Maharashtra University of Health Sciences, Nashik

Direction No. 5 of 1999

Subject : Examination leading to the Post Certificate Bachelor of Science in

Nursing Examination to be held in first half of 1999.

WHEREAS, the Hon. Governor of the Maharashtra promulgated Maharashtra

Ordinance No.11 of 1998 to establish Maharashtra University of Health Sciences on 3rd
June, 1998, which has been passed as Maharashtra University of Health Sciences Act,
1998 by the Maharashtra State Legislature, for the purposes of ensuring proper and
systematic instruction, teaching, training and research in modern medicine and Indian
Systems of Medicines, Pharmaceutical Sciences and paramedical courses in the State of
Maharashtra and to have balanced growth in health Sciences so also an uniformity in
various courses in Health Sciences in the State.

AND WHEREAS, it is a duty of the University to hold Examinations of the

courses conducted by the University as provided under the sub Section (ii) of Section 5
of an Ordinance,

AND WHEREAS, the University has decided to conduct the First Year
P.C.B.Sc.Nursing Examinations in first half of 1999-2000 and Second Year P.C.B.Sc.
Nursing Examination in first half of 2000.

AND WHEREAS, conduct of examinations is a subject matter of Ordinance as

provided under sub Section (vi) of Section (50) of the Act.

AND WHEREAS, ordinance for conduct of an examination leading to the Degree

of P. C. Bachelor of Science in Nursing (First Year P.C.B.Sc.) is not in existence.

AND WHEREAS making of an ordinance is a time taking process.

Now, therefore, I, Dr.D.G. Dongaonkar, Vice-Chancellor of the University in

exercise of the powers conferred upon me under sub section (8) of section 16 of the Act,
issue following directions.

(1) These directions shall be called “Examinations leading to the Degree of P. C.

Bachelor of Science in Nursing (First Year Examination) direction, 1998.

(2) These directions shall come into force with effect from the date of its issuance.

(3) There shall be following examinations leading to the Degree of P. C. B.Sc.

Nursing.
1. The First Year P.C.B.Sc. Nursing Examinations.

2. The Second Year P.C.B.Sc. Nursing Examinations.

(4) The Examinations referred to in paragraph 3 shall be held twice a year at such
places and on such dates as may be appointed by Board of Examinations.
(5) An applicant for admission to examination shall fulfill criteria as prescribed by
Govt. of Maharashtra from time to time as in Appendix - A appended herewith GR
of admission.

(6) Duration of Course : Two academic years.

(7) The course contents of the P.C. B.Sc. Nursing shall be as per appendix B appended
herewith.

(8) The detail course content for each subject shall be as per appendix C appended
herewith.

(9) The scheme of examination shall be as per Appendix D appended herewith.

(10) College Examinaiton : Appendix D i, ii, iii, F

(11) Criteria for eligibility of Univeristy examination F,

(12) Criteria for internal assessment Appendix F, i

(13) Vacation : Total Eight weeks in a year which includes Two weeks Diwali
Vacation, Two weeks Christmas Vacation and Four weeks summer vacation as
prescribed by Maharashtra University of Health Sciences,Nashik from time to time
.
Students will be given all public holidays declared by the State Government of
Maharashtra/Maharshtra University of Health Sciences, Nashik

Appendix ‘B’
Courses of Study First Year P.C.B.Sc. Nursing

Sr. No. Subject Theory Practical Total Hours

1. Comprehensive Nursing 60 100 160

2. Medical Surgical Nursing 100 260 360
3. Maternal Nursing 60 200 260
4. Child Health Nursing 60 240 300
5. Microbiology 60 30 90
6. Sociology 60 -- 60
7. Psychology 40 10 50

Total 440 840 1280

Note : Bio-Physics, Bio-chemistry, Nutrition and Dietetics will be in application form to

above subjects.
 Courses of Study Second Year P.C.B.Sc. Nursing

Sr. No. Subject Theory Practical Total

Hours
1. Community Health Nursing 100 240 340
2. Psychiatric & Mental Health Nsg. 60 200 260
3. Introduction to Nursing Education 60 75 135
4. Introduction to Nursing service
Administration 60 180 240
5. Introduction to Nursing Research
and Statistics 45 120 165
6. Library Sciences 45 -- 45
7. Computer Training 15 15 30

Total 385 830 1215

Note : Anatomy, Physiology, Pharmacology, Pathology, Bio-Physics, Bio-Chemistry,

Nutrition and Dietetics will be in application form to above subjects.

Appendix ‘D’ I
Scheme of Examination

Sr. No. Subject Duration Internal External Total Marks

Assessment Marks

Theory Paper
1. Comprehensive Nursing 3 Hrs. 25 75 100
2. Medical Surgical Nursing 3 '' 25 75 100
3. Maternal Nursing 3 '' 25 75 100
4. Child Health Nursing 3 '' 25 75 100
5. Microbiology 3 '' 25 75 100
6. Psychology 3 '' 25 75 100
* 7. Sociology (college exam.) 3 '' 25 75 100

Practicals
1 Medical Surgical Nursing -- 25 75 100
2. Maternal Nursing -- 25 75 100
3. Child Health Nursing -- 25 75 100

Second Year P.C.B.Sc. Nursing

Sr. No. Subject Duration Internal External Total

Marks
1. Community Health Nursing 3 25 75 100
2. Psychiatric & Mental Health Nursing 3 25 75 100
3. Nursing Education 3 25 75 100
4. Nursing service Administration 3 25 75 100
*5. Nursing Research and Statistics 2 50 -- 50
*6. Library Sciences 2 50 -- 50
*7. Computer Training 2 50 -- 50

Practicals
1. Community Health Nursing - 25 75 100
2. Psychiatric & Mental Health Nursing - 25 75 100
*3. Introduction to Nursing Research & - 50 - 50
Project
 Appendix ‘D’ II
First Year P.C.B.Sc. Nursing
Scheme of Examination for First Year P.C.B.Sc. Nursing

Sr. Subject Subheads Maximum Minimum Minimum Minimum

No. Marks Marks marks marks required
allotted required to required to for awarding
pass in each pass in each distinction
sub head subject
1. Comprehensive i) Theory
75 38
Nursing (Written)
50 75
ii) Internal
25 12
Assessment
2. Medical Surgical i) Theory
75 38
Nursing (Written)
ii) Practical +
75 38
Oral
iii) Internal 100 150
Assessment 25
Theory 24
+ 25
Practical
3. Maternal Nursing i) Theory
75 38
(Written)
ii) Practical +
75 38
Oral
iii) Internal 100 150
Assessment 25
Theory 24
+ 25
Practical
4. Child Health i) Theory
75 38
Nursing (Written)
ii) Practical +
75 12
Oral
100
iii) Internal 150
Assessment 25
Theory 24
+ 25
Practical
5. Microbiology i) Theory
75 38
(Written)
50 75
ii) Internal
25 12
Assessment
6. Psychology i) Theory
75 38
(Written)
50 75
ii) Internal
25 12
Assessment
7. Soicology i) Theory
50 25 25 38
Internal (Written)
Note – This Scheme of Examination will be applicable to the
students appearing in May 2002 examination.

Appendix ‘F’
College Examinations
First Year
Sociology

Second Year
1. Nursing Research + Statistics
2. Library Sciences
3. Computer Training
4. Research Project - Practical + Viva

Note : The individual university and its Board of Studies has the previlege of
changing the sequence of subject or making addition and deletion of any course
of study provided that the subject matter or content is covered at some phase of
the programme.

The Scheme of Examination and distribution of marks shall be fixed by the

Board of Studies keeping in mind the academic load of each subject, minimum
requirements prescribed by Indian Nursing Council.

Criteria for Internal Assessment F, i

Appendix F : For internal assessment separate evaluation forms are enclosed for First
year and Second year separately.

- Periodical short test objective types of questions have to be asked.

- For average of internal assessment marks, performance in terminal and
preliminary exams and periodical short test should be calculated.
- The candidate should secure 50% marks in internal assessment in theory and
practical.
- There should be a gap of three weeks before the completion of preliminary exam
and commencement of first professional University examination.
- Internal assessment marks to be sent to University is shown in enclosed
evaluation form in theory and practicals one month before University
examination.
- Internal assessment marks are calculated for ranking system.
- In each subject candidate must obtain minimum of 50% of passing separately in
theory and practicals. Those successful candidates who pass the examination at
one and the same time and obtain 50% or more marks shall be declared to have
passed the examination in second class, 60% or more marks in first class, 75%
and above in first class with distinction. A candidate passing an examination
within the minimum prescribed period for the examination and obtaining not less
than 75% of the total marks prescribed in a subject shall be declared to have
passed the examination with distinction in that subject.
- The record of internal assessment marks must be properly maintained.
- There may be surprise inspection of internal assessment record by an authorised
officer of the University.
- There will be no A.T. K. T.
- There should be three attempts for appearing for examinations (Actual
examination in sequence).
- Students should be made aware of internal assessment marks.
- 25 % of objective type of questions out of total marks should be administered
separately at University examination.
- There should be 25% for theory and practical separately. 50% term exam, 50%
periodical exam.
- Board will specify methods of test.
- Printed format of case study, Seminars, care plans, family study and internal
assessment form to be supplied by the University.

Criteria for Eligibility for University Examination

- Attendance : 75% in lectures and 80% in non-lecture teaching programme.

- Practicals : There should be one internal and one external examiner.
- There should provision for re-totaling of marks within two months.

Staffing Pattern for College

for 50 to 100 Students
Administrative Staff
(1) Principal - 1
(2) Vice-Principal - 1
Department Professor Associated Lecturer Asst.
Lecturer
Prof./Reader
(Proportion 1:10)

Demonstrator (1:10)
1. Community Health
Nursing 1 1 1 5
2. OBS & GYN Nursing 1 1 1 3
3. Paediatric Nursing &
Child Health 1 1 1 3
4. Psychiatric Nursing 1 1 1 2
5. Medical-Surgical Nursing
including Fundamentals 2 3 4 3

1. All nursing teachers must possess a basic University or equivalent qualification

as laid down in the schedules of the Indian Council Act, 1947. They shall be
registered under the State Nursing Registration Act.

2. Nursing lecturer in nursing college except demonstrator/assistant lecturers must

prossess the requisite recognised post graduate qualification in nursing subjects.
3. Holders of equivalent post graduate qualification which may be approved by the
INC from time to time, may be considered have the requisite recognised post
graduate qualification in the subject concerned.

4. All teachers of nursing other than principal and vice-principal should spend at
least 4 hours in the clinical area for clinical teaching and / or supervision of care
every day.
Other Staff

(To be reviewed and revised and rationalised keeping in mind the mechanisation
and contract service)

Ministerial
(a) Administrative Officer 1
(b) Personnel Assistant 1
(c) Office superintendent 1
(d) PA to Principal 1
(e) Stenographers to professor 2
(f) Accountant / Cashier 1

Upper Divisional Clerk

(a) For Establishment 1
(b) For Admission 1
(c) For University examination 1

Lower Divisional Clerk

(a) For records 1
(b) Despatch work 1
(c) Maintenance of stores 1
(d) Typist 2
(e) Peon for Principal 1
Cyclostyling 1
Daftary 1
Staff 1
(f) Classroom attendants 2
(g) Sweepers 3
(h) Lab attendents for
fundamentals of nursing
Nutrition, Micro-biology &
 Bio-chemistry 3
(i) Watchman and chowkidars 4
(j) Lab Technicians 2
(k) A. V. Gestetner/Technician 1
(l) Driver for each vehicle 1
Other Staff

(a) Librarian 2
(b) Library Attendents 3

Hostel

(a) Wardens 2
(b) House Keepers 2
(c) Cooks, Bearers, Sweepers
according to ratio as
given in other University
Student hostel 2
(d) Ayas 4
(e) Watchman/chowkidars Depends on structural facilities
(f) Gardeners & Dhobi (desirable) ---------"---------

Community Health Staff

(a) Chowkidar cum Mali Depends on structural facilities

(b) Cook --------- "---------
(c) Aya --------- "---------
(d) Sweepers --------- "---------

Date : Dr. D. G. Dongaonkar

Vice-Chancellor

Prospectus of
First Year P.C. B.Sc. Nursing
Appearing in First half of 1999
 [ 1998 ]
Appendix 'C'
COMPREHENSIVE NURSING
First Year Theory - 60 Hours
Practicals - 100 hours

COURSE DESCRIPTION

This course will help students to develop understanding of the philosophy,

objective and responsibilities of Nursing as a profession. The purpose of the course is
to orient one to the current concepts involved in the practice of Nursing developments
in the Nursing profession.

OBJECTIVES
1. Identify professional aspects of Nursing.
2. Explain Theories of Nursing.
3. Identify ethical aspect of Nursing profession.
4. Utilise steps of nursing process.
5. Identify the role of nurse in various levels of health services.
6. Appreciate the significance of quality assurance in Nursing.
7. Explain current trends in health and Nursing.

COURSE CONTENTS

UNIT - I
Development of Nursing as a profession and its philosophy. Objectives and
responsibilities of a graduate nurse. Trends influencing nursing practice,
expanded role of the nurse. Development of nursing education in India and
trends in Nursing education - professional organisations, ten years planning.

UNIT - II
Ethical and legal issues in Nursing practice, trends in planning Nursing practice,
expanded role, concept of health and illness, effects on the person, stress and
adaptation.
Health care concept and Nursing care concept, developmental concept, need,
roles and problems of the developmental stages of individual - Newborn, infant,
toddlers, preadolescent, adolescent, adulthood, middle age, old age.

UNIT - III
Theory of Nursing practice - Metaparadigm of Nursing - characterised by for
central concept, i.e. Nurse, person (Client / patient) health and environment.
Five theories Virginia Hendersons Theory, Imogene King's General system
framework, Dorothy Orem's self care framework, Martha Rogers Science of
Unitary human beings/Newmans/theory.

UNIT - IV
Nursing process Assessment : Tools for Assessment, Methods, Recording,
Planning, Techniques for planning care, types of care plans. Implementation :
 Different approaches to care, organisation and implementation of care,
recording. Evaluation : Tools for evaluation, process of evaluation.

UNIT - V
Quality assurance : Nursing standards, Nursing Audit, total quality management.
Standing orders.

UNIT - VI
Epidemiology
Definition - concepts, Aims, objectives, methods, principles,
- Epidemiology - Theories and models.
- Application of Epidemiology, principles and concepts in community Health.

UNIT - VII
Primary health care concept, community oriented Nursing, holistic Nursing,
primary Nursing concept. Family oriented Nursing concept. Problem oriented
Nursing concept, progressive patient care concept.

UNIT - VIII
Health Education : Aims concepts and scope of health education. National plan
for health education, communication techniques, methods and media for health
education programme, planning for health education and role of nurse.
Practicals - At least 2 health talks by each student.

REFERENCES :-

1) Tapers Dictionary (annexure pages)

2) Samson & Luckmann, Basic Nursing, A Psycho-Physiological Approach
3) Potter - Fundamentals of Nursing

MEDICAL SURGICAL NURSING

Theory - 100 hrs
Placement - First year Practical - 260 hrs

COURSE DESCRIPTION
The purpose of this course is to widen the students knowledge and develop
proficiency in caring for patients with medical surgical problems. This course
includes review of relevant anatomy and physiology, pathophysiology in medical
surgical disorders and the Nursing management of these conditions.

OBJECTIVES
(1) Explain relevant anatomy and physiology of various systems of the body.
(2) Explain pathophysiology and biochemistry, biophysics in various disorders, in
applied form.
(3) Explain the actions, side effects and Nursing implications in administering drugs
in various disorders.
(4) Discuss the various advancement in diagnosis, treatment and care of patients
with medical surgical conditions.
(5) Develop skill in giving comprehensive Nursing care to patients following the
steps of Nursing process.
(6) Assist the patient and his family in identifying and meeting their own health
needs.
(7) Assist for different diagnostic procedures and operations related to medical
surgical conditions.
(8) Appreciate the role of the nurse in the medical surgical health team in the
hospital and in the community. (referral follow-up camps)
(9) Appreciate her role in physiotherapy, occupational therapy and rehabilitation.

COURSE CONTENTS

UNIT - I
Introduction to medical surgical Nursing -
- Review of concepts of comprehensive Nursing care in medical surgical
conditions.
- Nurse, patient and his family.
- Functions of nurse in OPD, ward and special departments.

UNIT - II
Nursing management of patients with specific problems -
- Fluid and electrolyte imbalance
- Fever
- Shock
- Unconsciousness
- Pain
- Acute illness
- Chronic illness
- Terminal illness
- Age related illness
- Pre and post operative care.

UNIT - III
Nursing management of patient with neurological & neuro surgical
conditions. Review of Anatomy and Physiology of the Nervous System.
- Pathophysiology, diagnostic procedures and management of Cerebrovascular
accidents,
Cranial, spinal and peripeheral neuropathies.
Headaches and intractable pain,
Epilepsy, infections and inflamatory diseases and trauma of Nervous system.
Recent advances in diagnostic and treatment modalities
Drugs used in these disorders.
Incontinence of urine / feaces

UNIT - IV
Nursing management of patients with cardiovascular
problems. Review of Anatomy & Physiology of Cardio
vascular system. Pathophysiology, diagnostic procedures.
management of ischacmic heart diseases, Myocardial
 infarction, cardiac arrhythmias, congestive heart failure. Rheumatic and other
Valvular heart diseases.
Endocarditis, cardiomypathies, congenital heart diseases.
Hypertension, Heart Block, cardiac emergencies - Cardiac arrest, acute
pulmanary oedema, cardiac tamponade, cardiogenic shock, Anemia and
periphero vascular disorders, recent advancement in cardiology.

UNIT - V
Nursing management of patients with respiratory problems.
- Review of Anatomy and Physiology of Respiratory system.
- Pathophysiology, diagnostic procedures and management of upper respiratory
tract infections
Dyspnoea and cough.
Bronchitis
Asthama
Emphysema
Bronchiectasis
Pneumonia
Pulmonary Tuberculosis
Lung abscess
pleural effusion
Tumours and cysts
Chest injuries
Respiratory arrest and insufficiency
Pulmonary embolism
COPD
Drugs used in the management of these patients.
Special respiratory therapies

UNIT - VI
Nursing management of patients with renal problems. -
Review of anatomy and physiology of the urinary system.
- Pathophysiology, diagnostic procedures and management of :-
- Nephritis
- Renal culculus
- Acute renal failure; Chronic renal failure.
- End stage of renal diseases
- Special procedures and renal transplant
- Drugs used in management of these patients

UNIT - VII
Nursing management of patients with problems of the Digestive system.
- Review of anatomy and physiology of gastrointestinal systems & Accessary
organs, Pathophysiology, diagnostic procedure and management of :-
G.I.Bleeding
- Peptic ulcer
- Infections
- Acute abdomen
- Colitis, Gastric ulcer, duodenal ulcer
- Cholecystitis
- Hepatitis, Hepatic coma and cirrhosis of liver
- Portal Hypertention.
- Pancreatitis.
- Tumours
- Drugs used in the management of these patients

UNIT - VIII
Nursing management of patient with endocrine problems.
- Review of Anatomy and Physiology of endocrine system.
- Pathophysiology, diagnostic procedures & Management of :-
- Thyroid disorders
- Diabetes mellitus
- Diabetic insipidus
- Adrenal tumours
- Pituatory disorders
- Drugs used in the Management of patients with endocrine problems

UNIT - IX
Nursing management of patients with musculo skeletal problems :-
- Review of Anatomy and Physiology
- Pathophysiology, diagnostic procedures & management of :-
- Arthritis, osteomylitis, bursitis,
- Fractures, dislocation and trauma
- Prolopsed disc
- Osteomalacia and Osteoporosis
- Tumours
- Amputation
- Drugs used in the management of there patients.
- Prosthesis and Rehabilitation

UNIT - X
- Nursing management of patients with disorders of female reproductive system
- Review of Anatomy & Physiology of reproductive system
- Disorders of menstruation
- Infections of the genital tract
- Benign and malignant tumors of the Genital tract
- R. V. F., V. V. F.,
- Climatic changes and associated problems

UNIT - XI
Nursing management of patient with oncological disorders.
- Types of neoplasms and related pathophysiology
- Diagnostic procedures
- Modalities of treatment and nurses role
- Special therapies, chemotherapy and Radiotherapy
- Preventive measures and other therapies

UNIT - XII
Nursing management of patients with burns
Nursing management of patients with reconstructive surgeries
UNIT - XIII
Nursing management of patients with immonological disorders including
HIV/AIDS

UNIT - XIV
Nursing management of patients with skin - diseases.
Review of Anatomy & Physiology of skin.
Principles in treatment of skin diseases
Acne vulgaris
Eczema
Parasitic infection
Pamphigus
Papillo - squamous disorder - psoriasis
Leprosy
S.T.D.
S.L.E.
Vitiligo
Nurses role in prevention of skin diseases
A.I.D.S.

UNIT - XV
Nursing management of patients with eye problems.
Review of Anatomy and physiology
Examination of Eye Pathophysiotherapy, diagnostic procedures and management
of :-
- Diseases of conjunctiva, cornea, sclera
- Diseases of the retina.
- Glucoma.
- Eye injuries.
- Disorders of vision.
- Cataract, causes, pre and post operative management
- Retinal detachment.
- Blindness, causes & prevention
- Strabismus.
- Common drugs used in Eye treatment

UNIT - XVI
Nursing management of patients with E.N.T. problems.
Review of Anatomy and Physiology of the ear
Disorder of external ear and their management
a. impacted cerumen
b. Foreign bodies
c. Neoplasms
d. Congenital deformities
e. Diseases of the middle ear, mastoid and management
Acute otitis media
Chronic suppurative otitis media
Acute and chronic mastoiditis and pre and post operative
management otosclerosis
 Disorder of the inner Ear
Dizziness and vertigo
Hearing inpairment
DISEASES OF NOSE
Review of Anatomy and physiology of nose
Common disorder of the nose and their management
Epistaxis
Deviated Nasal septum
Acute and chronic Rhinitis
Acute and chronic sinusitis
Nasal polyps and growths
DISEASES OF THROAT
Review of anatomy and physiology of throat
Common condition and their management
Adenoids
Naso-pharyngeal growths, benign and malignant
Tonsillitis, Acute and chronic
Peritonsillar abscess and retro - pharyngeal abcess
Laryngitis, larayngeal oedema and growth
Tracheostomy indications pre and post operative management.

UNIT - XVII
Nursing in emergencies -
- Cardiac emergency
- Respiratory emergency
- Trauma
- Poisoning
- Crisis management
- Adrenal crisis
- Thyroid crisis
- Hypertensive crisis
- Disaster management.

PRACTICUM
According to the required learning experiences, students will be rotated in the
selected areas like cardio Thorasic, Neurology, neuro-surgery, Nephrology,
Urology, Orthopaedics, Gynaecological, Oncology, Burns and reconstructive,
surgical units. Through out their placement in Clinical areas, the students will
be given patients assignment. They will Practice, Patient centred comprehensive
Nursing. Each student is required to give planned health teachings, conduct
Clinical teaching, case presentation drug study.

REFERENCES

1) Shaffers - Medical Surgical Nursing.

2) Walson's - Medical Surgical Nursing & Related Physiology
3) Lippincott - Manual of Nursing Practice.
4) Long & Phipps - Medical Surgical Nursing
5) Luckman & Sorenson - Medical Surgical Nursing
6) Luckman & Black - Medical Surgical Nursing
7) Brunner - Medical Surgical Nursing
8) Tor Tora - Principles of Anatomy & Physiology

MATERNAL NURSING
Theory - 60 hrs.
Placement - First Year Practical - 200 hrs.

COURSE DESCRIPTION

This course is designed to widen the student's knowledge of obstetrics during

pregnancy, labour and Puerperium. It also helps to acquire knowledge and develop
skill in rendering optimum Nursing care to a child bearing mother in a hospital or
community and help in the management of common gynaecological problems.

OBJECTIVES

At the end of the course, the student will;

(1) Describe the physiology of pregnancy, labour and Puerperium and manage
normal conditions.
(2) Explain the physiology of lactation and manage post - partum period.
(3) Be skilled in providing pre and post operative Nursing care in obstetric conditions.

(4) Identify and manage high risk pregnancy, labour and post natal mother.
(5) Teach, guide, supervise the Basic Nursing students and help in continuing
education.
(6) Implement family welfare programme.

COURSE CONTENTS

UNIT - I
- Introduction and Historical review.
- Planned parenthood.
- Maternal morbidity and mortality rates.
- Legislations related to maternal benefits, MTP act, Family Welfare Programme.
- Safe motherhood.
- Reproductive child health.

UNIT - II
- Review of anatomy and physiology of female reproductive system.
- Review of physiology and management of pregnancy labour and puerperium.

UNIT - III
- Management of newborn baby and high risk approach to a new born baby.

UNIT - IV
- Management of minor ailments associated with pregnancy.
- Management of major ailments associated with pregnancy.
- High risk approach during pregnancy, labour and puerperium.
- Diseases associated with pregnancy and its management.
- Pregnant women with HIV and AIDS.
- Abnormal labour (malposition and malpresentation)
- Complications and management during labour.
- Management in post-natal period.
- Complications and management in PNC period.
- Breast feeding.

UNIT - V
- Drugs used in pregnancy, during labour and post partum period.

UNIT - VI
- National family welfare programme and role of nurse.
- National programme for welfare of women.
- Infertility and its management.
- Problem associated with pregnancy, labour and post - partum period (e.g.
unwanted pregnancy, unwed mothers)

PRACTICAL

The students will be rotated in the following areas.

- ANC CLINIC
- MCH CLINIC
- ANC WARD
- LABOUR ROOM
- POST NATAL WARD
- O.T.
- M. T. P. ROOM
- NURSERY

- Write two case studies and two care plans by each candidate.
- Give atleast two health talks to mothers.
- Follow nursing process in providing nursing care to 3 to 6 patients.
- Practice of following nursing procedures :
- ANC, PNC, Examination.
- PV examination
- Normal delivery
- Stitching of episiotomy.
(For male candidate if he has not done midwifery in GNM programme,
minimum conduction of ten deliveries)
- Motivation for family for adopting planned parenthood and family planning
methods.
- Assist in various diagnostic and therapeutic procedures including IUD insertion
and removal.
- Practice above knowledge in community health clinical experience.

VISIT
- Welfare management for women and write observation report
REFERENCES
1) Benet - Myles Textbook for Midwives
2) Dawn - /textbook of Obstetrics

CHILD HEALTH NURSING

Theory - 60 hrs.
Placement - First year Practical - 240 hrs.

COURSE DESCRIPTION

This course is aimed at developing and understanding of the modern approach to

child care, the common health problems of children and to be able to meet the needs
of neonates and children in health and sickness.

OBJECTIVES

At the end of the course, the student will :

(1) Explain the modern concept of child care and the principles of child health
nursing.
(2) Describe the normal growth and development of children at different ages.
(3) Manage sick as well as healthy neonates and children.
(4) Identify various aspects of preventive paediatric Nursing and apply them in
providing nursing care to children in hospital and community.

COURSE CONTENTS

UNIT - I
- Introduction.
- Modern concept of child care.
- Internationally accepted rights of the child.
- National policy and legislation in relation to child health and welfare.
- National programmes related to child health and welfare.
- Changing trends in hospital care, preventive, promotive and curative aspects of
child health.
- Child morbidity and child mortality rates.
- Differences between adult and child.
- Hospital environment for a sick child.
- Role of paediatric nurse in caring for a hospital fed child.
- Principles of pre and post operative care of infants and children.
- Paediatric nursing procedures.

UNIT - II
- The healthy child.
- Growth and development from birth to adolesence.
- Meeting the needs of normal children through the stages of development and
parental guidance.
- Nutritional needs of children and feeding of infants and children - breast feeding,
supplementary and artificial feeding and weaning.
- Accidents - principle causes and prevention.
- Value of play and selection of play material.
- Preventive immunization.
UNIT - III
- High risk approach.
- Nursing care of a neonate.
- Nursing care of a normal newborn.
- Neonatal resuscitation.
- Nursing management of common neonatal disorders.
- Gastrointestinal infestations.
- Cardiovascular problems - congenital defects and rheumatic fever.
- Respiratory Problems
- Genitourinary disorders - Nephrotic Syndrome, wilm's tumor, infection and
congenital disorders.
- Neurological infection and disorders - convulsion, epilepsy meningitis
hydrocephallus spine bifida.
- Endocrine disorders - Juvenile Diabetes Mellitus.
- Hematological disorders - Anaemia, thalassemia, ITP. Leukemia, hemophilia.
- Orthopedic disorders - club feet, hip dislocation and fracture.
- Disorders of skin, eye and ears.
- Common communicable diseases in children, their identification, nursing
management in hospital and at home and prevention.
- Paediatric emergencies - poisoning, foreign bodies, hemorrhage, burns and
drowning.

UNIT - IV
- Management of behaviour disorders in children.
- Management of handicapped children.
- Mentally handicapped.
- Socially handicapped.

PRACTICUM
The student will :
- Be posted in pediatric medical and surgical ward, OPD in hospital and health
centre and neonatal unit.
- Visit a centre for handicapped children and child welfare centre and write
observation report.
- Write an observation study of normal children at various age groups in
home/Nursery school/Creche.
- Follow nursing process in providing care to 3-6 children.
- Write at least two nursing care studies and do a presentation.
- Give two planned health teachings, one in hospital and one in OPD / health
centre.
- Practice the following nursing procedure.
- Taking pediatric history.
- Physical assessment of children.
- Baby bath.
- Feeding.

REFERENCES
 1) Nelson - Textbook of Paediatrics
2) Marlows - Textbook of Paediatrics
3) Achar S.T. - Textbook of Paediatrics in tropical conuntries.
MICROBIOLOGY
Theory - 60 hrs.
Placement - First Year Practical - 30 hrs.

COURSE DESCRIPTION

This course reorients the student to the fundamentals of microbiology and its
various sub-divisions. It provides opportunities to gain skill in handling and use of
microscope for identifying the various micro-organisms. It also provide opportunities
to safe handling of materials containing harmful bacteria and methods of destroying
micro-organisms.

OBJECTIVES

(1) Identify common disease producing micro-organisms.

(2) Explain the basic principles of microbiology and their significance in health and
disease.
(3) Demonstrate skill in handling specimens.
(4) Explain various methods of disinfections and sterilization.
(5) Identify the role of the nurse in hospital and infection control system.

COURSE CONTENT

UNIT - I
Structure and classification of microbes.
Morphlogical types.
Size and form of bacteria.
Motility.
Classification of Micro-organism.
Lab Practical
Use and care of microscope
Common examination : smear, blood, yeast, moulds.

UNIT - II
Identification of micro-organisms
Discussion of laboratory methods
Diagnosis of bacterial diseases.

Lab Practical
Staining technique - gram staining, acid fast staining, hanging drop preparation.

UNIT - III
Growth and nutrition of microbes
Temperature
Moisture
Blood
Lab Practical
Preparation of media and culture technique
collection, handling and transportation of various specimen.
UNIT - IV
Destruction of micro-organisms
Sterilization and disinfection.
Chemotherapy and antibiotics
Effects of heat and cold.
Hosp. infection control procedure and role of nurse

Lab and Ward Practical

Sterilisation methods - physical, chemical and mechanical.

UNIT - V
Disease producing micro-
organisms Gram positive bacilli
Tuberculosis and Leprosy
Anaerobes
Cocci
Spirochaete
Ricketasiae
Lab Practical
Identification and study of the following bacteria - strepto-cocci, pneumococci,
and staphylococci, coryne-bacteria, spirochetes and gonococci, enteric bacteria
and uninary organisms, posting in infection control dept.

UNIT - VI
Pathogenic fungi
Dermatophytes
Systemic mycotic infection
Laboratory diagnosis of mycotic infection

UNIT - VII
Immunity
Immunity and hypersensitivity - skin test
Antigen and antibody reaction
Immunisation in disease

Lab and OPD Practical

Demonstration of serological methods

UNIT - VIII
Parasites and vectors
Characteristics and classifications of parasites
Protozoal infection including amoebiasis
Helmintheiasis infection.
Diagnosis of parasitic infection
Vectors and disease transmitted by them
Lab practical
Identification of parasites and Vectors

UNIT - IX
Viruses
Classification and general character of viruses
Diseases caused by viruses in man and animal and their control

UNIT - X
Micro-organism
Food poisoning, food born infections

PRACTICUM
Each student will practice in the laboratory twice a week for 2 hours a day. They
will practice as indicated in each unit of the course outline. While giving nursing
care in the ward they will practice collection and processing of specimens,
prevention and control of hospital infections, sterilisation, immunisation,
chemotherapy and maintenance of personal and environmental hygiene.
Observation visit to incinerator, posting in C.S.S.D. and infection control dept.

REFERENCES

1. Introduction of medical microbiology by R. Ananthanarayan.

2. The Short Text Book of Medical Microbiology by Satish Gupta (Jaypee Brothers
Medical Publishers G.16 EMCA House 23/23B, Ansare Road, P.B. 7193,
Daryaganj, New Delhi)
3. Microbiology with application to nursing by Catherine Jones Witton (Mc Graw -
Hill Series in Nursing Mc Graw - Hill Book Compay, Inc. New York, Toronto,
London)
4. Medical Parasitology by N. C. Dey and T. K. dey. (Allied Agency, 36, Dr
Sundari Mohan Avenue, Calcutta - 14)
5. Human Parasitic Disease by K. D. Chatterjee.

SOCIOLOGY
Theory - 60 hrs.
Placement - First Year Practical - 30 hrs.

COURSE DESCRIPTION

This course is to reorient student to sociology related to community and social

institution in India and its relationship with health, illness and nursing.

OBJECTIVES

1. Describe sociological concepts that are applicable to nursing.

2. Determine role of sociology in nursing as related to social institution in India.
3. Develop positive attitudes towards individual, family and community
COURSE CONTENTS

UNIT - I
- Importance of study of sociology in nursing relationship of anthropology,
sociology etc.

UNIT - II
- Individual and the society.
- Socialization
- Interdependence of individual and society.
- Personal disorganisation.

UNIT - III
- Culture
- Nature of culture
- Evolution of culture
- Diversity and uniformity of culture

UNIT - IV
- Social organisation
- Social groups, crowds and public groups, nations, race. Social institutions : The
family marriage, education, religion, arts, economic organization, political
organisation. The community : Ecology, characteristics of the village.
- Characteristics of the town and city, social satisfaction : Class and caste.

UNIT - V
- Social process
- Process of social interaction : competition, conflict-war, cooperation,
accommodation and assimilation.

UNIT - VI
- Social change
- Nature and process of social change : Factors influencing cultural change.
Cultural lag.
UNIT - VII
- Social problems
- Social disorganisation, control and planning, poverty, population, housing,
illiteracy, food supplies, growth of urbanisation, prostitution, minority groups,
right of women and children, child labour, child abuse, delinquency and crime,
substance abuse.

Note : Field visits such as orphanage, Nari Niketans, Jail, Reform School, old Age
Home etc. Suggested a project work intergrated with community health posting.

REFERENCES

1. Human Society by Kingsley Davis, Surgeet Publications.

2. Social Problems and Society Disorganisation in India by C. B. Mamoria.
 PSYCHOLOGY
Theory - 40 hrs.
Placement - First Year Practical - 10 hrs.

COURSE DESCRIPTION

This course is designed to reorient and widen the student's knowledge of

fundamentals of psychology. The student is offered an opportunity to apply the
theoritical principles in the abnormal setting and there by understand the
psychodynamics of patient behaviour. This course would also help the student to
develop an insight into her own behaviour.

OBJECTIVES

1. Apply psychological principles while performing nursing duties.

2. Distinguish the psychological processes during health and sickness.
3. Analyse her own behaviour patterns.
4. Tabulate the psychological needs of the patients for planning nursing care.
5. Participate in psychometric assessment of the client.

COURSE CONTENTS
UNIT - I
Introduction : Definition of psychology, scope and methods of psychology.
Relationship with other subjects.

UNIT - II
Sensation, attention and preception : Definition, sensory processes. Normal and
abnormal attention and distraction. Contributory factors. Characteristics of perception.
Perception : normal and abnormal.

UNIT - III
Motivation : Definition and nature of motivation.
Biological and social motives.
Frustration and conflicts
Self - actualisation.

UNIT - IV
Emotion - Definition of emotions
Expression and perception
Emotions in sickness.

UNIT - V
Personality - Definition, constituents of personality, personality disorders and nursing.
UNIT - VI
Psychological aspects of nursing.
Behaviour in sickness.
Psychological needs of (a) Child (b) Adult (c) Aged (d) Attendants (e) Chronically ill
inividuals.
UNIT - VII
Individual differences - Significance of individual difference, Heridity and
environment.
Role of individual differences both in health and sickness.
Implications of individual differences in nursing.

UNIT - VIII
Intelligence and abilities -
Definition, intelligence and abilities during sickness.
Measurement of intelligence and abilities.

UNIT - IX
Learning - Definition, Conditions of learning, laws of learning, learning during health
and sickness.

UNIT - X
Memory and forgetting - Definition and nature of memory, memory during health
and sickness, Forgetting during health and sickness

UNIT - XI
Attitudes - Definition, development and modification.
Role of attitudes in health and sickness.

PRACTICUM
(a) Simple experiments on (1) preception (2) measuring thresholds (3) Reaction
time.
(b) Administration of psychological tests.
(e) Observation and recording data (1) field observation (2) interview (3) Care study
(4) Self rating.

REFERENCES

1) Bhatia & Cracg - Elements of Psychology & Mehta/Hygiene

2) Andres Mc. Ghee - Psychology applied to Nrusing
3) Kupuswamy & Prabhu - General Psychology
Robert C. Culfee - Human experimental psychology.

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