Staff Nurse Paper Solved 2026 #MPESB #NCL

Added: 2026-05-13

[00:00:00]Where is the controlling center located? Options include the thalamus, hypothalamus, medulla oblongata, or cerebrum. So what is your heat regulatory system in the body? That's your hypothalamus. What is? Hypothalamus. The medulla oblongata is what will control the respiratory center. It is the cerebrum that controls your other sensory or we can say other types of functioning.

[00:00:32]But mostly in your exam they will ask you about the heart rate controlling center, heat controlling center or instead of heat you can also be asked about the thermoregulation center.

[00:00:42]And what is that? That is the hypothalamus. The next one is the smallest bone of the human body. The smallest bones in the human body are the stapes, phalanges, metacarpals or xiphsternum. So the part which is the exifisternum, in a way we can say that the sternum is your breast bone, its stapes is the smallest bone found in the ear of the human body. If you ask about the smallest bone, which one is it? Steppes. There are three ossicles, three pairs of ossicles. Ear ossicles, milia, synovium, stapes. So the steps in the entire body have the smallest bones. If asked about the largest bone in the human body, what would you say? If asked about the largest bone, you have to say femur. What to say? Femur. And if you get further information about muscles in the exam, then how many muscles are there, how many bones are there? So you may come across these things in the ANM paper.

[00:01:45]So you guys please clear all these once.

[00:01:50]Next one is your question here The Function of Fallopian Tube is What is the function of fallopian tube? Secretion of estrogen and progesterone passage way for fetus occurrence of fertilization or developing fetus, so whose work is this, see here all four options are given, all the options are in Hindi, first of all the thing is that fallopian tube and uterine tube, which we will call, this first option is that the work of releasing estrogen and progesterone is done by the ovaries.

[00:02:24]Passes way for fetus. Providing way for fetus. So your cervix will do the work of providing this path. The occurrence of fertilization or developing fetus. The fetus develops in the uterus and not in the fallopian tube.

[00:02:43]Some rare cases, such as ectopic pregnancy, occur in the fallopian tubes.

[00:02:45]So the ampulla part of the fallopian tube is where the process of fertilization takes place.

[00:02:55]What is the main function of the fallopian tube here? Occurrence of fertilization. The next one is the normal respiratory rate normal respiration of a healthy person is what is the healthy respiratory rate in an adult? 5 to 10 minutes, 10 to 15 minutes, 15 to 20 minutes or 20 to 30 minutes. So in a healthy person, an adult healthy person, your respiratory rate is 15 to 20. How much if it increases from 15 to 20 then tachypnea decreases then bradypnea is clear next one is the kidney is situated where is the kidney located in the abdominal cavity in the pelvic cavity dorsal cavity of the thoracic cavity everyone knows where is the kidney located in the abdominal cavity next one is your question here the number of chambers in the human heart see see here you have been asked about the human heart.

[00:03:57]Sometimes you can also ask about the heart of a fish and how many chambers are there in it.

[00:04:02]You have got it in the exam, it came once in the CHO paper. Similarly, here everyone knows that there are total four in the human heart.

[00:04:10]Right atrium, right ventricle, left atrium and left ventricle. So what will be your answer here? Option number first. The next one is the only artery that supplies deoxygenated blood. The paper has come out to be very easy. It is said here that such an artery supplies deoxygenated blood. Pulmonary artery, hepatic artery, gastric or renal artery. If you ask about arteries at the time of death, then it is the umbilical artery which supplies deoxygenated blood and if you ask normally, then the one which supplies deoxygenated blood is the pulmonary artery. Which pulmonary artery is it?

[00:04:57]Next one is the to diagnose meningitis. Type of sample is collected. What is meningitis? First of all you should know this. Then you will tell which sample will be collected for diagnosis. I hope you are getting proper vision in meningitis.

[00:05:19]So what is done in meningitis? Sorry, is it meningitis? The covering layer of your brain and spinal cord is called meninges. If infection and inflammation occurs in the same meninges, we will call it meningitis. It has three classical signs. One is the Brzezinski kerning sign, natural rigidity and then the last one is the fever. So how will you identify it? From urine samples, cerebrospinal fluid samples and CSF, von Mero, or stool. So in meningitis, whenever there is any problem in the brain and spinal cord, you can diagnose it through CSF. So here also the same thing will happen that what will be your answer? Cerebrospinal fluid. The next one is the thermophilic bacteria that grow at low temperatures. These are thermophilic bacteria.

[00:06:15]At what temperature will they grow? The options are 20°C, 35 °C, 55°C or 85°C. So here are the types of bacteria, if we talk about it, then there are different types of bacteria based on shape, based on temperature, so similarly here what is thermophilic bacteria, thermophilic bacteria, when the temperature is between 45 or 60, then they need a good minimum temperature of more than 45.

[00:06:55]Based on if you talk about the option then what will be your answer here? Option number 55 sorry option number third why 55?

[00:07:06]Because the thermophilic bacteria require at least a minimum temperature, if we talk about the optimum temperature then it is 60 degrees Celsius. But if we talk about minimum, we should go above 45. Should not be less than 45.

[00:07:23]And here, if the bacteria are sciophilic, then we will need a temperature of 10 to 20 degrees Celsius and those which are mesophilic, then they will need a moderate temperature and thermophilic will need a temperature of 50 to 80 degrees Celsius. If the minimum is asked here, then how much will it be? 55 degrees Celsius. The next one is the life cycle of malaria parasite was first described by So the life cycle of malaria is this Who first described the life cycle of malaria parasite Which scientist first described it Ronald Russ Robert Koch Lewis Pastch Banting and West The life cycle of malaria parasite was first discovered by Ronald Russ? By Ronald Russ. The next one is I hope you can see the paper properly. If you have any doubt, please comment in the comment box. And if your doubts are not getting solved on YouTube then you can send me the screenshot of this video or this class on WhatsApp saying that there is confusion in this question. HIV virus belongs to which of the following groups. So which family does the HIV virus belong to? Flavi Retro Repto or Hepadno Virus. So which family does the HIV virus belong to?

[00:08:53]From the retrovirus family. With whom?

[00:08:56]From the retrovirus family. The next one is in which sorry in following which is a vector borne disease. So which of these is a vector borne disease?

[00:09:09]Diphtheria Dengue Tetanus Measles. It is not diphtheria, nor tetanus, nor measles, it is dengue because in dengue there will be Posquito Aedes aegypti, but there is also a virus here, what is dengue virus, this is called a vector borne disease, next one is which of the following is the antidote for the patient with overdose of heparin? If a patient has an overdose of heparin, what antidote will we give? Protamine Sulphate Vitamin K Adropin Sulphate or Phystostagmine, if there is heparin overdose then its antidote is what is Protamine Sulphate, here you might be thinking that the option is written twice, yes it is written twice but once in Hindi and once in English, next one is the paracetamol drug, it is a paracetamol, which type of drug is it, antipyretic, antitussive, anti-aesthetic or anti-emetic. So here antipyretic means the drug used in fever. It is an antitussive which is used for cough etc. or for allergies.

[00:10:21]Antiseptics are used to dilate vasoconstriction in people with asthma.

[00:10:31]Antiemetics will be used to treat vomiting.

[00:10:33]So what is antipyretic here? Paracetamol. The next one is that morphine is contraindicated in which cases is morphine contraindicated in angina, bronchial asthma, pancreatitis, or myocardial infection, so morphine is never given to a patient with bronchial asthma. You have to keep this thing in mind that morphine is contraindicated in patients with bronchial asthma.

[00:11:06]clear? Next one is teaspoon full of medicine is equal to what is one teaspoon full of medicine equal to? 2 ml, 3 ml, 5 ml or 10 ml, then what is one teaspoon equal to? 5 ml of L. Whose?

[00:11:26]One teaspoon full equals to 5 ml. The next one is the I hope you can see it completely. The next one is via the following medicine is useful for reducing raised intracranial pressure.

[00:11:46]Everyone knows that if the intracranial pressure is high then which medicine will we give? There is mannitol, options include phenytoin, dozepam, nitroglycerin. So mannitol is the drug of choice to treat elevated ICP. The next one is analgesics are given.

[00:12:08]So when are the analgesics given?

[00:12:10]To relieve pain; to go and give rest; to induce sleep; to destroy pathogenic micro organisms.

[00:12:20]Antibiotics are given to destroy the micro-organism.

[00:12:22]Good tips can be given to induce sleep.

[00:12:24]You will not give medicine for rest.

[00:12:27]Go straight to rest. To relieve the pain.

[00:12:30]Analgesics are used to provide relief from pain. The next one is the Gleanware syndrome. Is a disease of which of the following?

[00:12:44]So what type of disease is Glenn Weir syndrome? Of the brain, of the spinal cord, of the peripheral nerves, of all the above. So here's what we call the green sorry green wear syndrome.

[00:12:59]In what we call GVS, the peripheral nerve is affected. Which one? Peripheral nerves will be affected. Guillain-War syndrome is an immune system disease in which your own immune system attacks your body.

[00:13:14]So here your peripheral nervous system will be most affected.

[00:13:20]What will happen? It will be most affected. So what will be your answer here?

[00:13:26]Option number third peripheral nerve. Next is which of the following is not a parameter for the Glascoe comma scale?

[00:13:39]Which is not a parameter of the Glascoe coma scale? There is eye opening, pupillary response, verbal response or motor response.

[00:13:49]Which is not part of the glass comma scale here? There is a verbal response, there is a motor response.

[00:13:54]Eye opening occurs. But there will be no public response here. In the eye opening itself, everything will be visible about how much you opened your eyes and what you did. The next one is the rice water stool is the typical finding in case of rice water stool will be seen in which case? Rice water like diarrhoea in cholera, typhoid, ulcerative colitis in amebiasis. So here in amoebiasis you will only get water. Rice and if pessup asks then it will be typhoid. If you have asked about rice water stool then you might be suffering from cholera.

[00:14:30]In which? In cholera and cholera. Next one is full form of CPR? So the full form of CPR is Cardiopulmonary Resuscitation.

[00:14:39]Cardiopulmonary resuscitation. The next one is the What concentration of sodium chloride and IV fluid is termed isotonic? So how much NaCl will be in isotonic fluid? So what will be 0.90% NaCl? 0.90% Next one is a major priority of nursing care of child suspected having meningitis.

[00:15:08]What will you do if your child has meningitis? What would be the major priority for a child who is suspected of having meningitis?

[00:15:17]Nursing care: Check the temperature and give cold sponging. Isolate the child.

[00:15:23]Immediately administer the antibiotic as soon as it is ordered or rest the child to prevent the accident.

[00:15:29]If a child has meningitis, your first priority will be to isolate the child immediately.

[00:15:33]What is? Isolate the child immediately. The next one is the child's apical pulse is always checked before administering digoxin.

[00:15:45]The drug is not given if the pulse rate is.

[00:15:48]Look how easy this question is. Have you checked the apical pulse? Before giving digoxin, when would you not give the drug when what would the pulse rate be? Below 90 to 110 beats per minute Above 90 to 110 beats per minute Less than 60 beats per minute or more than 150 beats per minute Everyone knows that Digoxin is not given whenever the pulse rate is less than 60.

[00:16:11]Otherwise it will reduce further and take the patient straight up. If the heart rate is less than 60 beats per minute, digoxin with help is given or not given at all.

[00:16:35]Sorry for that. Here it is being said for the child.

[00:16:38]If we talk about the child, then the child will have 90 to 110. Why?

[00:16:44]Because the pulse rate of a child, if we are talking about a child here, then the pulse rate of a child is always higher as compared to an adult, if it is less than 60 beats then we will not give it, but here it is being asked about a child, then it will be below 90 to 110 beats per minute, if so then we will not give Digoxin. The next one is during the edematous phase of nephrotic syndrome an important nursing intervention studied. So what do you do here in the aditus phase of nephrotic syndrome? Provide meticulous skin care Encourage fluid intake Encourage moderate activity Weight the child every alternate day. So in the Editus phase you will give the patient Meticulousis skin care. What is there here? Maclosis Skin Care. Regarding mycosis skin care, here we will tell you that you will take good care of the person so that he does not feel that due to his edematous face, his body skin is looking strange.

[00:17:58]Hence provides edematous skin care. The next one is initial nursing assessment of an infant suffering with acute diarrhea and dehydration reveals. So there is initial nursing intervention. What if the child has acute diarrhea and dehydration? Skin turgor will be observed and there will be low hematocrit value. Fontanelle will remain or there will be weight gain. So what will be seen in a child in acute diarrhea and dehydration? Skin turgor. What will happen?

[00:18:30]Skin turgor will tell you if the child has acute diarrhea. Fontanelle bulbs will occur when there is chronic diarrhea. If you are having loose motions very often. The next one is the most likely side effect of external radiation to the neck for cancer of the larynx.

[00:18:53]So what will be the side effects of external radiation? Constipation, dyspnea, sore throat or diarrhea. So if there is a side effect of external radiation for cancer of the larynx, it would be a sore throat. What will happen?

[00:19:10]So throat. Because we are talking about cancer of the larynx. There's talk of cancer of your vocal cords. So what will be the side effects here due to external radiation? So throat. The next one is when the respiratory rate of a 12-month-old child is 35 beats per minute, the most appropriate nursing action is: So here, if the respiratory rate of a 12-month-old child is 35 beats per minute, what will you do? You will inform the doctor, give oxygen, check the respiratory rate again in 15 minutes and document the finding. In such a case, you will keep the document ready, the finding of the document. The next one is a nursing intervention in thrombofluvitis would be contraindicated.

[00:20:05]What would you not do in a patient with thrombofluvitis? Maintaining strict bed rest, turning the patient from side to side, applying warm packs to the affected leg, massaging the affected leg.

[00:20:15]What are the things you have to contra indicate here?

[00:20:21]So you have to contraindication for strict bed rest.

[00:20:23]Maintaining strict bed rest in a patient with thrombophlebitis. The next one is a patient with acute pancreatitis who has an NG tube for low intermittent bowel movements to prevent it.

[00:20:46]What is being done for a patient with acute pancreatitis? It is being sucked.

[00:20:51]So what is this being done for here? To prevent chronic distearation, to prevent gastric reflux, to prevent pancreatic stimulation, for peristalsis. If this is being done through an NG tube inserted in a patient with pancreatitis. To prevent from what? To prevent pancreatic stimulation. The next one is platelet count decreases in. Look how easy this question is.

[00:21:20]In which cases does the platelet count decrease? Everyone knows that in malaria, filariasis, dengue and typhoid, the platelet count of a dengue patient starts decreasing very fast. The next one is eye padding is applied on unconscious patients to prevent.

[00:21:40]Why is eye padding used in an unconscious patient? For dryness of the eye, blinking of the eye, corneal ulcer or eye movement.

[00:21:47]So ipading is used to prevent corneal ulcers in unconscious patients.

[00:21:53]With whom?

[00:21:55]To prevent corneal ulcers. The next one is the hepatitis it is caused by. So who gets hepatitis?

[00:22:04]Due to infected blood transfusion, due to use of contaminated water, due to addiction of drugs or due to dialysis.

[00:22:11]Both hepatitis C and E can be transmitted through the fecal route or through contaminated food and water.

[00:22:17]So what will be your answer here also?

[00:22:19]Due to use of contaminated water.

[00:22:21]Hepatitis B can be caused by a nerve injury.

[00:22:24]C is transfusional hepatitis. Hepatitis B can also be transmitted to a child through vertical transmission.

[00:22:31]Next one is top priority treatment of ventricular fibrillation incl. So what is the top priority for ventricular fibrillation? ECG monitoring, proper positioning, CPR and catheterization.

[00:22:50]So, when you have seen ventricular fibrillation in movies, you will remember it more. It is the same thing that applies current to the chest with a fibrillator.

[00:22:58]So what priority treatment is given here first? So that is CPR. The next one is in following vi disease akar due to deficiency of thiamine so what will happen due to deficiency of thiamine? Very very first pellagra anemia or scurvy then what will happen due to thiamine deficiency?

[00:23:23]What will happen very very? Very very niacin deficiency will cause pellagra. Scurvy will be caused by deficiency of Vitamin C. The next one is to prevent legal implications of what should be done by nurses during the preoperative period? What should be done in the pre-operative period to deal with or prevent legal implications? Provide psychological support Obtain return consent Provide comprehensive nursing care After explaining the patient and is relative post operative complication. Always before any surgery, a form is signed that if anything happens to the patient during the operation, the doctor, nurses or the hospital will not be responsible for it.

[00:24:10]This is called Obtain Written Consent, taking consent in writing. So what is done here is that it is signed in advance so that you can avoid getting into any trouble.

[00:24:22]Next one is clinical manifestation of anemia include accept clinical science everything except one of anemia there will be low hemoglobin level, there will be fatigue, there will be hypoactivity, there will be lethargy, so your answer here will be hyperactivity, the patient with anemia will not have enough courage to go and play sports, rest here hypoactivity will be dull, there will be lethargic, there will be low hemoglobin level, there will be fatigue, everything will be there but he will not be hyperactive. Next one is priority basic management of unconscious patient included so if the patient is unconscious then what would be the priority basic management? If the patient is unconscious in the case of IB therapy, then mannitol will be given and airway will also be cleared. Or if the patient is unconscious in the case of Payette McBurney point unconscious management, then what will be your top priority in that, that is to keep the airway of the patient cleared.

[00:25:25]Next one is in oligo urea volume of urine is so what will be the volume of urine in oligo urea? It will be less than 100 ml, less than 400 ml, less than 800 ml or if there is absence of urine, then what will be the volume of urine in oligo urea, less than 400 ml in oligo urea, less than 100 ml and in oligo urea less than 400 ml, next one is management of cardiac arrest, all except one, we will do everything in cardiac arrest, except one, massive I also infusion autotherapy, clearance of air or cardiac compression, you have to do everything. I do not infuse massively fast.

[00:26:09]Otherwise where will the patient go directly? Above.

[00:26:14]Next is during head injury. What is the cause of increase in body temperature? So, if there is a head injury, what would be the reason for the increase in body temperature? Is the injury in the hypothalamus, the cerebellum, or the medulla? So whenever this question comes in different ways, the first question was that the hypothalamus will regulate the body temperature.

[00:26:38]Now if there is a head injury in which part of the brain, the body temperature will increase, then it will be in the hypothalamus.

[00:26:46]In which? In the hypothalamus. The balance gets disturbed. The next one is what is the cause of anemia in chronic renal failure?

[00:26:55]What causes anemia in a patient with chronic renal failure? Decreases erythropoietin hemolysis production of immature RBCs or inappropriate renal functioning. If the patient has been suffering from renal failure for a long time, then the main reason for this is erythropoietin deficiency.

[00:27:12]What is? Erythropoietin deficiency.

[00:27:16]Next is in the following which is not a cause of hypokalemia.

[00:27:22]Which is not a cause of hypokalemia? Vomiting, potassium wasting, diabetes, aldosteronism, then renal failure, so which is not the cause of hypokalemia?

[00:27:35]Hypokalemia would mean low potassium level. What is low potassium level? Now when the potassium level in your body is low, what will happen to you? There will be muscle cramps, there will be fatigue, there will be tiredness, abnormality will be seen in the height rhythm.

[00:27:52]But here you will not see the cause of kidney failure. The next one is painful mention is term s.

[00:28:07]So painful menses is called dysmenorrhea. Amenorrhea means absence of menstruation. Anergia means excessive bleeding. The next one is the next one is in the following it is not a sexually transmitted disease So which of the following is not a sexually transmitted disease? Cancroid, Syphilis, Fibroid, Uterus or AIDS, you know it will be Syphilis, AIDS, Voria, which is another option here, what is Cancroid? Canthroid is also a sexually transmitted disease which occurs along with HIV. The disease here is canid disease, this is also a bacterial infection. It will be caused by a bacteria called Haemophillus dactyla. What is? It will be caused by a bacteria called Haemophilus ductus. Can be cloyed but fibroid uterus is not a sexually transmitted disease. Next is the fault in the male that may cause infertility.

[00:29:20]So in the mail it is said here that what are the causes due to which infertility will occur? There will be desire. Mumps is a complication of orchitis or sperms which causes the development of the condition of orchitis.

[00:29:35]Fetal infection can also cause a rise in scrotal temperature.

[00:29:39]Undescended testicles may also occur. So here your answer will be all of the above, whose could all these regions be? Of male infertility.

[00:29:51]Next is secretion from the mother's breast following delivery. What comes out of mother's breast after delivery? That is called colostrum. What is?

[00:30:02]Colostrum. Leucorrhea is white discharge. It will be through wine. Prostatic hyperplasia is the term given to the bleeding that occurs after delivery. Next is during the first stage of labor, is the placenta delivered?

[00:30:18]At what stage will the placenta be delivered?

[00:30:21]First, second, third, fourth. In the first stage, the cervix will dilate. The baby will come out in the second. The placenta will be delivered in the third. We will do observation in the fourth. So what will be your answer here? Stage number three.

[00:30:34]Next is a pap smear is used for screening of which of the following? So what is a Pap smear used to screen for? Ovarian cancer, endometrial cancer, cervical cancer or breast cancer. Pap smear is used to screen for cervical cancer. The next one is Which abdominal grip is used to assist the descent of the head in a pregnant woman?

[00:31:04]Which grip is used in pregnant women to determine the condition of the head?

[00:31:05]Fundal, lateral, pelvic one or pelvic two. So the grip that is adopted is pelvic grip two. We have read these gripes many times. What are pelvic grip first, pelvic grip second, Leopold maneuvers all about? Grip is used in different ways.

[00:31:21]So, the grip that will be adopted to assess the baby's head correctly will be pelvic grip second. The next one is movement of the baby that is felt by the mother at its known age. So what will the movements that the mother is feeling in her baby's uterus be called?

[00:31:42]Allotment of Lightning, Engagement, Quickening. So this will be called quickening. What will it be called? Quickening which will be called the first fetal movement. The mother will start feeling these things at 20 weeks of pregnancy. The next one is bed rest is essential in preeclampsia since it.

[00:31:59]Bed rest is required in patients with preeclampsia.

[00:32:01]Why?

[00:32:04]Mobilizes tissue fluid there by lowering blood pressure to prevent cyanosis. Improves blood circulation and decreases edema. Bed rest is recommended for a patient with pre-eclampsia so that you can improve blood circulation and reduce edema.

[00:32:21]Option number three. The next one is above 25% of maternal deaths are due to what?

[00:32:34]Osteoarthritis due to infection or unexpected abortion or prolapse. So here the main reason for 25% maternal deaths is hemorrhage and bleeding.

[00:32:44]Osteoarticular hemorrhage. If bleeding occurs at the time of delivery, after delivery or during the delivery, then in what will it be considered? In obstetric hemorrhage.

[00:32:56]Next is bleeding after 24 hours of delivery is considered as postpartum hemorrhage. When will postpartum hemorrhage be considered? If bleeding occurs after 24 hours then when blood loss is more than 500 ml, 700, 100 or 200 is a very easy question. What do we call postpartum hemorrhage when blood loss exceeds 500 ml?

[00:33:26]Postpartum haemorrhage and blood loss of more than 500 ml. Next in line is the highest diameter of the pelvis. What is the highest diameter of the pelvis? Anterior, posterior, lateral, oblique, or are all equal? So this question has also been taught to you many times. The highest diameter of the pelvis is the anterior posterior diameter.

[00:33:52]Next is what total weight gain during pregnancy is about. So how much total weight should one gain during pregnancy? 6 kg, 8 kg, 11 kg, 14 kg. So in a normal healthy pregnancy, there should be at least 11 kg weight gain. The next one is in following where the vaccine is given to pregnant ladies. So which vaccine will be given to a pregnant lady?

[00:34:17]Measles, BCG, tetanus or DPT. So the vaccine that is given to a pregnant lady is the tetanus vaccine. One is given as soon as the pregnancy is confirmed.

[00:34:26]We can give the second one after a gap of one month.

[00:34:28]Next is the primary feature of cervical cancer included. So what is the primary feature of cervical cancer?

[00:34:38]Polyuria, irregular menstruation, anorexia or headache, pelvic sores, cervical cancer, the primary feature will be irregular menstruation. What is?

[00:34:50]Irregular periods. Polyuria is for DM.

[00:34:52]So here the primary feature, the primary sign for cervical cancer would be regular menstruation. Next is your question here Total number of antenatal visits by a pregnant lady should be at least.

[00:35:09]We had told you this question yesterday also. So how many antenatal visits does a pregnant lady need? Two, three, one or five. You can.

[00:35:17]Whenever there is a four in the option, mark it. Or there are three instead of four.

[00:35:21]Mark three. In the class I took with you yesterday, I made you solve a paper.

[00:35:26]You must go and see it. I think the first question in that paper was how many total antenatal visits should be done?

[00:35:35]Four should be done. Minimum four. But when there are three in the option then you can mark three. The next one is the commonest complication of IOD insertion.

[00:35:47]What are the common complications of inserting an ID? Pain, bleeding, perforation or ectropic pregnancy. The first and common complication is bleeding. What is?

[00:35:57]Bleeding. The second one is the pain. If you get options like this in the exam then mark bleeding. If you ask for secondary then pen. The next one is fertilization acres in. So where does fertilization take place?

[00:36:12]In the uterus, in the fallopian tube, in the pelvis or in the vagina? So where does fertilization take place? In the ampulla part of the fallopian tube.

[00:36:21]Implantation will take place here in the uterus. The next one is the following which is the main cause of PID.

[00:36:33]What is the main cause of pelvic inflammatory disease? Abrupt placenta (placenta previa), ectopic pregnancy, or preterm birth. So here the main reason for pelvic inflammatory disease will be the long-term postpartum emer- gence. PPH next is during plus two station position of fetal heart is what will be the position of fetal heart when it is in plus two station position. Below the still spine Above the still behind the still just above the pelvic inlet. So the answer here will be your below steel spine. What is the blue sternal spine? In the class we took one week ago, we taught you about the stations, what position, how much the baby will come out, in what way, all this is yours. So during plus two stations, the position of the fetal head is below the sternal spine.

[00:37:30]Next is which of the following fontanelles in the child is the first to close. Which fontanelles close first? Frontal, occipital, sphenoid. The occipitals are the first to close. Which ones?

[00:37:46]Occipital. Then there are frontal or post anterior, which we will say when do they occur? These usually happen at the age of 18 months.

[00:37:57]And those are the first ones to close here. They close within a few weeks.

[00:38:02]So the occipital fontanel. The next one is to calculate the dose of medicine for a child which of the following formula is used. So what formula was used to calculate drug dosage in children? Young is adopted, Clark is, Flights is. All formulas are adopted.

[00:38:20]So what answer will you give here? Everything, all of the above. Next is in premature labor which of the following medicine is useful for the newborn?

[00:38:32]Which medicine should be given for premature liver which will be helpful for the newborn?

[00:38:38]Magnesium sulfate, oxytocin, dexamethasone, testosterone. If premature labour is induced, the medicine we will give which will be helpful for the newborn baby will be dexamethasone. Which one? Dexamethasone will help the baby's lungs mature.

[00:38:56]What will happen? Dexamethasone. The next one is a promising treatment for some children suffering from thalassemia.

[00:39:09]What will be a permanent treatment for thalassemia? We will not call it permanent, we will just call it promising.

[00:39:17]Chemotherapy take in bone marrow transplantation is radiation therapy or presteroidal therapy. If a child has thalassemia.

[00:39:25]How will you take care of that thalassemia patient? How will you try to treat it?

[00:39:30]By bone marrow transplant. The next one is a child diagnosed with bacterial conjunctivitis. A nurse educates the mother to do all except. If the child has bacterial conjunctivitis, as a nurse you will tell the mother everything except one. Wash and frequently clean eyes as prescribed. Share towel and wash cloth. Give eye drops and prescribe.

[00:39:59]Wash frequently to prevent contamination.

[00:40:03]Wash the ice as prescribed. Give the eye drops that have been given to you. Never share your towels and clothes.

[00:40:12]So here also the option is the same in the question that after accepting it, what should not be done in the question? If a child has bacterial conjunctivitis, then in such a case you should share the towel and wash the cloth.

[00:40:29]Next one is the Apgar score done to assess the infant for. So what things will be checked in the Apgar score? Birth defects, respiratory effects, Rh sensitization or emotional stability. Apgar scoring is done twice. Once when the baby is delivered and then again after 5 minutes. Here in Apgar test respiratory effort will be checked and not respiratory effort will be checked and not RS sensitizations near sensitivity or birth defects. The next one is Bill’s tumor is a tumor of where is Bill’s tumor? It is a common kidney tumor in children.

[00:41:09]Next is normal birth weight. So how much does a baby normally weigh?

[00:41:14]What is a normal birth weight for a baby? 2.5 to 3 kg 2 to 2.5 kg 3 to 3.5 kg 2.2 to 2.7 kg So the weight of an Indian healthy baby at birth is 28 kg to 3 kg 2.5 to 3 kg. This weight will double in 5 to 6 months and will become triple in one year.

[00:41:36]Next is What is the Criteria of LVW? What are the criteria for low birth weight babies? Birth weight below 2 kg, birth weight less than 2 kg, birth weight less than 28 kg, birth weight less than 3 kg or birth weight less than 2.7 kg.

[00:41:52]Babies, we just read in the previous question that how much do Indian babies weigh? 2.5 kg to 3 kg. Low birth weight babies are those whose weight is less than 2.5 kg.

[00:42:04]So here is the right answer is option number B. Birth weight is less than 2.5 kg or a baby weighing less than 2.5 kg will be called low birth weight babies. The next one is at the age when a child can start to brush their teeth. At what age do children start brushing their teeth? Let's start brushing. In 2 years, 3 years, 4 years or 20 months. So when are children generally three years old? When they are three years old, they start brushing their teeth. We will have to force two.

[00:42:36]But the child will learn proper brushing at the age of three. The next one is while talking about temperature from rectal routine in children thermometer should be inserted about so if you are taking rectal temperature then how much thermometer should you insert? 0.5 inch, 1 inch, 1.5 inch or 2 inch. Rectal Thermometer If you take a rectal temperature, how far will you insert the thermometer? 1 inch.

[00:43:08]Next is MMR vaccine is given by. If yes, then by which route is the MMR vaccine given? Intravascular, subcutaneous, intravenous or intradermal?

[00:43:18]So intravenously, the MMR vaccine is given through the subcutaneous route. With whom?

[00:43:25]By the subcutaneous route. Pentavalent is given IM.

[00:43:27]BCG is given intradermally.

[00:43:31]Next is deficiency of Vitamin D in children may cause. So what happens if children are deficient in Vitamin D?

[00:43:38]Osteomalacia, rickets, pellagra or variverie will occur.

[00:43:43]When there is deficiency of Vitamin D in children, then children will suffer from rickets. If asked in adults, then osteomalacia, pellagra or variverie will occur due to deficiency of Vitamin D. Next is in children which disease is due to protein deficiency.

[00:43:57]So which disease will occur due to protein deficiency, marasmus, kwassiokar, beriberi or scurvy, kwassiokar will occur due to protein deficiency, marasmus will occur due to lack of energy. Protein deficiency will cause quasarkar. The next one is after the birth of the baby, breastfeeding should be started. So how long after the baby's birth should breastfeeding be started? Within 2 hours, within half an hour, next day or after week.

[00:44:28]If we are talking about breast feeding after birth, then the baby has to be fed within half an hour or 0.5 hours. That means within 30 minutes of half an hour. The next one is when physiological joints appear in newborn babies.

[00:44:48]When will physiological joints be seen in a newborn baby?

[00:44:50]Get the birth on the second week, on the second day or on the first week, here physiological is one, pathological means there is some problem from inside, physiological joint will be seen when on the second day, next is in the following which is not a preventive measure for tetanus neutron, tetanus ophthalmic neutron, what are tetanus neutron? So what is it used for? TT Vaccine Follow the Five Clean Rules TT immunization during reproductive or penicillin antibiotic ophthalmic pneumonitis and tetanus pneumonitis in children follows the WHO's Five Clean Practices. The area where the delivery is taking place should be safe. Be safe at the place of the person who is delivering. The instruments being used should be safe. Clean cord and clean clean cord end clamping. The next one is the causative organism of chicken pox. So what is the causative agent of chicken pox?

[00:45:55]Paramyxovirus, Parisella, Zooster, Herbie, Simplex or Bodiella, Persis.

[00:46:00]All these viruses are helpful in causing some disease or the other.

[00:46:05]What is there for chicken pox?

[00:46:07]Varicella zoster virus.

[00:46:10]Next is in a patient of fever.

[00:46:13]Fastagium is the term when given to the following period. When is the term fastagium adopted?

[00:46:20]Onset of fever means that fever has started when the temperature is at its maximum. When the body temperature is gradually returning to normal or when the body temperature is suddenly returning to normal.

[00:46:33]Fastagium would mean that the temperature reaches a peak level and then stops there, remains there. What will it be called?

[00:46:42]Fastagium.

[00:46:44]Next is which of the following diseases is not transmitted by air or droplets?

[00:46:50]Which disease will not be spread by airborne droplets? Measles, chicken pox, poliomyelitis or tuberculosis.

[00:46:58]Measles, chicken pox, polio, tuberculosis. So the air corner that is not there will be what you have here? Polio. What is? Polio will be transmitted through the direct picoral route. Air worms can cause measles. Sneezing can cause smallpox. You may get TB but you will not get polio.

[00:47:18]Next is Who Established By So Who was established by when? On 7 April 1948. The next one is the What is the full form of UNDP? So the full form of UNDP is United Nations Development Programme. What is? United Nations Development Programme.

[00:47:41]Next is typhoid fever is a so what type of fever is typhoid? Bacterial skin, parasitic or viral. Typhoid is a bacterial disease that develops from a bacterium called Salmonella typi.

[00:47:56]Next is polio vaccine is prepared from What is polio vaccine made of?

[00:48:01]Killed organisms and toxins from live attenuated organisms or proaerobic bacteria. So the polio vaccine is made from live attenuated organisms.

[00:48:15]Next is the full form of abbreviation ICD. The full form of ICD is Integrated Child Development Services.

[00:48:23]Next is the community health nurse explaining a new diagnosis: diabetes mellitus. Patient that the purpose of medication is to treat, if a patient is newly diagnosed with diabetes, then what things will you explain like hypoglycemia, hyperglycemia, hypoglycemia, then hyper hypoglycemia, then the community health nurse will explain to the person who has newly been diagnosed with diabetes that why you have to start your medication so that you can be saved from hypoglycemia, sorry hyperglycemia.

[00:49:05]To prevent your blood sugar level from becoming too high. The next one is which is the most appropriate time of iodine insertion. So what would be the most appropriate time for iodine insertion? During and with these 10 days of menstruation. So this will be your correct answer here. The option is about the middle of the cycle just before menstruation at any time of menstruation. The best way to set iodine is during and with these 10 days of menstruation. Either 10 days before or 10 days after periods.

[00:49:37]Next is the type of BCG vaccine is.

[00:49:40]So what type of vaccine is BCG vaccine? Kill, Triple, Live or Combine.

[00:49:46]DPT vaccine is a live attenuated vaccine.

[00:49:49]Which one? Live attenuated vaccine.

[00:49:54]Next is WHO RS Packets Includes All the Following Accept. So the RS packet of WHO will contain sodium chloride, potassium chloride and sodium bicarbonate but not calcium carbonate.

[00:50:11]Infant motility rate is expressed in terms of. So, infant motility rate is the number of deaths of children up to one year of age in a particular year.

[00:50:22]In which infant motility is presented?

[00:50:25]1000 life births at the rate. How much?

[00:50:29]1000 life births at the rate.

[00:50:31]Next is in we day International AIDS Day celebrated? So when do we celebrate International AIDS Day? On the first of December.

[00:50:40]When? On the first of December.

[00:50:44]Next next is in following Vi disease is caused by varicella zooster? Varicella zoster will cause chicken pox. What will happen?

[00:50:51]Chicken pox would be diphtheria, small pox would be syphilis, but chicken pox would be from what, varicella zoster, next one is therapy treatment which is used for TB, so therapy is used for TB, that is DOTS, what is DOTS, MDT would be there, for leprosy there would be ORS for the patient of dehydration and diarrhea, next is polio, it is mainly infection of, so polio is infection of what?

[00:51:24]Of the respiratory tract, the central nervous system, the alimentary tract, or the reproductive system? So which parts will be most affected in polio? Please give your answer in the comment box. Which part will be affected the most by polio?

[00:51:45]Next is What Do You Mean By Incident?

[00:51:47]So what does incident mean? New cases of any disease Old cases of any disease Total cases of any disease or all of the above prevalence If you ask for total cases, both new and old incidence, then only new cases of any disease Next one is in following which disease has been eradicated from all over the world So which disease has been eradicated from all over the world? Chicken pox, small pox, cholera or pertussis. The disease that has been eradicated from the entire world is small pox. So this was our paper.

[00:52:28]If you liked the paper then please comment in the comment box and answer question number 98.

[00:52:35]What type of paper will the next ANM bring you? In that, the answer will be told to you in this paper itself.

[00:52:40]I hope you liked today's paper.

[00:52:42]Thank you for watching us.

[00:52:44]Bye-by take care. Good night.