta is delivered. In this stage, the
mother’s uterine contractions push the placenta or “afterbirths” out of her body. At this time, the
birth is completed.
In some cases, doctors have to deliver a baby by a caesarian section (CS). In this procedure, the
doctor surgically removes the baby and the placenta from the mother’s uterus. Cases like this
happen when the mother cannot or is not capable of delivering a normal childbirth.

 Toxemia
 First trimester of pregnancy lasts from week 1 through week 12
 Fatigue
 Hair changes
 The placenta is an organ that grows in the woman's uterus during pregnancy and allows
nutrients, gases, and wastes to be exchanged between the mother and the fetus.
 Some of the hormones produced by the pregnant woman’s body makes her nauseated,
this situation is called “morning sickness” and usually last for 3 months.
 For some women, the breast tenderness, morning sickness, and fatigue of the first
trimester ease up or disappear during the second trimester, while the physical discomforts
of late pregnancy have yet to start.
 Pressure on your bladder may be less as the uterus grows up out of the pelvis. The third
trimester lasts from week 28 to the birth. Many women have some discomfort during this
time as their belly gets bigger. Sleep problems are common during this period.
 During pregnancy, the fetus gets its nutrition from food the mother eats. To ensure the
health of the fetus, the mother needs to eat healthy foods and take special vitamins. She
should get regular medical check-ups to protect her health and the health of the growing
fetus.
 Braxton Hicks contractions, which are "warm-up" contractions that do not thin and open the
cervix (do not lead to labor)

7
 Activity 1: Know it!
Direction: Identify the given information above the box or column, if it is Changes in
mother's body, Normal Physical Changes, Nourishing the baby, Phases of pregnancy and
Complication of Pregnancy. Write it in their respective column or box.

Selection:
 Fatigue
 The fetus get its nutrition from food the mother eats
 First trimester
 Anemia
 Hair changes
 Second and third trimester
 Toxemia
 Breast enlarge and prepare to produce milk
 Morning sickness
 The mother needs to eat healthy food and take special vitamins

Changes in mother's Normal Physical Nourishing the Phases of Complication of

body Changes baby Pregnancy Pregnancy

1. 1. 1. 1. 1.

2. 2. 2. 2. 2.

Activity 2: Name It!

Direction: Identify the stages of labor. Write 1st if it is in the first stage, 2nd if it is Second
stage, and 3rd if it is in Third stage. Write your answer on the space provided before each number.

1. Begins with the first contraction and last until the cervix has opened enough to allow
the baby to pass through..
2. Contraction happens every few minutes and lasts a minute.
3. Starts when the cervix is completely open and lasts until the baby is delivered.
4. After the baby is born, the doctor cuts the umbilical cord. Healthy babies breathe and
cry almost immediately.
5. This is the final stage of labor.
6. It is when the placenta is delivered.
7. The mother’s uterine contractions push the placenta or “afterbirths” out of her body.
8. The birth is completed.
9. During this period, contraction happens every 2-3 minutes.
10. Healthy babies almost cries out.

8
 What is It

How to take care of a pregnant woman:

Pregnant woman should be taken care of properly by doing the following:
- Accompany a pregnant woman in a daily exercise for motivation.
- Give fruits, vegetables, and lots of water.
- Listening to music gives a pregnant woman as well as the baby in her womb relaxation.
- Let her sleep on her left side.
- Go together with a pregnant woman during check-ups.

Mother’s role during and after pregnancy:

Avoid vices such as smoking and drinking alcoholic beverages.
Avoid stressful activities.
See to it that she gets the necessary pre-natal and post-natal check-up.
Do exercises like walking, yoga, etc.
Eat nutritious food.

Father’s role during and after the pregnancy of the wife:

See to it that the mother gets the necessary pre-natal and post-natal check-up.
He must take care of the mother and the baby.
He should see to it that the necessary immunizations as scheduled are strictly
followed.
He should provide healthy diet meals for the mother and the child.

Importance of Maternal Nutrition

Maternal nutritional status affects the offspring’s health development significantly during
early embryogenesis, pregnancy, birth and lactation, and subsequently determines health during
growth and even throughout adulthood. On the other end of the human lifetime scale, the
importance of maternal nutrition expands into the time period before conception:
Pre-conception nutritional status not only influences fertility, but also embryogenesis and
life-long health. Predisposition for coronary heart diseases, type-2 diabetes mellitus, and
hypertension can be caused by intrauterine adaptations to fetal malnutrition. Hence, optimizing
nutrition for women during their reproductive period can be expected to have a great impact on the
well-being of the next generation.

9
DIETARY PLAN DURING PREGNANCY

Body Building Foods

Fish, Meat, Poultry 4 matchbox-sizes
Milk 2/3 cup whole
Eggs 3-4/ week
Dried Beans & Nuts ½ cup cooked

Energy-Giving Foods
Enriched rice 5 cup cooked
Root crops 1 small or ½ cup sliced
Sugar 7 teaspoon
Fat 6 teaspoons

Regulating Foods
Green leafy and yellow vegetables
Vitamin C –rich foods
Other fruits and vegetables
¾ cup cooked
2 medium or 2 slices big fruit
2 medium fruits and 2/3 cup cooked
Vegetables

https://rb.gy/xezwi6

10
 What’s More

Activity 3: Feed Me
When women are pregnant, they need to be very conscious of the food they eat and what
they drink and the activities they engage in because more food, drinks and activities may harm the
child they are carrying.
Direction:The following is a list of actions performed during pregnancy. If the action
mentioned is something that a pregnant women should avoid, put X on the space provided. If the
activity is something that would be good for a pregnant woman, put a /. Write your answer on the
space provide after each number.

1. drinking alcohol ______

2. drinking milk ______
3. dyeing hair ______
4. cleaning the cat’s litter box ______
5. drinking water ______
6. eating varieties of fruits and vegetables ______
7. smoking cigarette’s ______
8. sitting in a sauna, steam room, or hot tub ______
9. eating uncooked meat ______
10. taking vitamin B (folic acid) daily ______
11. taking over-the-counter drugs ______
12. having an x-ray ______
13. drinking coffee ______
14. going for walks ______
15. eating sweets and junk foods ______

Activity 4: What is on my plate

Direction: Give the foods necessary to a pregnant woman. Give at least three (3) foods.
Write it inside the

GO GLOW GROW
1. 1. 1.
2. 2. 2.
3 3. 3.

11
 What I Have Learned

Activity 5:Mother's Care

Direction: Give your understanding regarding pregnancy concerns and pre-natal care. Give
at least four (4) and write it inside the Dialogue Map.

PREGNANCY CONCERNS: PRE-NATAL CARE

1. 1.
2. 2.
3. 3.
4. 4.

What I can do

Activity 6: I am different!
Direction: Give at least five (5) differences of pregnancy concerns to pre-natal care. Write
it inside the box.

DIFFERENCES
PREGNANCY CONCERNS PRE-NATAL CARE

1. 1.
2. 2.
3. 3.
4. 4.
5. 5.

12
 Lesson NEWBORN
2
What’s In

Fertilization is a reproductive process wherein half of the genes of the father and
mother combine to form a single cell; the new cell then divides and forms more cells. This ball
of cells enters the uterus and attaches itself to the uterine wall. The attachment of the
developing cells to the uterus is called implantation.
Over the 9-month period, the woman’s uterus stretches to hold a full-sized newborn
baby. This stretching makes her abdomen get larger. A pregnant woman also experiences
swelling of legs, difficulty in sleeping, restlessness, and irritability as the fetus gets larger.
Many woman, feel clumsy or uncomfortable too because of the changes that taking place.
A new baby at home is exciting, but it can be scary, too. Newborns have many needs,
like frequent feedings and diaper changes. Babies can have health issues that are different
from older children and adults.

What I Need to Know

A new baby at home is exciting, but it can be scary, too. Newborns have many needs,
like frequent feedings and diaper changes. Babies can have health issues that are different
from older children and adults.
A baby from birth to 28 days of age is called a Newborn.
Babies are such delightful and mysterious creatures. One day your baby is lying on his or her
back and a few minutes later baby is two feet away on his or her tummy. The first activities we
do with our babies are hold them, touch them, look into their eyes and talk to them like we
have known them forever. Your love and attention helps your baby adjust to his or her new
environment. Each stage of development is crucial and the role parents and caretakers play
is so important.

Birth to 3 months. Babies that are held a lot, talked and sang to, and just well nurtured and
loved tend to have higher IQs. There are studies that indicate that babies who get plenty to
eat and have a good amount of body fat have higher IQs as well. By the time your baby is 3
months old you can tell when your baby is hungry, tired or in pain by his or her cry. Crying is
the main form of vocal communication.

13
Cooing and making other noises is also a way to communicate, respond to your baby's first
communication. You can coo back or say "hi." Your baby will start playing this game with you
if you encourage him or her by repeating the game.

What’s New

Essential Newborn Care Protocol aimed to significantly reduce infant deaths in the
country.
Protocol can pave the way to the reduction of neonatal deaths. Essential Newborn
Care is a comprehensive strategy to improve the health of the newborn through interventions
before conception, during pregnancy, soon after birth and in the post natal period.
This protocol will focus on the first few hours of life of the newborn with the manual
guiding the health workers and medical practitioners in providing evidence-based essential
newborn care.
The guidelines are categorized into the time bound and non-time bound plus unnecessary
procedures.

Time bound procedures should be routinely performed first which are:

1. immediate drying
2. skin to skin contact
3. clamping of the cord after 1-3 minutes
4. non-separation of the newborn from the mother
5. breastfeeding initiation.

Non-time bound interventions include:

1. immunizations
2. eye care
3. Vitamin K administration
4. Weighing
5. Washing
6. Routine suctioning
7. Routine separation of newborn for observation
8. Administration of prelacteals like glucose water or formula.

14
 Here is a table of
immunizations a baby should
have: Age of Immunization
Kind of Immunization

BCG (Anti-TB) 0-1 month old

7 years old
OPV (Anti-Polio Vaccine)
1 ½ months
2 ½ months

32 months
DPT (Anti-diphtheria, pertussis 1 ½ months
and tetanus) 2 ½ months

32 months
Hepa B vaccine
1 ½ months

2 ½ months
32 months
MMR (measles, mumps, 9 months to 1 year
rubella)

15
Activity 1: Cup of Love
Direction: Fill in the cup of love for the immunization needed by the babies. Give at
least five (5).

IMMUNIZATION
1.

2.

3.

4.

5.
.

Activity 2: Name Me!

Direction: Identify the category of essential newborn care protocol. Write TB for time-
bound and NTB for non-time-bound. Write the answer on the space provided before the
number.

----------- 1. immediate drying

---------- 2. skin to skin contact
---------- 3. immunization
---------- 4. vitamin K administration
---------- 5. breastfeeding initiation
---------- 6. routine suctioning
---------- 7. weighing
---------- 8. non-separation of the newborn from the mother
---------- 9. breastfeeding initiation
---------- 10. administration of prelacteals like glucose water or formula

16
 What is It

New born babies should undergo a newborn screening as reflected in REPUBLIC ACT NO.
9288: AN ACT PROMULGATING A COMPREHENSIVE POLICY AND A NATIONAL
SYSTEM FOR ENSURING NEWBORN SCREENING

Newborn means a child from the time of complete delivery to 30 days old.
Newborn screening Newborn Screening (NBS) is a simple procedure to find out if the baby
has a congenital metabolic disorder that may lead to mental retardation or even death if
left untreated.

Importance of newborn screening

Most babies with metabolic disorders look "normal" at birth. By doing NBS, metabolic
disorders may be detected even before clinical signs and symptoms are present. And as a
result of this, treatment can be given early to prevent consequences of untreated conditions.

When is screening done?

Newborn screening is ideally done on the 48th - 72nd hour of life. However, it may also
be done after 24 hours from birth.

How is newborn screening done?

A few drops of blood are taken from the baby's heel, blotted on a special absorbent
filter card and then sent to Newborn Screening Center (NSC).

Who will collect the sample for newborn screening

The blood sample for NBS may be collected by any of the following: physician, nurse,
medical technologist, or trained midwife.

Where is newborn screening available?

Newborn screening is available in Hospitals, Lying-ins, Rural Health Unit, Health
Centers, and some private clincs. If babies are delivered at home, babies may be brought to
the nearest institution offering newborn screening.

When are newborn screening results available?

Results can be claimed from the health facility where NBS was availed. Normal NBS
results are available by 7 - 14 working days from the time samples are received at the NSC.
Positive NBS results are relayed to the parents immediately by the health facility.
Please ensure that the address and phone number provided to the health facility are correct.
A NEGATIVE SCREEN MEANS THAT THE NBS RESULT IS NORMAL. A positive
screen means that the newborn must be brought back to his/her health practitioner for further
testing.

What should be done when a baby is tested a positive NBS result?

Babies with positive results must be referred at once to a specialist for confirmatory
testing and further management. Should there be no specialist in the area, the NBS secretariat
office will assist its attending physician.

17
What are the disorders tested for newborn screening? The disorders tested for newborn
screening are:
(1) Congenital Hypothyroidism (CH)

(2) Congenital Adrenal Hyperplasia (CAH)

(3) Galactosemia (GAL)
(4) Phenylketonuria (PKU)
(5) Glucose-6-Phosphate-Dehydrogenase Deficiency (G6PD Def.)

The behavioural development of a healthy baby:

0-1 month suckles and smiles

2-3 months vocalizes and controls head

4-5 months controls hand and rolls over
6-7 months sits briefly and crawls
8-9 months grasps and pulls up
10 – 11 months walks with support and stands alone

How will you assess a newborn baby?

https://rb.gy/hxt11m

18
 What’s More

Activity 3: Window
Direction: Fill in every window that talks about the Republic Act 9288. An Act
Promulgating a Comprehensive Policy and a National System For Ensuring Newborn
Screening.

Window 1 Window 2 Window 3

Importance of newborn How is newborn Who will collect the

screening screening done sample for newborn
screening

Activity 4: Test Me!

Direction: Enumerate the disorders tested for the newborn screening. Give at least five
(5).

Disorders tested for newborn screening:

1.
2.
3.
4.
5.

https://rb.gy/k2xhpq

19
 What I Have Learned

Activity 5: Needs of the baby

Direction: If you have your own baby in the future, what are your child's needs to be
provided. List at least ten (10)
1. 6.
2. 7.
3. 8.
4. 9.
5. 10.

Activity 6: Child on my own

Direction: Cut a picture of a baby and paste it in your diary. Write down some features
you wanted to have for your future baby.(example: sharp nose, big eyes, dark skin, etc..)
Explain your output.

20
 What I Can Do

Activity 7: Keyword
Direction: using the word NEWBORN, form a keyword that you should remember in
meeting the needs of a baby.

N- --------------------------------------

E- ---------------------------------------

W- --------------------------------------

B- ---------------------------------------

O- --------------------------------------

R- -------------------------------------

N- --------------------------------------

21
Summary/Synthesis/Generalization

Obviously, in this module you have learned that Changes in the mother’s body during
pregnancy is evident due to the developing fetus.
Pregnant woman should watch for her health, she should submit herself to regular
check-ups and healthy lifestyle to give the baby sufficient nutrition.
Giving birth can be safe and easy but during some deliveries, unexpected life-
threatening problems may arise. Delivering in a hospital with qualified doctor is the safest way.
Breastfeeding is essential in a proper childcare. Mother’s milk is economical and
nutritious and it promotes emotional bonding between the mother and the child.

21
Post Test
A. Multiple Choice.
Direction: Write the letter of the correct answer of each statement or
question.
1. Which of the following beverage does a pregnant woman cannot take?
A. Chocolate drinks
B. Fruit juices
C. Milk products
D. Rice wine
2. Lactating mothers should eat the following foods:
A. Big serving of cereals
B. Big serving of green leafy and yellow vegetables
C. Big serving of red meat
D. Processed foods
3. What is the right age Filipinos to enter into marriage, as set by the Family Code of the
Philippines?
A. 15 C. 21
B. 11 D. 13
4. The phase of pregnancy that lasts from week to birth
A. First trimester C. Third Trimester
B. Second Trimester D. Second and third trimester
5. Which of the following should be avoided during pregnancy?
A. Drinking milk C. Eating variety of fruits and vegetables
B. Smoking cigarettes D. Eating sweets and junk foods
6. An Act Promulgating a Comprehensive Policy and a National System for Ensuring
Newborn Screening.
A. R.A. 9288 C. R.A. 8829
B. R.A. 2889 D. R.A. 9828
7. Which of the following is NOT a complication of pregnancy?
A. Anemia C. Asthma
B. Morning sickness D. Constipation
8. It is where the fertilized egg develops into a baby.
A. Ovaries C. Uterus
B. Fallopian tube D. Stomach
9. Lactation is the period of milk production initiated by what hormone in the mammary gland?
A. Progesterone C. Prolactin
B. B. Estrogen D. None of the above
10. When is newborn screening done?
A. 1 week after B. 2 days after C. 2wks D. 5 days

23
 B. Modified True or False
Direction: Write T if the given information is true; Write F if it is not and underlined the word
or phrase that makes it false.

1. Fertilization is a reproductive process wherein half of the genes of the father and
mother combine to form single cell.
2. An unplanned and unwanted pregnancy can ease emotional anguish.
3. During pregnancy, a woman’s body undergoes many changes.
4. Almost everything that goes into the mothers body enters to the bloodstream and
goes to the placenta of the baby.
5. In first trimester, the mother feels pelvic ache and hip pain.
6. Labor is the process that lasts from the time contractions start until the delivery of
the child and the placenta.
7. To take care a pregnant woman is to give her a disappointment.
8. Republic act. No.9288 is an act promulgating a comprehensive policy and a
national system for ensuring newborn screening.
9. Congenital Hypothyroidism is a disorder tested for newborn screening.
10. The baby will take his / her BCG (anti-TB) immunization at age of 1 1/2
months, 2 ½ months, 32 months.

24
Glossary

Birth - a passage of a baby from the mothers uterus to outside of the

mother’s body
Breastfeeding - feeding the child from the breast of the mother
Congenital Hypothyroidism - a condition where a newborn has decreased or absent thyroid
function and thyroid hormone production
Congenital Adrenal - a genetic disorder characterized by a deficiency in the
hormones
Diet - pattern of eating that includes what a person eats, how much a
person eats, and how often a person eats
Fatigue - physical or mental exhaustion, a feeling of extreme tiredness
Hyperplasia (CAH) - cortisol and aldosterone and an over-production of the
hormone androgen, which is present at birth and affects sexual
development
Lactation - secretion of milk from the breasts of a lactating mother
Nutrition - the total of processes involved in the taking in and the
utilization of food substances by which growth, repair and
maintenance of the body are accomplished
pregnancy - time when a woman carries a developing fetus in her uterus

25
 Key to Answers

Lesson 1

What I know
Pre-test / Assessment
1. D
2. C
3. D
4. B
5. B
6. C
7. A
8. B
9. A
10. C

Whats New

Activity 1 - Know it

Changes in mother’s body

1. Morning sickness
2. Breast enlarge and prepare to produce milk

Normal Physical Changes

1. Fatigue
2. Hair Changes

Nourishing the baby

1. The fetus get its nutrition from food the mother eats
2. The mother needs to eat healthy food and take some special vitamins

Phases of pregnancy
1. First trimester
2. Second and third trimester

Complications of pregnancy
1. Toxemia
2. Anemia

Activity 2 – Name it
1. 1st
2. 1st
3. 2nd
4. 2nd
5. 3rd

26
 6. 3rd
7. 3rd
8. 3rd
9. 2nd
10. 3rd

Whats More
Activity 3 – Feed Me

1. X
2. √
3. X
4. X
5. √
6. √
7. X
8. X
9. X
10. √
11. X
12. X
13. X
14. √
15. X

Activity 4 – what is on my plate

Go
1. Fish
2. Milk
3. Eggs

Grow
1. Enriched rice
2. Rootcrops
3. Fats

Glow
1. Green leafy and yellow vegetables
2. Vit. C – rich foods
3. Fruits and vegetables

What I Have Learned

Activity 4 – Mother's Care
- Base or it depend upon the learner's answer

27
Activity 6 – I am different
Pregnancy Concerns
1. Changes in the mothers body
2. Nourishing the baby
3. Normal physical changes
4. Phases of pregnancy
5. Complications of pregnancy

Pre-natal Care
1. Newborn screening
2. Immunization
3. Breastfeeding
4. Lactation
5. Daily dietary allowances for infants

Lesson 2

Whats New
Activity 1 – Cup of Love
1. BCG ( Anti-TB)
2. OPV ( Anti-polio Vaccine)
3. DPT ( Ant-diphtheria, Pertussis and Tetanus)
4. Hepa B Vaccine
5. MMR ( Measles, Mumps, Rubella)

Activity 2 – Name Me
1. TB
2. TB
3. NTB
4. NTB
5. TB
6. NTB
7. NTB
8. TB
9. TB
10. NTB

What’s More
Activity 3 – Window
Importance: Most babies with metabolic disorders look normal at birth. Ny doing NBS,
metabolic disorders may be detected even before clinical signs and symptoms are present.
And as result, treatment can be given early to prevent consequences of untreated conditions.

28
How is newborn screening done: A few drops of blood are taken from the baby’s heel, blotted
on a special absorbent filter card, and then sent to a Newborn Screening Center (NSC)

Who will collect the sample for newborn screening: The blood sample for NBS may be
collected by any of the following: physician, nurse, medical technologist, or trained midwife

Activity 4 – Test Me
Disorders tested for newborn screening:
1. Congenital Hypothyroidism (CH)
2. Congenital Adrenal Hyperplasia (CAH)
3. Galactosemia (GAL)
4. Phenylketonuria (PKU)
5. Glucose-6-Phosphate-Dehydrogenase Deficiency (G6PD Def.)

What I Have Learned

Activity 5 – Needs of the baby
1. Immunization
2. Breastfeeding
3. Eye care
4. Vit. K
5. Weighing
6. Washing
7. Nutrition
8. Newborn Screening
9. Regular check-up
10.

Activity 6 – Child on my own

- It depend upon the answer of the learners'

What I Can Do
Activity 7 – Keyword
- It depend upon the answer of the learners'

Post Test / Assessment

A. Multiple Choice
1. D
2. B
3. C
4. C
5. B
6. A
7. C
8. C
9. C
10. B

29
B. Modified True or False
1. T
2. F- can ease
3. T
4. T
5. F – pelvic ache and hip pain
6. T
7. F – disappointment
8. T
9. T
10. F – age of 1 ½ months, 2 ½ months, 32 months

30
References
Books:
 Basic Nutrition for Filipinos by Virginia S. Claudio, PR.D, RND, et. al., Meriam School
and Office Supplies Corp. 864-870 H. Reyes Sr. Ave., Sampaloc, Manila, 1982.
 Decisions for Health, Holt, Rinehart and Winston, A Harcourt Education Company,
Orlando, Austin, New York, 2105
 Teaching Guide on the 2010 Secondary Education Curriculum (P.E. and Health
Education II)
 MAPEH III by Vilma Perez, et.al.,St. Bernadette Publication, Quezon City
 Merki,M and Merki, D. (1996). Health: A Guide to Wellness. California, U.S.A.
Glencoe/McGraw-Hill
 Ryder,V. (1990). Contemporary Living. Illinois, U.S.A. The Goodheart Willcox Co.,
Inc

Non-print materials:
 http://www.youtube.com/watch?v=VolwsYhOCTc
 http://www.webmd.com/baby/tc/pregnancy-common-concerns
 http://www.healthguidance.org/entry/9975/1/What-Is-the-Definition-of-
Nutrition.html
 http://www.thefreedictionary.com/affection
 http://www.thenewstoday.info/2009/12/10/essential.newborn.care.protocol.launched.
html
 http://en.wikipedia.org/wiki/Courtship_in_the_Philippines
 http://chroniclesofanursingmom.wordpress.com/category/essential-newborn-care/
 http://weddings.about.com/cs/bridesandgrooms/a/vowwording.htm
 http://www.lyricsmode.com/lyrics/f/freddie_aguilar/#share
 http://pediatrics.med.nyu.edu/endocrinology/patient-care/congenital-hypothyroidism
 https://rb.gy/asxrus
 https://rb.gy/zxgs9l
 https://rb.gy/aois1c
 https://rb.gy/pnxizh
 https://rb.gy/pnxizh
 http://bitly.ws/8Vbt
 http://bitly.ws/8Vby
 http://bitly.ws/8Vaf
 http://bitly.ws/8Var
 http://bitly.ws/8VbF
 http://bitly.ws/8VbG
 https://bit.ly/2Bht7f6
 https://cutt.ly/Soe5uNN
 https://cutt.ly/Aor1P76
 https://cutt.ly/Aor1P76
 https://cutt.ly/NorM5Rk
 https://cutt.ly/Aor1P76
 https://cutt.ly/NorM5Rk
 https://cutt.ly/NorM5Rk
 https://cutt.ly/hor7wEv
 https://cutt.ly/zor30cm

31
Assessment: (Post-Test)

Key to Answers
References

For inquiries and feedback, please write or call:

Department of Education – Bureau of Learning Resources (DepEd-BLR)

Department of Education – Division of Gingoog City

Office Address: Brgy. 23, National Highway,Gingoog City
Telefax: 088 328 0108/ 088328 0118
E-mail Address: gingoog.city@deped.gov.ph