Pradesh 2 Lok Sewa Aayog 4th Level Health ANM Syllabus

Subject	Service-Related
Full Marks	100
Pass Marks	40
Exam System	Multiple Choice
Number of Questions	50x2=100
Time	45 Minutes

Subject	Individual
Marks	20
Exam System	Interview

Note:

1) Questions will be asked from all the units of the course as much as possible.

2) If the answer to the Multiple Choice Question - MCQ) is given correctly, 2 (two) marks will be given for each correct answer and if a wrong answer is given, 20 percent or 0.4 marks will be deducted for each wrong answer. But if the answer is not given then no marks will be given and no marks will be deducted.

3) No matter what is written in this syllabus, the acts, and rules in the syllabus should be considered as existing in this syllabus 3 (three) months before the date of examination (amended or deleted or amended).

4) Curriculum Implementation: 2078-04-12

Syllabus:

(A) Anatomy and physiology

1. Names, types, and functions of the different Organs of the following system
1.1 Skeletal System
1.2 Muscular System
1.3 Digestive System
1.4 Circulatory System
1.5 Urinary System
1.6 Nervous System
1.7 Respiratory System
1.8 Endocrine System
1.9 Sensory Organs
2. Mechanism of the different system
2.1 Mechanism of digestion of food
2.2 Mechanism of respiration
2.3 Mechanism of Menstrual cycle
2.4 Mechanism of urinary system

(B) Nursing Procedure and First Aid
1. Nursing Procedure
1.1 Job description of Auxiliary Nurse Midwife (ANM) in Health Post, Community
and district
1.2 Prevention and treatment of bedsore
1.3 Vital signs
1.4 Sterilization:- Importance, types, and methods
1.5 Catheterization
1.6 Medicine (Essential drugs used in Health Post, Sub-Health Post and Hospital)
2. First aid treatment of the following condition
2.1 Fracture
2.2 Shock, Wound, Haemorrhages, Epistaxis, Scald, and Burn
2.3 Unconscious, Fits
2.4 Dog bite, snake bite, Poisoning, foreign body in eye, ear and nose

(C) Family Planning, Maternal and Child Health (MCH) and Nutrition

1. Methods of family planning
1.1 Temporary methods for male and female
1.2 Permanent methods for male and female
1.3 Family planning counseling
1.4 Various rates and ratios used in population education
2. Maternal and Child Health (MCH)
2.1 Immunization
2.2 Six killer diseases (Tuberculosis, Tetanus, Polio, Pertussis, Measles)
2.3 Milestone

2.4 Record Height, Weight and Mid Upper Arm Circumference (MUAC)
2.5 ARI (Acute Respiratory Tract Infection)
2.6 Malnutrition; Protein-energy malnutrition (P.E.M.)
2.7 Control of Diarrhoeal Diseases (CDD)
2.8 Preparation of oral rehydration solution (ORS)
2.9 Advantages of breastfeeding
2.10 Vaccines
2.11 Maintenance vaccine potentiality
3. Nutrition
3.1 Importance of nutrition on the growth and development of the body
3.2 Nutritional requirement in normal children, adults, pregnancy and lactating mother
3.3 Disease due to vitamin deficiency and source of vitamin
3.3.1 Vitamin "A"
3.3.2 Vitamin "B"
3.3.3 Vitamin "C"
3.3.4 Vitamin "D"
3.4 Anaemia and its management
3.5 Goiter, cretinism, mental retardation, and its prevention

(D) Diagnosis and treatment of simple disorders

1. Different types of micro organisms including spore and parasites
2. Common skin problems and its management
3. Nursing management of following conditions:
3.1 Diabetes
3.2 Peptic ulcer
3.3 Jaundice
3.4 Typhoid
3.5 Bronchial Asthma
3.6 Bronchitis
3.7 Hypertension
3.8 Congestive cardiac failure
3.9 Rheumatic fever
3.10 Sexually Transmitted Disease (STD)
3.11 Urinary Tract Infection
3.12 Meningitis, Encephalitis
3.13 Paralysis
3.14 Head injury
3.15 Infection of the eye
3.16 Mental Health (Types and causes of mental problem)

(E) Health education and Communication

1. Principle and importance of health education
2. Methods and media of health education
3. Elements, barriers, and techniques of communication

(F) Midwifery

1. Antenatal care (ANC)
1.1 Function of placenta
1.2 Physiological changes during pregnancy
1.3 Signs and symptoms of pregnancy.
1.4 Purpose of Antenatal care.
1.5 Calculation of Last Menstrual Period (LMP) and Expected Date of Delivery (EDD) and gestational week of pregnancy
1.6 Investigations during pregnancy
1.7 Health teaching during antenatal visit
1.8 Minor and Major disorders during pregnancy its management
1.9 High-risk factors during pregnancy and their management
2. Labour (Intranasal)
2.1 Signs & symptoms; and causes of the onset of labour
2.2 Physiological changes during first, second and third stages of labour
2.3 Signs and symptoms and management of maternal and foetal distress
2.4 Indications and time of episiotomy
2.5 Method of scoring of the APGAR score
2.6 Immediate care of newborn baby
2.7 Examination of a newborn baby
2.8 Complication of the third stage and its management
2.9 Abnormal Labour
2.9.1 Occipito posterior position
2.9.2 Multiple pregnancy
2.9.3 Mal presentation
2.9.4 Prematurity
2.9.5 Post maturity
2.10 Management of prolonged labour
2.10.1 Cephalo pelvis disproportion (CPD)
2.10.2 Trial labour (Induction)
3. Postnatal care
3.1 Definition, Principles and purpose of postnatal care
3.2 Minor disorders during puerperium (After pain, retention of urine, constipation, Haemorrhoid, Cracknipple, Engorge breast, Sub-involution of the Uterus)
3.3 Major disorder during puerperium
3.3.1 Puerperal sepsis
3.3.2 Urinary Tract Infection (UTI)
3.3.3 Incontinence of urine and stool
3.3.4 Puerperal haemorrhage
3.3.5 Venus thrombosis
3.3.6 Pulmonary embolism
3.3.7 Postnatal psychosis and depression
3.3.8 Causes, signs and symptoms, complications and management of mother and baby
3.3.9 Major disorders of newborn

(G) Environmental Sanitation and Home visit

1. Community and home visit
2. Health problems and diseases due to poor environmental Sanitation
3. Water pollution
4. Excreta disposal and its importance
5. Types of latrines
6. Classification and management of solid waste disposal

(H) Epidemiology and communicable diseases

1. Definition and aims of epidemiology
2. Concept of diseases
3. Primary Health care (Definition, element, Basic Principles)
4. Immunity
5. Communicable diseases and its prevention, control and treatment including Acquired Immuno Deficiency Syndrome (AIDS) and Sexual Transmitted Disease (STD) 

(I) Community diagnosis

1. Importance and methods of community diagnosis