CHN Golden key Points

1. AYUSH :- (Alternate medicine system)

• AYUSH ward originated in NRHM

• In 2014 AYUSH ministry form

2. Homeopathy :-

• Germany origin

• Father of Homeopathy :- Sammuel hahnemann

3. Highest AYUSH Dr. :- Maharashtra

4. Lowest AYUSH Dr. :- Nagaland

5. Health :-

• Health is a state of complet physical, mental and social wellbeing not

merely absence pf

disease

• By WHO in 2004

6. Health add new concept :-

• Health also includes social and economic productive life

• In 2014

7. Disease :- Actual change in body parts and function

• And inbalance in internal and external environment

8. Illness :- Subjective feeling of being ill (personal view )

9. Sickness :- objective feeling of being ill (society view )

10. 1st disease development theory

• Germ theory by Luis pasteur

• For a disease micro organism should be contact to human being

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11. Ice berg phenomena :-

• Tip :- Clinical case by doctor

• Line of demarcation :- Borderline case

• Submerged portion :- Subclinical hidden case

12. Disease elimination :-

• Removing of disease prodecting agent from a geographical area and

country

A. Guinea worm :-

• Last case :- 1996 (jodhpur )

• Elimination :- 2000

B. Leprosy :- elimination 2005

C. Yaws disease :- elimination 2016

D. Polio :-

• Elimination 2014

• WHO certificate 2016

E. M.T and N.T.T :- Elimination :- 2016

13. Disease Eradication :-

• Complet removal of micro organisms from whole world

A. Smallpox :-

• India Eradication :- 23 April 1977

• World Eradication :- May 1980

B. Polio virus 2nd :-

• Eradication :- 2015

14. Vaccine term :- Louis pasteur

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15. Vaccination term :- Edward jenner

16. 1st vaccine developed :-

• Smallpox in 1796

• By Edward jenner

17. Live attenuated vaccine :- Bacteria or virus are live

Trick :- Boy Love The Crime

• B :- BCG

• O :- OPV

• Y :- Yellow fever

• Love the :- Live Typhoid (orally :- Ty21a)

• C :- Chicken pox

• R :- Rubella

• I :- Influenza

• M :- Measles, Mumps

• E :- Endemic Typhus

18. Killed vaccine :- Bacteria and virus are killed

Trick :- Japan ki khir

• Japan :- Japanese Encephalitis

• Ki :- Killed Influenza

• K :- Kyasannure forest disease

• H :- Hepatitis b

• I :- IPV

• R :- Rabies

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19. Toxoid vaccine :- prepared from bacterial toxin

• D.T.

• T.T.

20. Cellular fragment vaccine :-

• Vaccine are prepared from bacterial cellular fragments ( cell wall,

nucleus, protein material )

• Pneumococcal vaccine

• Meningococcal vaccine

21. Combined vaccine :-

• DPT

• MMR

• Penta violent :- DPT + Hepatitis b + Hib vaccine

22. In pregnancy all live vaccine contraindicated

23. HIV :-

• Asymptomatic :- vaccine not contraindicated

• Symptomatic :- Live vaccine contraindicated

24. Child with active neurological disorder

• Control :- No contraindicated

• Uncontrol :- Pertussis contraindicated

25. Pts with corticosteroid and immunotherapy :- All live vaccine

contraindicated

26. Influenza adverse reactions :- G.B.S. (Gullein bar syndrome )

27. OPV adverse reactions :- Vaccine associated paralytic polio

28. MMR adverse reactions :- T.S.S. (Toxic shock syndrome )

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29. Two live vaccine can be given symmetrical with different routes

30. One live and killed vaccine can be given symmetrical with different
routes

31. Most live vaccine single dose produces immunity except OPV

32. Minimum 4 weeks gap should be maintained between 2 doses

33. 1st BCG vaccine :- 1921

• By M. Bouis

34. WHO BCG strain use :- DANISH 1331

35. BCG vaccine dailute :- N.S.

36. Diluted B.C.G vaccine used with in 4 hrs

37. During B.C.G vaccine used syringe :- tuberculin or omega stat

38. B.C.G vaccine Permanent Scarab :- 6 to 12 hrs

39. Amount of B.C.G :-

• At birth :- 0.05ml

• After 1 month :- 0.1 ml

40. Route of B.C.G :- ID (Left deltoid area )

41. B.C.G vaccine prepared at guindey Chennai

42. BCG vaccine Complication :-

• Ulcer formation

• Lymph adenopathy

43. Measles vaccine develop :- Chick Embryo cell

44. WHO measles strain used :- Edmontos Zagreb

45. Measles vaccine Diluted :- Distilled water and sterile water

46. Diluted measles vaccine use with in 4 hrs

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47. Measles amount :- 0

5 ml

48. Measles dose :- 2 doses

• 1st :- 9 month

• 2nd :- 16 to 24 month

49. Measles route :- S.C. (Right upper arm )

50. Measles vaccine complication :- T.S.S.

51. DPT vaccine :- it is persent liquid form not store in freezer

52. DPT amount :- 0.5 ml

53. DPT route :- IM (Anterior lateral thigh)

54. DPT doses :- 5 doses

• 1st :- 6 week

• 2nd :- 10 week

• 3rd :- 14 week

• 4th :- 16 to 24 month

• 5th :- 5 to 6 yrs

55. DPT vaccination may produce fever :- Manage PCM and Home
management

56. Live polio vaccine :-

• Sabin :- OPV

57. Killed polio vaccine :-

• Salk :- IPV

58. IPV :- (Inactivated polio vaccine)

• Route :- S.C. / IM

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• Amount :- 0.5 ml

• Dose :- 4 dose

• 1st 3 dose 1 month interval

• 4th dose after 6 month

59. FIPV :- (Fractional IPV)

• Amount :- 0.1 ml

• Route :- ID

• Doses :- 2 doses

• 1st dose :- 6 week

• 2nd dose :- 14 week

60. OPV :-

• Amount :- 2 drops (0.1ml)

• Doses :- 5 dose

• 1st :- at birth

• 2nd :- 6 week

• 3rd :- 10 week

• 4th :- 14 week

• 5th :- 16 to 24 month

61. Switch program :-

• Start :- 25 April 2016

• Trivalent vaccine (polio virus 1,2,3rd) change in Bivalent vaccine (polio

vaccine 1 and 3rd )

62. National validation day :-

• 9 may 2016 all trivalent vaccine destroyed

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63. V.V.M. it is used for vaccine potency

• By V.V.M. we can check potency of cold chain system

64. Most heat Sensitive vaccine

• BCG (Diluted)

• Yellow fever

• Polio

• Measles (Diluted)

• Measles

• DPT

• Hepatitis b

• D.T.

• T.T.

65. Most heat resistant vaccine

• T.T.

66. EPI (Expanded program on immunization )

• World :- 1974

• India :- 1978

67. EPI change in UPI

• Universal immunization program

• 1985

68. Mission Indradhanush :-

• 25 December 2014 (Haryana)

69. Intensified Indradhanush program :-

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• 8 October 2017

• ASHA work promote

70. Primary pregnancy T.T guideline

A. Latest guideline :- 2 dose

• 1st dose :- as early as possible

• 2nd dose :- 1 month gap

71. Multigravida pregnancy with in 3 yrs

• If 1st pregnancy 2 dose T.T. Complet with in 8 month

• Only booster dose T.T.

72. Multigravida pregnancy with in 3 yrs

• If 1st pregnancy 2 dose T.T. Complet 8 to 9 month

• 2 dose T.T.

73. Multigravida pregnancy with in 3 yrs

• If 1st pregnancy 2 dose T.T. complet just before and just after delivery

• 2 dose T.T.

74. Infant vit. A dose :- 1 lakh IU (1ml)

75. More the 1 yrs baby vit. A dose :- 2lakh IU (2ml)

76. Vit. A dose and amount

• Dose :- 9 dose

• Amount :- 17 lakh

77. Vit. A :- 9 dose

• 1st :- 9 month :- 1 lakh (1ml)

• 2nd :- 18 month :- 2 lakh (2ml)

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• 3rd :- 24 month :- 2 lakh (2ml)

• 4th :- 30 month :- 2 lakh (2ml)

• 5th :- 36 month :- 2 lakh (2ml)

• 6th :- 42 month :- 2 lakh (2ml)

• 7th :- 48 month :- 2 lakh (2ml)

• 8th :- 54 month :- 2 lakh (2ml)

• 9th :- 60 month :- 2 lakh (2ml)

78. Polio vaccine storage :-

• Short time :- +2 to +8⁰ C

• Long time :- -20 to -40⁰ C

79. Yellow fever storage :- -30 to +5⁰ C

80. All vaccine storage :- +2 to +8⁰ C

81. Diluted vaccine storage :- +2 to 8⁰ C or Room temperature

82. Vit. A :- No Cold storage only room temperature

83. Regional level storage :-

• Walk in cold room :- +2 to +8⁰ C

• Walk in freezer :- -20 to -40⁰ C

• 3 month storage

84. District level storage :-

• ILR (Large ) :- +2 to +8⁰ C

• IL freezer :- -20 to -40⁰ C

• 1 month storage

85. PHC Level storage :-

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• ILR (small) :- +2 to +8⁰ C

• 1 month storage

86. Vaccine carrier and day carrier :- 48 to 72 hrs storage

87. The failure of Cold chain system maximum at sub center or

peripheral level

88. Ice pack :-

• Capacity :- 320 to 350 ml water

89. Bhore committee :- 1946

• Also known as :- health survey and development committee

• 3 million plan

90. Mudaliar committee :- 1962

• Also known as health survey and planning committee

91. Chadha committee :- 1963

• Also known as study on necessary arrangements of maintenance

phase of national malaria

eradication program

92. Mukherjee committee :- 1965,1966

93. Jungalwala committee :- 1967

• Also known as committee on integration of health services

94. Kartar Singh committee :- 1973

• Also known as committee on multipurpose worker under family

planning

95. Shrivastav committee :- 1975

• Also known as committee on medical education and support group

96. 1st five year plan :- 1951 to 1956

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• Focus :- agriculture

97. Last five year plan :- (12th) 2012 to 2017

• Focus :- Health education and growth and development rate increase

98. NITI Ayoge :- 2015

• National institution for transforming India

• Chairman :- P.M.

99. Primordial prevention :-

• Prevention of development of risk factors

• It focus :- Health education (Individual and mass health education)

Ex. :-

• Prevention of childhood obesity

• Lifestyle modification

• No use of tobacco and smoking

• Appropriate nutrition

100. Primary level of prevention

• The risk factor all ready present but disease yet not developed

• Focus :- Prevention of disease development

• It include :- health promotion and specific protection

Ex. :-

• Use of immunization

• Contraception

• Use of helmet

• Use of bednet and mosquito cream

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• Isolation

• Prophylactic treatment

101. Secondary level of prevention

• In this disease is already developed

• It focus :- prevention of Complication or progress of disease

• It include :- early diagnosis and early treatment

Ex. :-

• Health checkup and screening program

• Pap smear screening for cervical cancer

• Self breast examination

• School health checkup

• DOTS therapy for TB pt.

102. Tertiary level of prevention

• It focus on improving quality of life after disease occurence

• It includes disability limitations and rehabilitation

Ex. :-

• Use of Crunches in polio person

• Plastic surgery for reconstruction

• Use for artificial limbs

103. Quaternary level of prevention

• It new concept

• It includes avoidance of unnecessary health practice

• Also include avoidance of misuse of drugs

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104. 1st line defense system :-

• Physical barrier :- Skin and mucus membrane

• Chemical barrier :- Body secretion

105. 2nd line defense system :- Neutrophils (phagocytic cell )

106. Monocytes (macrophages cell) present in every tissue/ organs

• Kuffer cell in Liver

• Alveoli cell in lungs

107. 3rd line defense system :-

• Cellular immunity :- T cell (mature in thymus gland)

• Humoral immunity :- B cell (mature in red bone marrow )

108. Immunoglobulin consisted of glycoprotein

109. IgG :-

• Highest amount of immunoglobulin (80 to 85%)

• It cross the placenta barrier

110. IgA :-

• 2nd highest Ig (10 to 15%)

• It is present in saliva ,tear, breast milk and body secretion

111. IgM :-

• It is the highest in size

• 3rd highest Ig (10%)

112. IgD :-

• It is present in 1 to 2%

• It is surface Ig

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113. IgE :-

• It helps in allergic and hypersensitivity reactions

114. Epidemic :-

• Out break of a disease in a community or geographical area

• Epidemic affects large population in geographical area

• Ex. :- Food poisoning, chickenpox, measles, TB ,HIV

115. Endemic :-

• Constant present of a disease in a community

• It does not affect large population

• Ex. Comman cold, malaria, diphtheria

116. Pandemic :-

• Affecting large population more than one geographical area (from

country to country)

• Ex. :- Corona virus, blood flu, Ebola virus, Zika virus

117. Incidence :-

• Number of new cases occurring in a defined population during specific

periods of time

• Incidence rate expressed as per 1000

118. Prevalence :-

• Total number of case (new +old) in a given population over a period

of time

119. IMR :- Infant mortality rate

• It is expressed as 1000 per live birth

• IMR is second most indicator of socio economic development of a

country

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• Most common cause of IMR in India :- LBW

• Most common cause of IMR in world :- Pneumonia

120. IMR in India :- 34/1000 live birth

• IMR in world :- 34/1000 live birth

121. Highest IMR rate in India :- MP

122. Lowest IMR rate in India :- Goa

123. NNMR :- Neonatal mortality rate

• Early NNMR :- 1st week of life

• Late NNMR :- 1st to 4th week of life

• Most common cause of NNMR in India :- preterm

• Most common cause of early NNMR in India :- prematurity

• Most common cause of late NNMR in India :- infection

124. NNMR in India :- 25/1000 live birth

125. MMR :- Maternal mortality rate

• MMR expressed as 1,00,000 live birth

Couse :-

• Haemorrhage (25%) PPH

• Indirect causes (20%)

• Infection (15%)

• Abortion (13%)

126. MMR in India :- 167

127. MMR in world :- 210

128. CMR :- Child mortality rate

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• CMR expressed as 1000 live child

• Most common cause of CMR in India :- Diarrhoea and respiratory

infection

• Most common cause of CMR in world :- accidents

129. Under 5 year mortality rate is single best indicator of socio

economic development and

well being

130. CMR in India :- 43/1000

131. CMR in world :- 41/1000

132. PNMR :- perinatal mortality rate

• Include late fetal and early neonatal death

• In India 28 weeks to 7 day of life

• WHO :- 22 weeks to 7 day of life

133. Droplets infection :-

• Saliva or nasopharyngeal secretions during coughing, sneezing or

speaking

• 10 mm or large particle trapped by nose and 5 mm less reach to

alveoli

• Distance :- 30 to 60 cm

134. Incubation period :-

• it is time interval between invasion by an infections agent to

appearance of 1st sign or

symptoms of disease

135. Period of communicability :-

• Aslo known as isolated period

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• It is time during which an infections agent may be transferred directly
from an infected

person to another person

136. Window period :-

• It is time interval from entry of microorganism to 1st time Antibody

detected in blood

137. Macule :- Well described flat lesion and change in skin color

138. Papules :- these are solid lesion, raised above the skin or mucus
membrane size less than 1

cm

139. Plaque :- solid lesion raised skin size more than 1 cm

140. Nodules :- deeper in dermis and solid lesion

141. Vasicle :- elevated lesion (blister) seen on surface of mucosa clear

fluid and size less than 1

cm

142. Bullae :- elevated lesion (blister) clear fluid more than 1 cm

143. Pustule :- small elevated skin lesion with pus materials

144. Wheals :- A rounded or flat topped pale red papule

145. Isolation :- separation ill person during periods of communicability

146. Quarantine :-

• separation well person (person is affected with disease but no Clinic

features)

• Yellow fever 6 day quarantine period

147. Pleomorphic rashes

• All skin rashes are seen together (macule,papules, vesicle)

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• Ex. :- Chickenpox rashes

148. Centripetal :-

• Rashes spread from trunk to extermities

• Ex. :- chickenpox

149. Centrifugal :-

• Rashes spread from extermities to trunk

• Ex.:- Smallpox

150. Sub Center :- 100% sponsorship by central government

151. Sub Center population covered :- 3000 to 5000

• Plain area :- 5000

• Hilly area :- 3000

152. Sub Center kit services :-

• Kit A and B :- drug kit

• Kit C :- delivery kit

153. Kit. A :-

• ORS

• IFA tablets (large and small)

• Folic acid syrup

• Cotrimaxazole tablet

• Vit. A syrup

• Zinc tablet

• G.v. dye

154. Kit. B :-

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• Ergometrine tablet and injection

• PCM tablet

• Povidine iodine (betadine)

• Cotton roll

• Gauze pieces

• Albendazole tablet

155. Surgical site skin preparation use :- 10% betadine

156. Wound Cline use :- 3% or 6% hydrogen peroxide

157. PHC population covered :- 20,000 to 30,000

• Plain area :- 30,000

• Hilly area :- 20,000

158. Ideally one PHC covered :- 4 to 6 sub Center

159. One PHC :- 4 to 6 bed

160. PHC kit services :- Kit D (delivery kit)

161. One medical officer is the incharg of PHC

162. CHC :- 1st referral unit

163. CHC population covered :- 80,000 to 1,20,000

• Plain area :- 1,20,000

• Hilly area :- 80,000

164. One CHC covered :- 4 to 6 PHC

165. CHC kit services :- Kit E to Kit P

166. One CHC bed :- 30 bed

167. RHS :-

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• Rural health scheme

• 1977

168. Village health guide :- 2 oct. 1978

• 6th standard education

• Local person

• Training time :- 300 hrs (2 month)

169. Dai :-

• Also known as TBA (Traditional birth attendant)

• Training time :- 30 days (1month)

• Trained dai :- Minimum 2 delivery in supervision of ANM

170. Primary health care concept :-

• Alamata conference

• 1978 by WHO

171. Primary health care concept means :-

• Essential health services which are scientifically sound, universally

acceptable with

community participation and all low cost

172. Panchayat raj system start :- 2 oct 1959, nagor ,Rajasthan

173. WHO :- World health organization

• Established :- 7 April 1948

• Headquarter :- Geneva,Switzerland

• Slogan :- health for all

174. WHO 2019 theme :- Universal coverage of health every one every
where

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175. WHO 2020 theme :- support nurses and midwives

176. UNICEF :-

• United nations International children emergency fund

• Established :- 11 dec. 1946

• Headquarter :- new York

177. UNICEF guideline :- GOBI+3F

• G :- growth monitoring

• O :- ORS

• B :- breast feeding

• I :- immunization

• F :- family planning

• F :- female education

• F :- food Fortification

178. Breast feeding day :- 1st week of August

179. CARE :- Cooperative for assistance and relief every where

• Established :- 1945

• Headquarter :- Geneva,Switzerland

180. CARE in India support :- ICDS scheme

• Integrated child development services scheme

181. Red cross :-

• Red cross committee by Henry Dunant in 1864

• Red cross league society :- 1919

• Headquarter :- Geneva,Switzerland

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182. Red cross in India :- 1920

183. ILO :- international labour organization

• Established :- 1919

• Headquarter :- Geneva,Switzerland

184. FAO :- food and agriculture organizations

• Established :- 1946

• Headquarter :- Rome, Italy

185. World bank :-

• Established :- 1945

• Headquarter :- Washington DC , USA

186. UNDP :- United nations development program

• Established :- 1964

• Headquarter :- new York

187. Pearl index :- It is used to assess effectiveness of contraception

• It is show failure rate

188. Most effective contraception :-

• Oral combined pills :- 0.1 to 0.5%

• IUD :- 0.5 to 2.0

• Male condom :- 2 to 14%

• Female condom :- 5 to 21%

189. Vasectomy :- removal/ cutting of vase deference

190. Tubectomy :- removal / cutting of Fallopian tube

191. Post procedure care (Vasectomy) :-

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• The person will sterile after 30 ejaculation (3 month)

• Avoid heavy physical activity for 15 days

• T bandages for 15 days

192. Male condom :-

• Made by latex

• Single ring

193. Female condom

• Made by latex

• Double ring

194. Diaphragm :-

• Other name :- douche cap

• It is used before sexual activity as a cervical cap

• It is mead of silicon

• Size :- 5×10 cm

• It is placed for 6 hrs after sexual activity

• Complication :- T.S.S.

195. Vaginal sponge :-

• Other name today

• It is mead of silicon

• Size :- 5×2.5 cm

• It include spermicide

• Before use vagainal sponge should be wet

• It is placed for 6 hrs after sexual activity

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• Complication :- T.S.S.

196. Contraception chemical :- Non oxynal 9

197. Copper T :- 2 yrs protection

198. Copper T 200 :- 3 to 4 yrs protection

199. Copper T 380 ag :- 10 yrs protection

200. Ideal timing use Intra Uterine device :-

• With in 10 days of menstrual Cycle

• After delivery with in 1 week

• 6 to 8 week after delivery

201. IUD Complication :-

• Uterine bleeding (most common Complication)

• Uterine pain (most common cause)

• P.I.D (Pelvis inflammatory disease)

• Uterine perforation

• Ectopic pregnancy

202. IUD highest removal rate :- LNG (Levonorgestrel)

203. IUD lower removal rate :- progestasert

204. IUD highest expulsion rate :- Lippes loop

205. IUD Lower expulsion rate :- Progestasert

206. IUD highest pregnancy rate :- Lippes loop

207. IUD lower pregnancy rate :- LNG (Levonorgestrel)

208. DMPA :-

• Depot medeoxy progesterone acetate

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• 150mg/IM = Every 3 month

• + Antara program

209. NET- EN

• Non ethisterone enhanthate

• 200 mg/IM = Every 2 month

210. Norplant :-

• Old ,S.C. :- 6 Capsule

• New, S.C. :- 2 capsule

211. Mala N :-

• Estrogen :- Ethinyle estradied :- 0.03 mg

• Progesterone :- Norgestrol :- 0.15mg

212. Mala D :-

• Estrogen :- Ethinyle estradied :- 0.03 mg

• Progesterone :- Desogestrol :- 0.15 mg

213. O.C.P. start at 1 day of menstrual Cycle

214. If lady O.C.P. start 5 day of menstrual Cycle

• Use 7 days other contraceptive method

215. Missed dose less than 24 hrs

• Take missed dose ase soon as possible and next dose on time

216. Missed dose 24 to 48 hrs

• Take missed dose + next dose on time

• 7 days other conservative method use

217. Missed dose more than 3 days

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• O.C.P. should be continue from 22 days of cycle

• With out iron tables

218. Saheli tablet :-

• Also known as weakly tablet

• Non steroidal drugs

• R.C.H. + Chaya program

Dosage :-

• 1st 3 month :- 2 time in a week

• 4 month.... :- 1 time in a week

219. Yuzpe and lancee method :- give 72 hrs period

• Estrogen 30 mg :- 4 tablet and after 12 hrs 4 tablet

• Estrogen 50 mg :- 2 tablet and after 12 hrs 2 tablet

• Estrogen 200mg :- 1 tablet and after 12 hrs 1 tablet

220. Progesterone only pill (mini pill) :-

Old :- L.N.G. - 0.75mg

• 72 hrs 1st tablet and after 12 hrs 2nd tablet

New :- L.N.G. - 1.5 mg

• 1 tablet with in 72 hrs

221. ICN :- International council of nurses

• Established :- 1899

• President :- Annette Kennedy

• Headquarter :- Geneva,Switzerland

• Total 14 members

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222. ICN function :-

• Code of ethics for nurse

• Promote nursing research

223. International nurses day :- 12 may

224. International Nurses Day 2019 theme :- "Nursing: The Balance of

Mind, Body and Spirit"

225. International Nurses Day 2020 theme :- Nurses: A Voice to Lead –

Nursing the World to

Health

226. ICN Logo :- White heart logo , 1999

227. ICN :- Indian nursing council

• Established :- Under MOHFW in 1947

• Functioning start :- 1948

• President :- T. Dilip Kumar

• Total 49 member

228. ICN function :-

• Registration certificate for foreigner or NRI nursing candidate

• Development of syllabus and curriculum

• B.sc and post bsc nursing :- 2006

• M.sc nursing :- 2008

• ANM :- 2012 to 2013

• GNM :- 2015 to 2016

229. S.N.C. :- State nursing council

• 1st ,madras in 1926

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230. R.N.C :- Rajasthan nursing council

• 1964

• President :- V.K. mathur

• Registar :- Rajendra Kumar

231. R.N.C. function :-

• Registration and renewal

• Examination for GNM and ANM

• Inspection with INC

232. TNAT :- Trained nurses association of India

• Established :- 1908

• President :- Anita deodhar

233. TNAT history :-

• 1905 :- Nursing superintendent of lucknow made association

• 1908 :- T.N.A. , Bombay

• 1909 :- Lucknow and Bombay association share same office

• 1922 :- Rename , TNAT

234. TNAT function :-

• Nurses welfare

• Nursing research

• Nursing journal - 1910

235. S.N.A. :- Student nurses association

• Established :- 1929

• President :- Mrs. Nanthin

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• Annually function for student nurses

236. Nursing history in India

• 1871 :- 6 month training program for nurses (Madras, Chennai)

• 1916 :- lady health visitors (lucknow)

• 1946 :- Basic Bsc nursing (RAK college, new delhi)

• 1951 :- ANM (Punjab)

• 1953 :- post bsc and bsc nursing (LMC, Bangalore)

• 1959 :- M.sc nursing (RAK college)

• 1981 :- M. Phil in nursing (RAK)

• 1991 :- Ph. D in nursing (RAK)

237. Justice :-

• Means fairness to work and equality in work

• It means taking same pt as a equal

• Provide priority based care

238. Fidelity :-

• Faithfully or keep promise fidelity means giving all the reasonable care
which is promised to

pts

239. Veracity :-

• Truthfulness

• Provide factual and correct information

• Avoid any false or wrong information

240. Beneficence :-

• To do good

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• Providing care or therapy for benefit of pts

241. Non malfeasance :-

• Do not harm

• Ex. :- Avoid give morphine injection in respiratory compromised pts

242. Accountability and responsibility :-

• Accountability :- Answerable to work

• Responsiblity :- To do duty

243.1st code of ethics 1953 by ANA (ICN)

244. Code of ethics latest revision :- 2015

245. Good samaritan law :-

• It means provide legal protection to health worker or general

population during emergency

care

• 2015 :- karnataka

• 2016 :- all over India

246. Assault :-

• It means threatening a pts for violence

• Physical contact is not necessary

247. Battery :-

• It is a severe from of assault

• In battery actual physical contact with out pt consent

248. Negligence :-

• It is broad term which means carelessness

• Negligence means doing that work that should not be done

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• Negligence includes commission of work

• Ex. :- administration wrong medication or IV fluid the pts

249. Malpractice :-

• It is a type of negligence

• It refers professional errors

• Malpractice mean below standard care

• It usually means commission of work

• Ex. :- Failure to check post operative pt

250. Orthotoluding test

• Free chlorine check

• 1ml + 0.1 ml orthotoluding solution

• 2 to 3 min. :- yellow color (chlorine persent)

251. Water purification by boling :-

• Temp. :- 100⁰ C

• Time :- 5 to 10 min

252. Water purification by bleaching powder :-

• Chlorinated mix by water lime

• 5% chlorinated lime

253. Chlorine tablet :- 0.5 mg tablet in 20 liter water

254. Iodine solution :- 2 drops of 2 % iodine solution in a litter of water

255. Noise frequency :- Decibel

256. Human ear sensitivity :- 20 to 20,000 HZ

257. Whispering :- 20 to 30 db

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258. Normal speech :- 60 to 70 db

259. Ear maximum tolerance :- 85 to 90 db

260. Tympanic membrane rupture :- more than 150 db

261. Hospital ward :- 20 to 35 db

262. RNTCP :-

• Revised National Tuberculosis Control Program

• 1992

263. National Aids control program :- 1987

264. National mental health act :- 1987

265. CSSM :-

• Child survival safe Motherhood

• 1992

266. RCH :-

• Reproductive child health

• 1997

267. National pulse polio immunization :- 1995

• 1st phase :- 9 dec. 1995

268. NHM :- National health Mission

• NHM ward in 2013

• NRHM (National rural health Mission ) :- 12 April 2005

• NUHM (National urban health Mission ) :- 2013

269. National goiter control program :- 1962

270. National iodine deficiency disorder control :- 1992

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271. PCPNDT Act. :-

• Pre Conception pre natal diagnosis technique act.

• 1994

272. ESI Act :- 1948

273. BMW act (biomedical weste ) :- 1998

• Revenge :- 2016

• Revenge :- 2018

274. MNREGA :-

• Mahatma Gandhi National rural employment guarantee act.

• 2005

275. Narcotic drugs and psychotropic substances act :- 1994

276. RCH :- Child reproductive health

• 1997

• Previously CSSM :- 1992

• Phase wise :- 4th phase

277. Phase 4th RCH :- RMNCH+A

• Reproductive material Newborn childhood health adolescent (girls)

278. RCH Focus :- 24 hrs delivery facility :-

• PHC :- BMONC (Basic material obstetric new born care

• CHC :- CMONC (Comprehensive material obstetric Newborn care

279. National nutritional anemia prophylaxis program :- 1970

280. IFA syrup / tablet dose :-

• Adult :- 100mg iron + 500 microgram Folic acid

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• Children :- 50mg iron + 100 to 200 microgram Folic acid

• Newborn :- 10 to 20 iron + 100 microgram Folic acid

281. ICDS scheme :- 1975

• Integrated child development services scheme

• ICDS heart :- Anganwadi worker

282. One Anganwadi worker :- 1000 population covered

283. One Anganwadi provide one child nutrition

• Kcal :- 500 kcal/day

• Protein :- 10 to 12 gm/day

284. Old :- mid day meal program :-

• 1961

285. New :- mid day meal scheme :- 1995

286. NRHM :- 12 April 2005

• National rural health Mission

287. ASHA :- Accredited social health activist

288. One ASHA covered population :- 1000

289. Home delivery ASHA :- 7 time visit

• 0 day

• 3 day

• 7 day

• 14 day

• 21 day

• 28 day

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• 42 day

290. Institutional delivery ASHA :- 6 time visit :-

• 3 day

• 7 day

• 14 day

• 21 day

• 28 day

• 42 day

291. JSY :- 2005

• Janani surasha yojana

• Focus :- promote hospital delivery

292. JSSK :- 1 june 2011

• Janani shishu surasha karyakaram

• After birth 30 days after free of cost services

293. RBSK :- 2013

• Rastriya bal swasthya karyakaram

294. RKSK :- 2014

• Rastriya kishore swasthya karyakaram (girls)

295. NUHM :- 2013

• National urban health Mission

296. USHA :- urban social health activist

297. One USHA covered population :- 1000 to 2500

298. National AIDS control program :- 1987

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Phase wise :-

• 1st :- 1992 to 1999

• 2nd :- 1999 to 2003

• 3rd :- 2003 to 2007

• 4th :- 2007 to 2012

• 5th :- 2012 to 2017

299. National AIDS control program current phase :- 2012 to 2017

• U.N. support AIDS program in India

Gole :- 90 | 90 | 90

• 90% people with hiv will diagnosed

• 90% people with hiv treatment

• 90% people with HIV have low viral load

300. IMNCI :- (2005)

• Integrated management of neonatal childhood illness

• Gole :- reduce under 5 mortality rate

301. IMNCI color coding :-

• Pink color :- urgent referral

• Yellow color :- OPD basis treatment

• Green color :- home based treatment

302. National goiter control program :- 1962

303. National Iodine Deficiency Disorders Control Programme (NIDDCP)

:- 1992

• Daily iodine :- 150mg

304. National Blindness control program :- 1976

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305. Most common couse of blindness in India :- cataract

306. India is 1st century to lunch Blindness control program

307. Blindness according to WHO :- If a person visual Aculty less than

3/60 with best eye

308. Birth and death registration act. :- 1969

309. Act latest update :- 2012

• With in 21 days of birth and death registration

• Marriage registration :- 1 month

310. National family planning :- 1951

• Start :- 1952

311. National family welfare program :- 1975

• India 1st century lunch

312. Antara program :-

• DMPA (Depot medeoxy progesterone acetate )

313. Chaya :-

• Saheli tablet / weekly tablet

314. Important Incubation Period

A. 1 to 7 days :- MSC IN CDSY

• Meningococcal meningitis :- 3 to 4 days

• Swine flu :- 1 to 4 days

• Cholera :- 1 to 2 days

• Yellow fever :- 2 to 6 days

• Influenza :- 18 to 72 hrs

• Chikungunya :- 4 to 7 days

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• Diphtheria :- 2 to 6 days

• SARS :- 3 to 5 days

B. 7 to 14 days :- SPP MT

• Smallpox :- 7 to 14 days

• Pertussis :- 7 to 14 days

• Poliomyelitis :- 7 to 14 days

• Measles :- 10 to 14 days

• Typhoid :- 10 to 14 days

C. 14 to 21 days :- MR

• Rubella :- 14 to 21 days

• Mumps :- 14 to 21 days

D. Other :-

• Hepatitis A :- 15 to 45 days

• Hepatitis B :- 45 to 180 days

• TB :- weeks to months

• HIV :- Month to year

315. Smallpox :-

• Agent :- Variola virus

• Incubation period :- 7 to 14 days

• Rashes are deep

• Deep Rashes

• Scarab begins to form after 10 to 14 days

316. Chickenpox :-

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• Agent varicella zoster

• Incubation period :- 14 to 16 days

• Source of infection :- infected person

• Mode of transmission :- Air droplets

• Oka strain vaccine

• Route :- SC

Dose :- 2 dose

• First :- 12 to 15 month

• 2nd :- 4 to 6 years

Passive immunization :-

• VZIg varicella zoster ig given with in 72 hours of exposure

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