8 NOT

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

NOT
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.

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
 Lesson
PREGNANCY-RELATED CONCERNS AND PRE-NATAL

1 CARE

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.

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.
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.

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)
 First Second Third trimester
trimester trimester
Descriptions
characterizing • Fatigue • Breast changes • Braxton Hicks contractions,
condition • Breast • Leg cramps which are "warm-up"
tender- ness • Back pain contractions that do not thin
• Increased • Pelvic ache and hip and open the cervix (do not
urination pain lead to labor)
• Fullness or • Stretch marks and • Fatigue
mild aching other skin changes • Back pain
in your lower • Hemorrhoids and • Pelvic ache and hip pain
abdomen constipation Hemorrhoids and
• Nausea with Heartburn (also a symptom constipation
or without of gastroesophageal reflux • Heartburn
vomiting, disease, or • Breathing difficulty, the
also known Nosebleeds and expanding uterus is just
as morning bleeding gums below the rib cage, leaving
sickness Hand pain, numbness, or lungs less room to expand.
weakness (carpal tunnel • Mild swelling of the feet and
syndrome) ankles (edema). Pregnancy
Braxton Hicks causes more fluid to build
up in your body. This, plus
contractions, which are
the extra pressure that
"warm-up"
uterus places on the legs,
contractions that
can lead to the swelling of
do not thin and
your feet and ankles.
open the cervix
• Difficulty sleeping and
(do not lead to
finding a comfortable
labor)
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

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.
 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)
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.

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.
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 ¾ cup cooked
Vitamin C –rich foods 2 medium or 2 slices big fruit Other
fruits and vegetables 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
 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.

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.

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 and 1 ½ months
tetanus) 2 ½ months
32 months
Hepa B vaccine
1 ½ months
2 ½ months
32 months
MMR (measles, mumps, rubella) 9 months to 1 year

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.
.

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

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
in your diary.

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
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.

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

Activity 4 – what is on my plate

Go Grow Glow
1. Fish 1. Enriched Rice 1. Green Leafy and Yellow vegetables
2. Milk 2. root crops 2. Vit. C rich foods
3. Eggs 3. Fats 3. Fruits and vegetables

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)