MODULE 18:

Integrated Management of Childhood Illnesses (IMCI)

Six preventable diseases were initially included in the EPI.

 Tuberculosis  Tetanus
 Poliomyelitis  Pertussis
 Diphtheria  Measles

ANSWER RATIONALE
1. C The breath per minute for toddler range from 24-40 bpm
2. Baby Yuki, 4 months old is not able to breastfeed and chest indrawing is
present. This can be classified as sever pneumonia
3. B Soothe the throat and relieve the cough with a safe remedy is possible
treatment for pneumonia or cold but not in severe pneumonia.
4. A A green color means no sign of pneumonia. Yellow for pneumonia. Pink for
severe pneumonia.
5. B Give a trial of rapid acting inhaled bronchodilator for up to three times 15–20
minutes apart. Count the breaths and look for chest indrawing again. Then
classify the problem
6. D Blood in the stool to determine if the child has dysentery
7. A All are signs of severe dehydration expect restlessness which is a sign of
dehydration
8. C Give fluid for severe dehydration (Plan C). Give fluid and food for some
dehydration (Plan B). Give fluid and food to treat diarrhea at home (Plan A)
9. B If child has not enough signs to classify as some or severe dehydration, the
child will be classified as no dehydration
10. B Severe persistent diarrhea will be noted if dehydration is present which last
between 2-4 weeks. Acute diarrhea will less than 2 weeks. Chronic diarrhea
last longer than 4 weeks

In today’s session, what was least clear to you?

None
 MODULE 19:

Early Essential Intrapartum and Newborn Care, Newborn Screening, Basic Emergency Obstetric and
Newborn Care and Comprehensive Emergency Obstetric and Newborn Care

What are the aims of IMCI?

Integrated Management of Childhood Illnesses (IMCI) aim to reduce death, illness and disability,
and to promote improved growth and development among children under 5 years of age.

ANSWER RATIONALE
1. ACDEF Incubator and pediatrics nursery are part of comprehensive EmNC
2. ABCD All aforementioned above are functions to qualify as a CEmONC facility
3. D Evaporation of moisture from a wet body dissipates heat along with the
moisture. Keeping the newborn dry by drying the wet newborn infant will
prevent hypothermia via evaporation.
4. C Soon after delivery a neonate is admitted tothe central nursery. The nursery nu
rse begins the initial assessment by inspecting the posture, color, and
respiratory effort
5. A As soon as possible after birth, early and uninterrupted skin-to-skin contact
between mothers and infants should be facilitated and promoted. All moms
should be encouraged to start nursing as soon as possible after delivery,
ideally within the first hour.
6. A Consent and expectations are better ensured with documentation. It assists in
narrative of decisions made and how you or the client reacted to various
situations.
7. C The vastus lateralis muscle in the anterolateral thigh is the preferred injection
location for most newborns because to its substantial muscle mass.
8. ABCD The maternal phenylketonuria (PKU) syndrome refers to the teratogenic effects
of PKU during pregnancy. These effects include mental retardation,
microcephaly, congenital heart disease, seizures, facial dysmorphia, and
intrauterine growth retardation
9. BCD The purpose of newborn screening is to detect potentially fatal or disabling
conditions in newborns as early as possible, often before the infant displays
any signs or symptoms of a disease or condition.
10. A Congenital adrenal hyperplasia is a collection of illnesses that affect hormone
production and sexual development. 21-hydroxylase deficiency is one of them.
About 95% of all cases of congenital adrenal hyperplasia are caused by a 21-
hydroxylase deficiency.

In your opinion, is essential integrated newborn care necessary?

Warmth and appropriate hygiene in handling newborns, early and exclusive breastfeeding,

umbilical cord care, eye care, vitamin K administration, and immunization are all key components of
essential newborn care