Today, in this class, we will talk about your antenatal care. Whatever your exam questions come about antenatal checkup, what do we do with it? Whatever antenatal care is provided to you by health care workers. So in that, you also have a pregnant woman, kiss her whatever checkup is required has to be done. When should it be done?. I’ll look into the details.

Exam Details for Nursing Officer or CHO and Common Questions

Whatever you have is it the exam for Nursing Officer or CHO? There are exams from here you will get the details. Many times the question is asked that tell me about anemia. I asked about ANC visit. I took that and whatever mother you have, how much energy is the environment, how much what, what about his dietary habits and everything?

Importance of Watching the Class and Understanding ANC

If we discuss here then this class you have to watch it completely from start to end. So that if you have any doubt, every single doubt, it is clear here, it will be done, let’s go. If we take our class forward, in this we will see what is your ANC; NC stands for Antenatal Care. What do we understand by antenatal care?

Coverage of Antenatal Care and Who It Is Given To

See what it covers? Medical care. It includes your medical and nursing. There is care. We care in every way. Who do you give it to? To a pregnant woman. OK? Who do you give it to? Pregnant women and its time period. Where does it begin? From conception to the onset of labor.

Definition and Purpose of Antenatal Care

What do you have to give him? Care. You have to give it to whoever your mother is and whatever baby she is going to have, will it be stay safe? Stay healthy. So that means where will the period come from, son, it will remain. Conception is when your mother undergoes fertilization. Later did she realize that she was pregnant? It started and from where to where did it begin?

Explanation of Labor and Antenatal Care Period

Of labor means the beginning of whatever your labor. Whatever care we give during that time, what do you call that care, son? We will call it ANC, Antenatal Care. What will you say, where will you get antenatal care? From conception to your onset of labor. And why do you have to do this to your mother? Safety.

Goals of Antenatal Care for Mother and Baby

Your mother’s health is fine. She should stay and whatever baby she has, his health should also be fine. That’s what we do for ANC. Yes, they give it, let’s talk now. What is the objective of the ANC? If the reason is that you have to give ANC then whatever the main goal of the ANC, whatever the objective, what is that? Promote maternal and fetal whatever health is for your mother and child whatever health is, 

Screening and Diagnosing Conditions in ANC

Detect it first. You can. Screening is done, brother. Mother’s blood pressure is checked. What do we do in diagnosing it? That whatever your mother’s hemoglobin check is, they do it, get a CBC done and it shows this. We also get our biochemistry checked. I mean whatever your mother’s glucose level, that’s how much it’s coming. Okay? Everything.

Preparation for Safe Delivery and Health Education

Let’s see. Prepare for a safe delivery. Safe. What do you get done for delivery? Let us prepare so that Mataji does not take any high, she doesn’t have a high-risk pregnancy. Let’s go. Provide health education that includes your nutrition should be good. 

ANC Visit Schedule According to WHO and India

Okay? Son, please check the schedule. Take it. Whatever the schedule is, according to if I will talk about the schedule in the exam. Questions may arise in this manner. If according to who asked is ok. Schedule ANC according to WHO. Ask or talk about India, India. If I ask that in MCH maternal child health care is fine under him.

Number of ANC Visits Recommended

If yes, then we are ANC, how much will they do? And according to WHO, son right now it has been updated, how much is it, eight is fine. Also your ANC and antenatal checkup visit. Okay, how many visits have they been? There have been eight, according to WHO. But if we talk about India, India how many are being done till now? That’ll be your four.

Handling Exam Questions on ANC Visits

Okay? If tomorrow questions should come in the exam. It may come in the exam that who according to WHO ANC how many visits are there then how many answers do you have to answer, son? That’s your eight, okay? And you’ll be asked how many ANC visits do you have at MCH? So how much do you have to do? Four. Okay.

Clarifying Differences Between WHO and MCH Guidelines

Now you will say, “Sir, I understand.” According to WHO, it became eight. According to MCH, we have to do four. Now tell me if the question comes in the exam that if you ask here that your four six 8 10 then we what will you do with it? Son, look at it first. If it is WHO’S then you can directly do eight. Give it.

Final ANC Visits and Delivery Timing

You are done at 36 weeks and you are done at 8. Your delivery date is 38 to 40 weeks. The time will come at that time. Is that right, kids? Let’s move on. Our next question. Let’s move on, son. What are your components in ANC?

Obstetric History and Medical Conditions

Obstructive. Let’s see the history of the previous. Is the pregnancy okay? Now has anyone behind her had an abortion before? Yes. What’s the reason? He knows it too. I will do it. I’ve had a delivery done before. Okay? I’ll check your medical history.

Diabetes and Gestational Diabetes Considerations

Very diabetes is more important. Mother has no I don’t have any diabetic condition either. You may experience gestational diabetes. So what could your child be suffering from? Your mother may have macrosomia. What complications can be seen? Hypoglycemia may occur.

Hypertension and Other Conditions in ANC

Your CHO and AIIMS favorite question is this. Okay? I’ll look at hypertension. Who can see hypertension? I’m having gestational hypertension. Okay? What is happening to the person with whom you have a child? Growth is retarding. This was a question. It was also asked in AIIMS NCET.

Screening for Infectious Diseases and Family History

You have any HIV/Hepatitis infection. So it is not something that is being passed from mother to child. Yes. Okay? Let’s look at the family history. There is no genetic disorder. Twins are not your children, they are ours.

Menstrual History and LMP Importance

Let’s see. Let’s look at menstrual history. We’ll see. It’s called LMP. Last. The menstrual period is that which is observed during to diagnose your ADD. History taking is done. Son, I let me reiterate. The ANC component.

General Physical Examination Details

I have to take the general examination. In the examination we will see what is the height. What is it? What is weight? What is BAMI? Do you know BMI? Body Mass Index. What is normal, son? 18.5 to 24.9. What is this? Your normal BAMI.

Abdominal and Pelvic Examination

And uterus size on abdominal examination. Fundal height. Pelvic examination is done if required. So in that condition, okay? Because do a pelvic examination, not whatever your mother’s pelvis is, it is yours. Is it suitable for your delivery?

Pelvic Types and Delivery Suitability

That means someone is gynecoid or it is not a platypoid that would cause problems later. Isn’t it? What is gynecide? Most Favorite. The size of your pelvis. For whom? For vaginal delivery.

Objective Examination Procedures

Let’s go, son, next. I’ll move on to the question. Next up. Let’s talk about your objective. Examination. In Objective Examination, what do you do? Check the fundal height. Fetal heart rate monitoring is done. Very good. Very much.

Abdominal Palpation and Leopold Maneuver

Let’s do abdominal palpation. Leopold Manver. Just got a question. It also appeared in your RRB. Right? Leopold Manver and Sorry Ames Noisette Man. I came in too. Okay? Obstructive grip. From grip.

Child’s Presentation and Pelvic Assessment

OK? Whatever your child’s presentation is. What is it? This question came regarding that. It was just now. And it was my exam favorite. This is a question. The examiner keeps asking it. A pelvic assessment is performed, if needed. It stays. Okay? What I just told you.

Anemia Diagnosis and Management

Question remains in AIIMS No Set. There was a question in the exam. Remember one. Did you have a question? That a mother, you have anemia. So what are you doing? Tell me? What would you call anemia? When a mother, whatever blood of the heart, whatever is in your blood, how low is the hemoglobin? 11. If the gram is less than the DL, what should we do with it? What will you say, son? What will you say, anemia? Will you say it? Will you say anemia? So if hemoglobin level below 11 grams per DL, if it is coming less then what will we say to him? Anemia.

Blood Group and Rh Factor Testing

Blood type will be checked. Is your mother Rh negative? Yes. Right? So, Mom’s blood type. It is not negative B negative O negative. OK? That can cause Rh sensitization.

Infection Screening and Diabetes Testing

It is possible to see Mother somewhere HIV, hepatitis, or syphilis. Then your glucose means this is some infection. No. I’ve also checked my mother’s glucose. I get it done. Why? For diabetes.

Early and Anomaly Scans

Yes. So let’s get an USG done. Let’s get an early USG done. This confirms the procedure during the first trimester. It turns out that there is a pregnancy and you have a. You also get the estimated date from whom? From USG, whether there is pregnancy and when it will happen. Can it be delivered? When will it be delivered to you? When might labor start? OK?

Genetic Screening and Down Syndrome Detection

Copy translocation or anti-scan. Who do you do it for? Whenever your child has. There is no genetic problem. Like let’s detect your Down syndrome. When is it done? 11 to 14 weeks, son. The question may appear in the exam.

Vaccination Protocol and Booster Dose Details

Yes, you can get your mother immunized. But if you look at the upper part, that is, in the beginning. If you did not get it installed then at what time will you? It has to be installed, it is mandatory brother, it has to be installed.

Medication in Antenatal Care

Tetanus plus diphtheria Td is required. When will you get the injection? First dose 16 to 24 weeks if not done before. When will you get your second dose? Four means four. A gap of four weeks from that of a week to one month.

Folic Acid and Nutritional Supplements

After a gap of, the second dose was given. What is the gap between the two doses? Does it happen, son? The question came from the exam. How long will it be? Four weeks. I have written one below Boost Dose If vaccinated before if previous vaccination within three years.

Iron and Calcium Supplementation in ANC

If mother what had I done three years ago. Have you had your vaccination? Which one? Yours tetanus. Okay? Or TD, so he mother will only need one dose. What we call a booster dose. Right? He does not need to take two vaccines. If he has had tetanus in the last three years.

Common Medications Given During ANC

There is a question from that in the exam. I give you folic acid, brother. OK? Given in the first trimester 400 mcg per day and preconception means that when you are thinking about it that yes, you are pregnant, you have to do that.

Prevention of Neural Tube Defects

That is why whatever your mother is, at least one month ago or whatever your six weeks. What will your folic acid intake do first? She’ll start. Why? To prevent what? For any neural problems in your child, you have a tube defect such as spina bifida whatever your illness is, it is necessary to prevent it.

Iron Dosage and Calcium Requirements

What do we do for you, whatever is yours, whatever antidote is, what is it, a defect. It is not a disease, so whatever antibody what do we do to prevent it? Folic Acid acids initiate iron folic acid acids give you these most seconds. 100% is seen in each trimester. Give daily for days why anemia to prevent and in elemental iron. Son, many times questions in the exam let’s ask.

Managing Anemia and Diabetes in Pregnancy

Which can spoil your pregnancy. What could be the reasons? So you should you have to recognize it. You have to know about it. I want it. Look like if I just told you about mother’s anemia. The question came last in the exam. The question came in the previous exam.

Role of Health Workers in ANC

There’s a section called According to That. What is this? Your risk factors are looked at in antenatal care. So everyone should know I need it. Look, son, I’m talking about diseases. So first of all see normal if I if something like a non-communicable disease etc. happens he developed anemia.

Importance of Nutrition and Rest During Pregnancy

Questions from the exam how long will the anemia last? If it is coming less than DL on 11 grams then anemia. If the mother is diabetic her blood sugar level may be higher than normal. It’s going too far. Okay? Post whatever. Whatever your post prednisone is, your sugar. OK? Any sugar you consume after eating.

Warning Signs and Institutional Delivery

Yes, it’s going above 200. What then? There’s a problem. Right? You should know that too. What if the mother has gestational. If the child has diabetes, macrosomia is large. It can be born. What’s wrong with the mother? Could it be? Hypoglycemia.

Danger Signs and Eclampsia

This question is asked many times in the exam. Come in. We’re getting the protein checked. Repeatedly in case of protein and urine. Protein is leaking out. This means what could happen to Mother? Dear. A condition called eclampsia may occur. A dear. If you have a problem with eclampsia, even if you have a seizure.

Role of Nursing Officers and Community Health Workers

You will need to have a health checkup. Education is required. As a health care worker you are a nursing officer. You are a member of the C community. Be it a health officer or any normal person, you state. Whoever I am a staff nurse, how are you?

Promoting Nutrition and Rest for Mothers

Will you provide health education? Your antenatal whatever care we take, we talk about nutrition. You will need high protein and iron rich foods. I have to give it to her. To whom? To my mother. Rest properly. I’ll ask for rest and sleep. At least. At least six to eight hours must be sleepy. Right?

Warning Signs During Pregnancy to Watch For

Warning sign. What is a warning sign? That someone there is no bleeding. Any abnormal bleeding is occurring. At the time of pregnancy, that most of what does it indicate? Abortion. Okay. Is there any swelling? Is there any headache? It’s not happening. Okay? What is it? Headache, you mean?

Institutional Delivery and Personal Hygiene

Whenever you have a pre-existing condition or you have a condition called achlamasia. Sense of institutional delivery has to be told to them that brother is at home. I don’t want delivery. Okay? At home. The days of getting delivery are gone. Get it done in the hospital. In the hospital, your delivery will be clean. It will be done correctly.

Breastfeeding and Family Planning Education

What can you get from it? It’s a benefit. It’s available. Okay? Knowing that. Let’s focus on personal hygiene. About breast feeding. I have to tell them. Because that’s what happens. Before delivery means some mother if she is pregnant, she doesn’t know it about the proper way to breastfeed.

Health Worker Roles: History, Examination, and Counseling

They have to be told about everything. Why it is important for your child. About family planning after delivery I have to give them health education. Let’s play the role of a nurse as yours as a nursing officer Staff Nurse or I am a Community Nurse. What is your role according to the health officer? I’ll tell him what you should do. Is it?

Monitoring and Referrals in ANC

I need to get details. I need to get a history. Assist him in the physical examination. Whatever Vital signs, they keep monitoring. Whatever your mother it is an iron and calcium supplement. We also have to provide them. We have to educate them. Counseling is needed. Pregnancy and children maintaining ANC records. Refer to another doctor if it is a high risk case.

Importance of Follow-up Visits

OK? Pay Higher Center and Ensure follow-up visit. Okay? Follow-up visit. Keep doing it. This is important. Okay? Let’s go.

Summary and Revision of ANC Topics

Next, let’s talk about your summaries. It means what you have read till now. I will revise it for you in 1 minute.

First Visit and Visit Frequency Recommendations

The first visit is when it should be at least should you have a baby? Should you have a baby within the first trimester? Must visit. Minimum visit WHO’s accordingly, how many are there, son? Eight. And I if I talk about MCH, if I talk about it now. The number mentioned in India is four.

Supplements Given During Pregnancy

Okay? Let’s get into the supplements. Giving iron supplements in supplements of folic acid and of calcium supplements are given. Elemental iron iron is 60 mg per DL. It comes from… okay? And your folic acid contains 400 mcg and your calcium is your dose of calcium, that too.

Vaccination Details in ANC

How much will it be according to 1000 mg per day which vaccine do you give, son? TD is two doses of teeth and diphtheria. It is given if we have already taken it then we let’s give a booster dose, it’s important.

Laboratory Tests and Danger Signs

Which test will he get done, hemoglobin? Hemoglobin less than 11. If you are experiencing anemia, take iron supplements. Let’s start with the blood group. I want to see if Mataji is negative. Isn’t it okay for Rh sensitization? HIVDRL OK. HIV person there is no infection. VVDRL syphilis viral disease research get laboratory tests done.

Danger Signs During Pregnancy

USG what danger signs can there be? Is it brother? She’s bleeding. If Mother what if there is bleeding? Mother there is a chance of abortion or miscarriage. Has it happened many times or what is it? A topic bleeding is seen during pregnancy. Headache is occurring or blood is a vision. What is it to you? Of danger. This is a danger sign.

Nurse Responsibilities in ANC

What will the nurse do? As you nursing officer CHO what do you have to do? Assessment, education, and referral are your tasks.

Frequently Asked Questions in Exams

Now let’s look at some FAQs. What are betas? Frequently asked questions. Where are the questions in the exam? Come, we will talk about it. Where do the questions come from in the exam? Are there? Look, I just told you how many visits. What has been told to be done according to WHO? Hey who says visit eight. The MCH says make it four. So far in India, only four are being done. Right?

Timing for Starting Folic Acid

When Should a Woman Start Taking Folic Acid acid? When should I start taking folic acid, mother? She will do it brother, I just told you about the conception. Preception when what the Mother is is already there. What should happen to them that they have to say that we. If you want a baby then we are here for the baby right now. If you are getting ready, then mother. What should you start giving folic acid a month before? Start giving folic acid doses. 400 mcg 0.4 mg okay why.

Preventing Neural Tube Defects

Why are you taking it because you. What to do if you have a neural tube defect. I have to prevent it, children, let’s go next.

Normal Daily Dose of Folic Acid

I should talk to the exam examiner and ask him. Tell me what would be the normal daily dose? Of folic acid? Just mentioned 400 mcg. The question just came in the exam, very variant. Okay? Let’s talk next.

Common Drug Preparations in ANC

I do. By the way, you may have seen most of. Whatever drugs you may have seen. Many come with 60 mg of elemental iron. Plus, it comes with folic acid, which contains 500 mg. MCG. Right? So you get 400 there. I want the MCG one. Most of whatever. Doctor recommends in India.

Additional Energy Allowance in Pregnancy

How much is the extra energy allowance? Does it happen? Mother gets pregnant. Lady hai usko 350 kcal very very very very. Let’s go to the next one.

Lactation and Energy Needs Postpartum

Let me talk about lactation. By the way, our. This question in postpartum. We’ll see. But now this question comes up. If I go, I will tell you along with him. If the mother is pregnant, she will have to weigh 350 kg. If mother, according to calories per day. Lact is lactating, meaning the baby is still. She is breastfeeding after giving birth. So he gets 600 kilocalories extra, whatever. There is energy, there is a requirement, it will remain.

Nuchal Translucency and Anomaly Scans

Let me next talk about what is anti? What is anti-scan? It is also called are the duplicate translucency scans that I mentioned. This is done at 11 to 14 weeks of the baby’s life. Anyone inside you, whatever your genetic. To look for abnormalities such as Down syndrome.

Understanding Down Syndrome

What is Down syndrome for? Trisomy. What do you call Trisomy 21? 21 Whatever your chromosome is. Repetition is visible. Extra chromosome 21 is visible. What we call Down syndrome. Is it? Let’s talk next time.

Purpose of Anomaly Scan

I can ask the next question. Examiner. What is the purpose of the enumeration scan? Hey, are you getting an anomaly scan? What does that mean? Why are you getting it done? Because we have to see that in the child. There is no defect of any kind. For which we get TIFA scan done.

Level 2 Ultrasound and Fetal Safety

Targeted imaging of foetal anomalies. Level 2 ultrasound: 18 to 22 weeks. Pay that whoever your child is. Is he safe or not? There is no defect in the method. What could it be? Any congenital defects.

Types of Congenital Defects Detected

So no. You have a clipped lip, Pat. Or tachypophyseal fistula or. Any heart-related congenital problem you have. I have a heart defect. These are the kinds of things that I’m not sure about. What do you get done to see this? Let’s get your anomaly scan done.

Normal Hemoglobin Levels in Pregnancy

Next I’ll talk about you what is the. Normal hemoglobin level in pregnancy? Normal hemoglobin levels during pregnancy. When will it be? When it exceeds the DL at 11 grams. If it is, it will be normal. Less than 11 grams. If it is present, it indicates anemia. We will talk next time.

Government Schemes and Free ANC Services

Yes. Is ANC free, government? Inside the scheme? Yes, it is. Protection plan. Right? Janani Suraksha. When did the scheme come into effect? ​​It came under the NRHM. Okay? When did you come? Under NRHM. It came out in April 2005. JSY. Right?

Free Medications under Government Schemes

And your PMMY and what does it give? All your medications in ANC are free. Folic acid, iron, whatever your. Any calcium supplements. What are they given? They are given free.

Fetal Heartbeat Monitoring

Children, come on, where are you asking questions? Is it so? When will you check the fetal heartbeat, brother? Look into it whenever your USG results reveal. It will work, we will know at 8 to 10 weeks and 18. Your stethoscope at 20 weeks. Okay?

Use of Doppler for Fetal Heart Rate

And with Doppler, you would almost have Doppler. It is known from that at 10 weeks and we. You can also hear it with a Doppler at 18 to 20 weeks. But whatever your pinhead stethoscope. With its help we can achieve this at 18 to 20 weeks. Can you detect it? Fetal heart rate to.

Starting Calcium Supplementation

Let’s go when is calcium supplement. Started? At least when whenever calcium. This is a supplement, when do you start most of it? 500 mg in the second trimester twice a day. Or what did I say? At least son, it is necessary to consume at least 1000 mg per day.

Importance of Calcium in Fetal Bone Development

Yes. These are the important things I’m getting written down. I’m here. We recommend this in the second trimester because. Let’s use that this time of the child who. There are bones too, what happens to them? His body slowly starts forming. Looks like he needs calcium. It happens. Okay?

Rh Incompatibility and Its Consequences

So what about us, Mother? Will it increase? That’s the calcium level. Will increase. Okay? Let’s talk about it next. Rh incompatibility. Whatever Rh what does incompatibility mean? What if your baby is Rh positive? That came from your father and what about your mother. Rh negative. This means the baby is Rh negative. I’ve tested positive. What happened, Mother? It’s negative. Okay?

Antibody Formation and Hemolysis in Rh Incompatibility

So this condition what happens to your child, son? If the blood reaches the mother, what will be in it? Does it happen? There inside your mother. What starts forming? Antibodies start forming. Okay? So whatever your next pregnancy is. What do you get to see there? Hemolysis is what is seen. OK?

Avoiding Rh Incompatibility with Rogam Injection

Why is RH income incompatibility a problem? I just told you whatever help you can get. The body treats Rh positive. Whatever sales as a foreign body. Okay? And what makes it so? Antibodies which makes your fetal red blood cells. She will start attacking him and. It’s going to cause him to hemolyze. Okay? So to avoid Rh incompatibility. What is to be done? Oh what is to be done. Is it an NTD injection? Rogam injection. When is it applied? It is applied to the mother at 28 weeks. During pregnancy and when the baby is delivered. If gone, then after 72 hours or. If there is a condition of abortion then within the same 72 hours. What do we put in the gap? Your it’s an injection, they give it. Okay? I hope so.

Recap of ANC Topics and Exam Questions

Whatever ANC is today, you have antenatal care. In that I have made every topic clear. From where the questions in the exam. He comes in. Questions about anemia let’s ask about gestational diabetes. I ask questions. Eklamasi or let’s ask about pre-acclaim. And ask about how many NC visits there are. Let’s take it. Mother has a blood type. About who has Rh sensitization. I’ll ask you whatever your question is. We got you that done.

Summary and Closing Remarks

Does the ANC. What is the purpose? Explain it. ANC when do they give it? From conception to your onset of labor. Meaning until the beginning of labor. From the onset of labor to delivery. The period that occurs is called apan internet care. Okay? So here we are. What will you say? From conception to on-set and off labor. This was your comment about NC. I hope you liked this class. If you liked this class, please like this class. Please do. Share with your friends. Do it and comment for such classes. We create such classes for you. I will stay.