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Midwife Licensure Exam The Midwife's Public Health Service Delivery — BEmONC and MNCHN from the Midwife's RoleMemory Anchors

Summary Concepts Notes Revision Deep Dive Slides Flashcards Mistakes Cheat Mnemonics Templates

Mnemonics for BEmONC and MNCHN from the Midwife's Role in the Midwife Licensure Exam 2026. Every one of these anchors has been designed to help you recall the concept under the pressure of Professional Regulation Commission (PRC) — Board of Midwifery's Midwife Licensure Exam The Midwife's Public Health Service Delivery exam conditions.

Exam context

On the Midwife Licensure Exam 2026, the The Midwife's Public Health Service Delivery subtest carries a "Core" weight in Professional Regulation Commission (PRC) — Board of Midwifery's pattern. BEmONC and MNCHN from the Midwife's Role lands at position 1st out of 4 in the standard review order. Target score is 75% weighted average, and roughly a meaningful share of items come from The Midwife's Public Health Service Delivery on a typical Midwife Licensure Exam paper.

BEmONC and MNCHN from the Midwife's Role - Memory Anchors

Your brain is wired for stories, images, and patterns — not bullet points. Memory techniques like mnemonics, analogies, and micro-stories hijack the brain's natural memory circuits by linking new information to something already familiar, emotional, or surprising. Studies show that information encoded with a vivid memory anchor is recalled up to 9 times more accurately than plain memorization. In this chapter, you will anchor every key fact about BEmONC signal functions, MNCHN packages, EINC/Unang Yakap steps, AMTSL, and the referral chain to a mental 'hook' so strong that even under the pressure of the MLE, the right answer will surface automatically. Use these anchors during your review, then test yourself with the revision game. The goal: walk into that exam room and never blank out on signal functions again.

Anchors

Topic

BEmONC Signal Functions

Concept

BEmONC 7 Signal Functions

Anchor Id

Difficulty

medium

Memory Aid

Remember 'AAAM-RVN': Antibiotics (parenteral), Anticonvulsants (MgSO4), Amtsl/oxytocics (uterotonics), Manual removal of placenta, Retained products removal (MVA), Vacuum-assisted delivery, Newborn resuscitation. Say it like a superhero team: 'Triple-A, MR, VN — that is the BEmONC 7!' Picture seven superheroes wearing BEmONC uniforms standing guard at the RHU door.

Anchor Type

acronym

Why It Works

Acronyms compress a 7-item list into a single retrievable code; the superhero visual adds emotional and visual encoding for dual-channel memory storage.

Example Usage

Question: Which signal function differentiates BEmONC from CEmONC? You recall AAAM-RVN — none of these require a surgeon, so cesarian section is NOT in the 7. The answer: cesarean section belongs to CEmONC.

Recall Trigger

Think: 'What are the 7 superheroes at the RHU door?' → AAAM-RVN

Topic

BEmONC vs CEmONC

Concept

CEmONC = BEmONC 7 + 2 (Cesarean Section + Blood Transfusion)

Anchor Id

Difficulty

easy

Memory Aid

Think of BEmONC as a 'Jollibee Burger Steak set' with 7 pieces. CEmONC is the UPGRADE — you add 2 extra items: a 'Cut' (cesarean = surgical cut) and a 'Blood orange drink' (blood transfusion). You cannot order the upgrade at a simple BEmONC RHU — you need the full restaurant (hospital). 7 + 2 = 9 comprehensive functions.

Anchor Type

analogy

Why It Works

Linking to a familiar Filipino fast-food experience makes the abstract distinction concrete and emotionally tagged; the food upgrade metaphor captures the concept of 'adding on top of' perfectly.

Example Usage

Question: A woman needs a blood transfusion after severe hemorrhage. Which level of care is needed? You recall the Jollibee upgrade → blood transfusion = CEmONC → refer to CEmONC hospital.

Recall Trigger

Think: 'Jollibee upgrade' → 7 + 2 = 9 CEmONC functions

Topic

AMTSL

Concept

AMTSL 3 Steps: Oxytocin 10 IU IM within 1 minute, Controlled Cord Traction, Uterine Massage

Anchor Id

Difficulty

easy

Memory Aid

Remember 'OCM' — 'One Chance, Mama!' O = Oxytocin (10 IU IM within 1 minute of baby's birth), C = Controlled cord traction, M = Massage the uterus. Visualize a midwife whispering 'One Chance, Mama!' as she injects oxytocin the moment the baby is born — because that one shot in one minute is what stands between life and postpartum hemorrhage.

Anchor Type

mnemonic

Why It Works

The Filipino emotional phrase 'One Chance, Mama' creates a strong emotional tag; the acronym OCM gives sequential hooks for all three steps in order.

Example Usage

Question: What is the first step of AMTSL? You hear 'One Chance, Mama' → O comes first → Oxytocin 10 IU IM within 1 minute of birth.

Recall Trigger

Think: 'One Chance, Mama' → O-C-M → Oxytocin, Controlled traction, Massage

Topic

EINC/Unang Yakap

Concept

Unang Yakap/EINC 4 Steps in Order: Dry, Skin-to-skin, Delayed cord clamping, Breastfeeding

Anchor Id

Difficulty

easy

Memory Aid

Use 'DSDB' — 'Dry, Skin, Delay, Breastfeed' — spoken as 'Di Sila Dapat Bitiwan' (They must not be separated). This is a Filipino phrase meaning 'They should not be let go,' which mirrors the EINC principle of keeping mother and baby together. D = Dry immediately (first 30 seconds), S = Skin-to-skin contact, D = Delayed cord clamping (1-3 minutes), B = Breastfeeding within 90 minutes with non-separation.

Anchor Type

mnemonic

Why It Works

The Filipino phrase 'Di Sila Dapat Bitiwan' has cultural resonance and an emotional meaning that aligns perfectly with the EINC philosophy, making both the steps and the underlying principle memorable simultaneously.

Example Usage

Question: What is the third step of EINC/Unang Yakap? Recall DSDB: D-S-D-B — the third D is Delayed cord clamping after pulsations stop (1-3 minutes).

Recall Trigger

Think: 'Di Sila Dapat Bitiwan' → D-S-D-B → the 4 Unang Yakap steps in order

Topic

EINC/Unang Yakap

Concept

Delayed cord clamping: wait until pulsations stop, 1 to 3 minutes

Anchor Id

Difficulty

easy

Memory Aid

Think of the umbilical cord as a 'last ATM withdrawal' for the baby. The blood pumping through it is like piso being deposited into the baby's iron account. If you cut the cord too early, the baby loses the last deposit — and will be iron-deficient for months. Wait for the ATM to finish processing (1-3 minutes, pulsations stop) before you cut the connection.

Anchor Type

analogy

Why It Works

The ATM analogy connects a clinical timing rule to a relatable financial transaction; Filipino students understand the value of not leaving before an ATM transaction completes.

Example Usage

Question: When should the cord be clamped per EINC protocol? Recall the ATM: do not cut early — wait 1-3 minutes until pulsations stop to maximize iron transfer to the newborn.

Recall Trigger

Think: 'Wait for the ATM' → wait until pulsations stop (1-3 min) before clamping

Topic

BEmONC Signal Functions / Referral

Concept

Magnesium Sulfate (MgSO4) is the anticonvulsant of choice for severe pre-eclampsia/eclampsia

Anchor Id

Difficulty

medium

Memory Aid

Imagine Magda, a pregnant woman, suddenly starts convulsing at the BHS. Midwife Lina remembers: 'Mag-so4 ka na!' (a play on MgSO4 and the Filipino expression 'do it now!'). Lina gives the MgSO4 loading dose, Magda calms down, and they rush to the CEmONC hospital. Lina saved Magda's life with one decision: MgSO4 first, refer second. The loading dose is the midwife's life-saving stabilizing action before referral.

Anchor Type

micro_story

Why It Works

The micro-story encodes: the drug name, the indication (seizure/eclampsia), the midwife's role (loading dose = stabilize, then refer), and the clinical sequence — all in one memorable narrative with Filipino cultural language.

Example Usage

Question: A pregnant woman is convulsing. What should the midwife do before referral? Recall Magda's story → give MgSO4 loading dose to stabilize → refer to CEmONC hospital.

Recall Trigger

Think: 'Magda convulsing at BHS' → 'Mag-so4 ka na!' → MgSO4 loading dose → stabilize → refer to CEmONC

Topic

MNCHN Strategy

Concept

MNCHN = DOH strategy under A.O. 2008-0029 to rapidly reduce maternal and neonatal mortality

Anchor Id

Difficulty

medium

Memory Aid

Visualize a DOH bulletin board dated '2008-0029' with a big red downward arrow labeled 'Maternal and Neonatal Deaths' and the acronym MNCHN written in the four colors of the Philippine flag — blue, red, yellow, white. Each color stands for one target population: Mothers (blue), Newborns (red), Children (yellow), and the Health Network (white). The year 2008 is easy: remember the Beijing Olympics year — the DOH launched its MNCHN 'gold medal strategy' that same year.

Anchor Type

visual_association

Why It Works

The bulletin board visual gives spatial memory hooks; the Olympic year 2008 connects a global event to the policy date; the flag colors reinforce the population targets.

Example Usage

Question: What DOH Administrative Order formalized the MNCHN strategy? Recall the 2008 Olympics bulletin board → A.O. 2008-0029.

Recall Trigger

Think: '2008 Olympics, DOH bulletin board with a downward arrow' → MNCHN A.O. 2008-0029

Topic

MNCHN Strategy

Concept

MNCHN Service Packages: Pre-pregnancy, Pregnancy, Childbirth, Postpartum/Newborn, Child Care

Anchor Id

Difficulty

easy

Memory Aid

Chunk the 5 packages as a timeline of a woman's life in one word each: BEFORE → DURING PREGNANCY → BIRTH → AFTER → CHILD. Visually, picture a Filipino woman walking through 5 doorways, each labeled with the package. Door 1: family planning (BEFORE). Door 2: prenatal ANC (PREGNANCY). Door 3: skilled delivery (BIRTH). Door 4: postpartum and newborn care (AFTER). Door 5: immunization and growth monitoring (CHILD).

Anchor Type

chunking

Why It Works

Chunking reduces 5 packages to 5 one-word labels; the doorway visualization uses the method of loci to place each package in a distinct spatial location in the mind.

Example Usage

Question: What service package does tetanus toxoid immunization belong to? Walk through the doorways: Pregnancy (ANC) door → tetanus toxoid is given during antenatal care.

Recall Trigger

Think: 'Five doorways of a woman's life' → Before, Pregnancy, Birth, After, Child

Topic

Referral Chain / Three Delays

Concept

Three Delays Model: Deciding, Reaching, Receiving

Anchor Id

Difficulty

medium

Memory Aid

Imagine a pregnant woman named 'Nena' in a remote barangay who starts bleeding. Delay 1 — her husband says 'Hintayin natin, baka mawala' (Let's wait, it might stop) — that is the DECISION delay. Delay 2 — when they finally decide to go, the road is flooded and the habal-habal is unavailable — that is the REACHING delay. Delay 3 — they arrive at the RHU but the midwife is off duty and no equipment is ready — that is the RECEIVING delay. Nena died because of all three delays. The midwife's job is to attack all three: teach danger signs (decision), make birth plans with transport (reaching), and stabilize before transfer (receiving).

Anchor Type

micro_story

Why It Works

The story of Nena encodes all three delays in a realistic Filipino community scenario with emotional weight; the three characters of the story (husband's hesitation, flood, unprepared facility) each anchor one delay.

Example Usage

Question: The MNCHN referral system is designed to overcome what model? Recall Nena's story → the Three Delays: Deciding, Reaching, Receiving.

Recall Trigger

Think: 'Nena's three obstacles' → Deciding, Reaching, Receiving

Topic

Referral Chain / Continuum of Care

Concept

Referral Chain: Community/BHS → RHU/BEmONC → CEmONC Hospital

Anchor Id

A10

Difficulty

easy

Memory Aid

Think of the referral chain as a Philippine highway system. The BHS is the barangay road (first contact, the midwife). The RHU/BEmONC is the national road (handles most emergencies). The CEmONC hospital is NLEX — the expressway for the most critical cases needing surgery or blood transfusion. You do not drive directly to NLEX from a barangay road without passing through the national road first — that is the continuum of care.

Anchor Type

analogy

Why It Works

The highway analogy uses a concrete Filipino transportation metaphor that every student knows; it captures the hierarchical and sequential nature of the referral chain naturally.

Example Usage

Question: Where does a midwife first identify risk in the referral chain? Recall the highway: the barangay road (BHS) is the first point — the midwife at the BHS identifies risk and refers up.

Recall Trigger

Think: 'Barangay road → national road → NLEX' → BHS → RHU/BEmONC → CEmONC hospital

Topic

BEmONC/CEmONC Facility Standards

Concept

Facility Ratios: 1 BEmONC per 125,000 population; 1 CEmONC per 500,000 population

Anchor Id

A11

Difficulty

hard

Memory Aid

Remember: 'B for Basic = Smaller number' (125,000) and 'C for Comprehensive = Bigger number' (500,000). A helpful trick: 125,000 has THREE digits after the 1 (125) and BEmONC has THREE signal functions starting with 'A' (Antibiotics, Anticonvulsants, A-oxytocics). CEmONC = 500,000 which starts with 5, and CEmONC has the 5th and beyond level of care. Also: 125 × 4 = 500, meaning every 4 BEmONC facilities are served by 1 CEmONC — like 4 barangay roads feeding into one expressway.

Anchor Type

chunking

Why It Works

Linking the numbers to the B/C distinction and a multiplication relationship creates multiple retrieval paths for the same facts; the road analogy maintains the transportation metaphor from A10 for interconnection.

Example Usage

Question: What is the DOH target ratio for CEmONC facilities? Recall: C = Comprehensive = Bigger number → 1 per 500,000 population.

Recall Trigger

Think: 'B = Basic = Smaller (125,000); C = Comprehensive = Bigger (500,000)'; or '125 × 4 = 500'

Topic

Legal Scope of Midwife Practice

Concept

RA 7392 — Philippine Midwifery Act: Authorizes midwife as skilled birth attendant; may give oxytocin and life-saving drugs per DOH guidelines

Anchor Id

A12

Difficulty

easy

Memory Aid

Visualize Republic Act 7392 as a midwife's PRC ID card. The number 7392 = '7' signal functions + 3 drugs (oxytocin, MgSO4, antibiotics) + 9-2 (CEmONC = 9 functions minus the 2 surgical ones the midwife does NOT do) — a playful numeric link. More importantly, stamp on the ID: 'AUTHORIZED: Oxytocin ✔, Life-saving drugs in emergencies ✔, Skilled Birth Attendant ✔'. The card is the midwife's legal armor.

Anchor Type

visual_association

Why It Works

The ID card visual is personally relevant to every Philippine licensure examinee; the stamps encode the specific authorizations under RA 7392 that are frequently tested.

Example Usage

Question: Under what law is a midwife authorized to give oxytocin? Recall the PRC ID card → RA 7392, the Philippine Midwifery Act.

Recall Trigger

Think: 'My PRC midwife ID' → RA 7392 → authorized: oxytocin + life-saving drugs + skilled birth attendant

Topic

MNCHN Strategy / Facility-Based Delivery

Concept

Facility-Based Delivery Policy: DOH discourages home births attended by traditional birth attendants (hilots)

Anchor Id

A13

Difficulty

medium

Memory Aid

Imagine Lola Caring, the beloved hilot of Barangay Mabuting Buhay. She has helped deliver babies for 40 years with warm water and prayers. But when Nanay Rowena's placenta does not come out and she bleeds heavily, Lola Caring has no oxytocin, no IV line, no referral vehicle. Rowena survives only because the barangay midwife arrives in time. DOH says: respect Lola Caring's role in support and community trust — but the delivery must happen in a BEmONC facility where life-saving drugs and referral pathways exist.

Anchor Type

micro_story

Why It Works

The story of Lola Caring creates empathy without dismissing traditional practice while clearly illustrating WHY facility-based delivery saves lives — a nuanced point that is easy to misunderstand in exam questions.

Example Usage

Question: Why does MNCHN policy favor facility-based delivery? Recall Rowena's story: life-threatening complications like postpartum hemorrhage cannot be managed at home — a BEmONC facility has drugs, equipment, and referral access.

Recall Trigger

Think: 'Lola Caring and Nanay Rowena' → no oxytocin at home = danger → facility-based delivery policy

Topic

AMTSL / Postpartum Hemorrhage

Concept

AMTSL is the primary defense against postpartum hemorrhage (PPH), the leading cause of maternal death

Anchor Id

A14

Difficulty

easy

Memory Aid

Chant this: 'Oxytocin first, then pull with care, massage the uterus — blood loss, beware! AMTSL saves the day — postpartum hemorrhage, go away!' The rhyme encodes: AMTSL three steps (oxytocin → controlled cord traction → uterine massage), the indication (PPH), and the stakes (leading cause of maternal death).

Anchor Type

rhyme

Why It Works

Rhymes exploit the brain's phonological loop — a dedicated memory system for sound patterns. The chant can be rehearsed mentally during tense exam moments as a calming retrieval device.

Example Usage

Question: What is the primary intervention to prevent postpartum hemorrhage? Chant mentally: 'Oxytocin first' = first step of AMTSL → give oxytocin 10 IU IM within 1 minute of birth.

Recall Trigger

Think: 'The AMTSL chant' → Oxytocin first, pull with care, massage the uterus

Topic

Referral

Concept

Competent Referral Steps: Recognize, Stabilize, Communicate, Accompany, Document

Anchor Id

A15

Difficulty

medium

Memory Aid

Use 'RSCAD' — pronounced 'RS-CAD' like a midwife reading a ROAD (RSCAD) map to the hospital. R = Recognize the danger sign early. S = Stabilize the patient (give MgSO4, oxytocin, control bleeding). C = Communicate ahead so the receiving facility is ready. A = Accompany the patient with a written referral note. D = Document and follow up. A good referral always follows the RSCAD road map.

Anchor Type

acronym

Why It Works

The road map metaphor connects back to the highway analogy of the referral chain (A10), creating a web of interconnected memory anchors; the acronym RSCAD is phonetically distinctive and easy to rehearse.

Example Usage

Question: What are the components of a competent referral by the midwife? Recall RSCAD: Recognize, Stabilize, Communicate ahead, Accompany with written note, Document and follow up.

Recall Trigger

Think: 'RSCAD road map to the hospital' → Recognize, Stabilize, Communicate, Accompany, Document

Topic

Recording and Reporting / FHSIS

Concept

FHSIS = Field Health Services Information System; captures prenatal visits, births, referrals for DOH monitoring

Anchor Id

A16

Difficulty

medium

Memory Aid

FHSIS is the DOH's 'report card system.' Just as a teacher records every student's attendance and grades to know how the class is doing, the midwife records every prenatal visit, birth, immunization, and referral in the FHSIS. Without the FHSIS, DOH is like a principal who has no report cards — blind to whether the students (mothers and newborns) are passing or failing. Accurate FHSIS = the program can improve. Missing records = the program cannot see its failures.

Anchor Type

analogy

Why It Works

The report card analogy is universally relatable; it reframes recording and reporting as a meaningful program tool rather than mere paperwork, which is the exact message the MLE tests.

Example Usage

Question: What is the purpose of the FHSIS in the MNCHN strategy? Recall the report card: FHSIS is the DOH's routine recording system — it tracks whether MNCHN is working by capturing maternal and neonatal outcomes.

Recall Trigger

Think: 'DOH report card' → FHSIS → records births, ANC, immunizations, referrals for monitoring maternal mortality ratio

Topic

EINC/Unang Yakap

Concept

Early breastfeeding must be initiated within 90 minutes of birth (non-separation of mother and baby)

Anchor Id

A17

Difficulty

easy

Memory Aid

Visualize a basketball game: a Filipino game lasts about 90 minutes. The buzzer signals START at birth — the baby must latch before the buzzer sounds at 90 minutes. The referee is the midwife. Any interruption (bathing the baby, unnecessary procedures) is a foul that delays the clock. Picture the baby in skin-to-skin contact as the player who never leaves the court (non-separation) until the final buzzer — successful first feed!

Anchor Type

visual_association

Why It Works

The basketball game creates a vivid countdown timer in the mind; the 90-minute rule becomes the 'full game clock,' and non-separation becomes 'keeping the player on court' — memorable and kinetic.

Example Usage

Question: Within how many minutes after birth should breastfeeding be initiated per EINC? Recall the basketball game → 90 minutes. Non-separation = keep baby with mother throughout.

Recall Trigger

Think: '90-minute basketball game' → breastfeeding must start within 90 minutes, no separation

Topic

MNCHN / Continuum of Care

Concept

Continuum of Care: across TIME (pre-pregnancy to child care) and across PLACE (home to hospital)

Anchor Id

A18

Difficulty

medium

Memory Aid

Think of the continuum of care as a two-dimensional grid — like a jeepney route map. The HORIZONTAL axis is TIME: pre-pregnancy → pregnancy → birth → postpartum → childhood. The VERTICAL axis is PLACE: home/community → BHS → RHU/BEmONC → CEmONC hospital. A mother's journey traces a PATH on this grid. If any section of the road is broken (a missed prenatal visit, a delayed referral, a closed facility), the jeepney — and the mother — gets stuck. The midwife's job is to keep every section of that road open.

Anchor Type

analogy

Why It Works

The jeepney route map is culturally iconic in the Philippines; the two-axis grid gives structure to an abstract concept and makes 'continuum' feel spatial and visual rather than theoretical.

Example Usage

Question: What does the continuum of care mean in MNCHN? Recall the jeepney grid: unbroken service across TIME (life stages) and across PLACE (home to CEmONC hospital).

Recall Trigger

Think: 'Jeepney route map with two axes' → TIME (pre-pregnancy to child) × PLACE (home to hospital) = continuum of care

Topic

AMTSL

Concept

Oxytocin dose in AMTSL: 10 IU IM within 1 minute of baby's birth (after ruling out second baby)

Anchor Id

A19

Difficulty

medium

Memory Aid

Remember: '10-1 Rule' — 10 IU in 1 minute. Think of a Philippine countdown: 'Sampung piso (10 pesos) sa isang minuto (in one minute)!' The midwife gives 10 units within 1 minute — as fast as buying a peso candy from a sari-sari store. The crucial qualifier: FIRST check there is no second baby before injecting — otherwise you contract the uterus around a trapped baby!

Anchor Type

mnemonic

Why It Works

The 10-1 numeric pairing is highly specific and easily confused; the sari-sari store metaphor ('10 pesos in 1 minute') gives a temporal and numeric anchor simultaneously; the crucial qualifier is embedded as a dramatic safety warning.

Example Usage

Question: What is the correct dose and timing of oxytocin in AMTSL? Recall: 10-1 rule → 10 IU IM within 1 minute of the baby's birth, after confirming no second baby.

Recall Trigger

Think: 'Sampung piso sa isang minuto' → 10 IU IM in 1 minute (after ruling out second baby)

Topic

Midwife Scope in BEmONC

Concept

Midwife's BEmONC role: Give first-dose oxytocin, loading dose MgSO4, initial antibiotics, newborn resuscitation, AMTSL — then refer what is beyond scope

Anchor Id

A20

Difficulty

hard

Memory Aid

Imagine Midwife Marites at the RHU at 2 AM. A woman arrives convulsing and bleeding heavily. Marites does not panic — she is the BEmONC first responder. She gives MgSO4 loading dose (anticonvulsant), oxytocin (uterotonic), antibiotics (for suspected sepsis), resuscitates the pale baby with bag and mask, and sends an advance call to the CEmONC hospital. She rides in the ambulance with a written referral note. The ObGyne meets them at the door. Marites does NOT attempt cesarean section — that is beyond her scope. She does EVERYTHING within her scope to keep that woman and baby alive during transport. That is the BEmONC midwife.

Anchor Type

micro_story

Why It Works

The 2 AM scenario creates urgency and emotional engagement; it lists all the midwife's BEmONC interventions naturally within the narrative and explicitly draws the scope-of-practice boundary at cesarean section.

Example Usage

Question: Which BEmONC interventions is the midwife authorized to perform? Recall Marites: oxytocin, MgSO4 loading dose, antibiotics, newborn resuscitation, AMTSL — but NOT cesarean section or blood transfusion (CEmONC).

Recall Trigger

Think: 'Midwife Marites at 2 AM' → MgSO4, oxytocin, antibiotics, bag-mask resuscitation, referral — NOT cesarean

Revision Game

MNCHN — Maternal, Newborn, Child Health and Nutrition Strategy (A.O. 2008-0029)

Clue

I am the DOH's flagship strategy to rapidly reduce maternal and neonatal deaths, born in 2008 with my own administrative order. What am I?

Memory Link

A7 — the DOH bulletin board with the 2008 Olympics date and downward arrow

Magnesium Sulfate (MgSO4)

Clue

A BEmONC facility can do 7 things. I am the drug you give for a convulsing pregnant woman. I am the anticonvulsant of choice. What am I?

Memory Link

A6 — Magda convulsing at the BHS: 'Mag-so4 ka na!'

Oxytocin 10 IU IM — prevents postpartum hemorrhage (leading cause of maternal death)

Clue

I am the most critical step in AMTSL. I am given within ONE MINUTE of the baby's birth. I prevent the number-one killer of mothers. What am I and what is my dose?

Memory Link

A3, A19 — 'One Chance, Mama' and '10 pesos sa isang minuto' at the sari-sari store

Early skin-to-skin contact

Clue

I am the second step of EINC/Unang Yakap. After the baby is dried, I am what happens next — the baby goes on the mother's chest. What do I represent?

Memory Link

A4 — DSDB: 'Di Sila Dapat Bitiwan' — S is the second letter, S for Skin-to-skin

Cesarean section and blood transfusion — the two CEmONC-only functions that make up 9 total

Clue

I am what separates CEmONC from BEmONC. I require a surgeon and an operating room. I am the two additional signal functions. Name them both.

Memory Link

A2 — the Jollibee upgrade: add a 'Cut' and a 'Blood orange drink' to upgrade from 7 to 9

The Three Delays: Delay in deciding to seek care, delay in reaching care, delay in receiving care at the facility

Clue

I am the three obstacles that kill mothers before they receive care. MNCHN is designed to defeat me. Name my three components.

Memory Link

A9 — Nena's story: husband's hesitation, flooded road, unprepared facility

Republic Act 7392 — the Philippine Midwifery Act

Clue

I am the Philippine law that authorizes the midwife as a skilled birth attendant and allows her to give oxytocin and life-saving drugs in emergencies. What is my name and number?

Memory Link

A12 — the midwife's PRC ID card stamped 'RA 7392: Authorized'

FHSIS — Field Health Services Information System

Clue

I am the DOH's routine recording and reporting system. Every prenatal visit, birth, and referral the midwife handles flows through me. Without me, DOH cannot track the maternal mortality ratio. What am I?

Memory Link

A16 — the DOH report card analogy: no FHSIS = principal with no grades

125,000 = catchment population per BEmONC facility; 500,000 = catchment population per CEmONC facility; the 4:1 ratio shows the network hierarchy

Delay 1: Deciding to seek care — attacked by teaching danger signs during ANC
Delay 2: Reaching the facility — attacked by birth planning with named facility and transport
Delay 3: Receiving care at the facility — attacked by stabilizing before and during transfer

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Midwife Licensure Exam The Midwife's Public Health Service Delivery — BEmONC and MNCHN from the Midwife's RoleMemory Anchors

Exam context

BEmONC and MNCHN from the Midwife's Role - Memory Anchors

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