Name __________________________________Date ____________ Score

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Exercise 1.
What is the national situation on maternal and child health in the Philippines?
1.The Philippines failed to achieve its Millennium Development Goal (MDG)
commitment to reduce maternal deaths by three quarters. This, together with the recently
launched Sustainable Development Goals (SDGs), reinforces the need for the country to
keep up in improving reach of maternal and child health (MCH) services. Maternal,
newborn and child health (MNCH) have large impact on maternal and neonatal mortality
rates which have not improved as much as expected in the last few decades. Already
before COVID-19, the Philippines saw about 2,600 women dying every year due to
complications from pregnancy or childbirth. The maternal mortality cases in 2020 can
increase to up to 670 additional deaths from the 2019 level (26 % increase).
Define maternal health.
2.Maternal health refers to the health of women during pregnancy, childbirth and the
postnatal period.

What are the maternal health care services?

3.Antenatal care (ANC)
4. Delivery care
5. Postnatal care (PNC) services

What are the problems of maternal and child health?

High maternal and child mortality in the Region was identified as being largely related to
health system gaps and challenges, in particular:
6.Inadequate health workforce
7. lack of access to essential medicines
8. Non-functioning referral systems and low quality of care, as well as poor nutrition.

Why is maternal health important not only to the mother?

9.Not only does access to quality maternal healthcare ensure the good health of a mother
– her good health also helps to ensure the good health of her newborn child and the rest
of her family. Her body adapts, adjusts and accommodates the needs of her baby as he or
she grows. 
What are the specific objectives of maternal and child health care?
10.Provide basic health care to all mothers and children, Reduce maternal mortality and
morbidity, Reduce prenatal and neonatal mortality and morbidity, regulate fertility so as
to have wanted, healthy children when desired
11.Provide basic maternal and child health care to all mother and children. Promote and
protect health of mothers. Promote and protect physical growth and psycho-social
development of children. 

What are included in the RCH Package (Reproductive health)?

12. Maternal Health
13. Child Health
14. Nutrition
15. Family Planning, Adolescent Health (AH)
16. PC- PNDT

What are the roles of nurses in maternal and child health care?
17. Care Provider-The nurse provides direct patient-centered care to women, infants,
children, and their families in times of childbearing, illness, injury, recovery, and
wellness.
18. Teacher- Education is an essential role of today’s nurse. Teaching begins early,
before and during a woman’s prenatal care, and continues through her recovery from
childbirth and learning to care for her newborn, and into her care in women’s health.
19. Collaborator-Nurses collaborate with other members of the health care team, often
coordinating and managing the patient’s care. Care is improved by an interdisciplinary
approach as nurses work together with dietitians, social workers, physicians, and others.
20. Researcher-Nurses contribute to their profession’s knowledge base by systematically
investigating theoretic or practice issues in nursing. 
21. Advocate- An advocate is one who speaks on behalf of another. As the health
professional who is closest to the patient, the nurse is in an ideal position to humanize
care and to intercede on the person’s behalf. As an advocate the nurse considers the
family’s wishes and preferences when planning and implementing care.
22. Manager of Care- Because of shorter stays in acute-care facilities, nurses often are
unable to provide total direct patient care. Instead, they delegate concrete tasks, such as
giving a bath or taking vital signs, to others. As a result, nurses spend more time teaching
and supervising unlicensed assistive personnel, planning and coordinating care, and
collaborating with other professionals and agencies.
23. Nurses caring for children and families play an important role in preventing illness
and injury through education and anticipatory guidance. Teaching about immunizations,
safety, dental care, socialization, and discipline is a necessary component of care. Nurses
offer guidance to parents with regard to child-rearing practices and preventing potential
problems. They also answer questions about growth and development and assist families
in understanding their children.
24.Teaching often involves providing emotional support and counseling to children and
families. Their roles also include working with families with children from birth to school
age. They include conducting a developmental assessment and providing health
promotion information based on key health messages, including immunization, nutrition,
oral health, communication, language and play and kindergarten enrolment.
25. They conduct interventions including a SIDS risk assessment, QUIT smoking support
and screening for maternal health and family violence. They also run new parent groups
and give immunizations. Their role involves working with families to achieve healthy
outcomes. When a family is struggling or a child is not meeting developmental
milestones, they will refer them to an appropriate support.