Sagar Nursing Classes

🪔✨ Happy Diwali to the entire SNC – Sagar Nursing Classes Family! ❤️ May your life shine with happiness, success and prosperity. 🌸 Stay blessed! 🎆

🚨 BIG NEWS FOR BIHAR NURSING ASPIRANTS! 🏥 135 upgraded & newly constructed CHCs में प्रति CHC 47 पद निर्धारित किए गए हैं। इनमें Nursing Officer, Senior Nursing Officer, Pharmacist सहित अन्य पद शामिल हैं। आगामी भर्तियों के लिए बड़ी अपडेट! 🔥 📌 Official Vacancy Notification का इंतजार करें।

SGPGIMS has cancelled the Stage-2 SGPGIMS has cancelled the Stage-2 examination for Hospital Attendant Grade-II at three examination centres in Lucknow due to operational issues. Further details will be notified soon. ©️Sagar Nursing Classes

LABOUR & STAGES OF LABOUR — HIGH-YIELD EXAM POINTS 1. True labour → Regular contractions + Progressive cervical dilatation. 2. False labour → Irregular contractions + No progressive cervical changes. 3. Definitive sign of true labour → Progressive cervical dilatation and effacement. 4. First stage → Onset of true labour to 10 cm cervical dilatation. 5. Second stage → Full dilatation to delivery of baby. 6. Third stage → Delivery of baby to delivery of placenta. 7. Fourth stage → Immediate postpartum observation period. 8. Full cervical dilatation → 10 cm. 9. WHO active phase of labour → Begins at 5 cm cervical dilatation. 10. Latent phase → Onset of labour to 5 cm dilatation (WHO guidance). Sagar Nursing Classes (SNC) 11. Cardinal movements mnemonic → Every Darn Fool In Egypt Really Eats Eggs. 12. Engagement → Biparietal diameter passes through the pelvic inlet. 13. Station 0 → Presenting part is at the level of ischial spines. 14. Flexion → Chin approaches the chest. 15. Internal rotation → Occiput usually rotates anteriorly in normal vertex labour. 16. Extension → Head is delivered beneath the pubic arch. 17. Restitution → Head realigns with the shoulders. 18. Expulsion → Delivery of shoulders and the rest of the body. 19. Normal fetal heart rate baseline → 110–160 beats/minute. 20. Normal baseline variability on CTG → 6–25 beats/minute. Sagar Nursing Classes (SNC) 21. Fetal tachycardia → Baseline FHR >160 bpm for at least 10 minutes. 22. Fetal bradycardia → Baseline FHR <110 bpm for at least 10 minutes. 23. Early deceleration → Fetal head compression. 24. Late deceleration → Uteroplacental insufficiency. 25. Variable deceleration → Umbilical cord compression. 26. VEAL CHOP → Variable-Cord, Early-Head, Acceleration-Okay, Late-Placenta. 27. FHR acceleration at ≥32 weeks → ≥15 bpm for ≥15 seconds. 28. Moderate CTG variability → Generally reassuring finding. 29. Recurrent late decelerations → Reposition, stop oxytocin, assess and correct maternal causes. 30. Supplemental oxygen → Not routinely recommended if the mother is not hypoxemic. Sagar Nursing Classes (SNC) 31. Placental separation sign → Uterus becomes firm and globular. 32. Another separation sign → Umbilical cord lengthens. 33. Another separation sign → Sudden gush of blood. 34. AMTSL uterotonic of choice → Oxytocin. 35. Common prophylactic oxytocin dose → 10 IU IM after birth. 36. Controlled cord traction → Performed by a trained birth attendant with uterine counter-traction. 37. Prolonged third stage → Commonly defined as >30 minutes with active management. 38. Fourth stage priority → Monitor bleeding, uterine tone and vital signs. 39. Partograph → Monitors labour progress and maternal-fetal condition. 40. Traditional partograph alert line → Represents 1 cm/hour cervical dilatation. Sagar Nursing Classes (SNC) 41. Traditional partograph action line → 4 hours to the right of the alert line. 42. Cervical dilatation on traditional partograph → Marked with X. 43. Fetal heart rate on traditional partograph → Marked with a dot. 44. Moulding +3 → Severe overlapping of skull bones that is irreducible. 45. Normal uterine contraction frequency → Usually 3–5 contractions per 10 minutes. 46. Uterine tachysystole → More than 5 contractions in 10 minutes, averaged over 30 minutes. 47. Meconium-stained liquor → Requires assessment of the whole clinical picture. 48. Second-stage pushing → Begins after full dilatation when appropriate. 49. Primary PPH → Excessive bleeding within 24 hours after birth. 50. Most important labour progress assessment → Cervical change along with contractions and fetal descent.

📢 Jharkhand CHO Recruitment 2026 🏥 Total Vacancies: 1,038 💰 Salary: ₹25,000/month 🎓 Qualification: B.Sc. Nursing / Post Basic B.Sc. Nursing + Integrated CCH Certificate 📅 Apply Start: 31 October 2026 ⏳ Last Date: 22 November 2026 🌐 Official Website: jrhms.jharkhand.gov.in 📚 Sagar Nursing Classes

📢 PGIMER CHANDIGARH NURSING OFFICER RECRUITMENT 2026 📊 TOTAL APPLICATIONS RECEIVED: 67,708 Category-Wise Application Details 👇 🔹 UR (General): 21,929 🔹 OBC: 20,212 🔹 SC: 16,270 🔹 ST: 3,952 🔹 EWS: 5,021 🔹 PwBD: 324 ✅ TOTAL: 67,708 APPLICATIONS 📌 Information as per the RTI reply issued by PGIMER Chandigarh. 📚 SAGAR NURSING CLASSES Nursing Officer Exam Updates | Nursing Preparation

🔥 OBG TRICKY POINTS – NORCET QUICK REVISION 📌 1. Naegele’s Rule → EDD = LMP + 9 months + 7 days. 📌 2. True Labour Pain → Cervical dilatation and effacement occur progressively. 📌 3. Placenta Previa → Painless, bright-red vaginal bleeding. 📌 4. Abruptio Placentae → Painful bleeding with a tender, tense uterus; bleeding may be concealed. 📌 5. Preeclampsia → New-onset hypertension after 20 weeks with proteinuria OR other maternal organ dysfunction. 📌 6. Magnesium Sulphate Toxicity → Loss of deep tendon reflexes is an early warning sign; stop infusion and assess urgently. 📌 7. Placenta Delivery → Schultze mechanism = fetal surface first; Duncan = maternal surface first. 📌 8. Postpartum Hemorrhage (PPH) → Uterine atony is the most common cause. 📌 9. Ectopic Pregnancy → Commonest site is the ampulla of the fallopian tube. 📌 10. Lochia Rubra → Red discharge, usually during the first 3–4 days postpartum. 📌 11. Fetal Heart Rate → Normal baseline is 110–160 beats/min. 📌 12. Cord Prolapse → Relieve cord compression and expedite birth; do NOT push the cord back into the uterus. 📌 13. APGAR Score → Assessed at 1 and 5 minutes after birth; it does NOT determine the need to start initial resuscitation. 📌 14. Bishop Score → Assesses cervical favourability for induction of labour. 📌 15. Colostrum → Rich in secretory IgA; helps protect the newborn against infection. 🩺 SAGAR NURSING CLASSES

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🩺 Tracheostomy Nursing Care NORCET • AIIMS • RRB • PGI 1. Tracheostomy → Opening into the trachea. 2. Main purpose → Maintain airway. 3. Suctioning → Removes secretions. 4. Humidification → Prevents dry secretions. 5. Obturator → Helps tube insertion. 6. Inner cannula → Can be removed for cleaning. 7. Cuff pressure device → Manometer. 8. Adult cuff pressure → Usually 20–30 cm H₂O. 9. Suction application → During withdrawal. 10. Adult suction pass → About 10–15 seconds maximum. SAGAR NURSING CLASSES 11. Preoxygenation → Helps prevent hypoxemia. 12. Open suctioning → Sterile technique. 13. Stoma cleaning → Follow facility protocol. 14. Speaking valve → Cuff fully deflated. 15. Cuffed tube → Does not completely prevent aspiration. 16. Thick secretions → Check humidification. 17. Blocked tube → Check airway patency urgently. 18. Catheter cannot pass → Suspect blockage or displacement. 19. Tube ties → Prevent accidental displacement. 20. Stoma infection → Redness and purulent discharge. 21. Late complication → Tracheal stenosis. 22. Subcutaneous emphysema → Air under the skin. 23. Major bleeding → Emergency. 24. Fresh tube displacement → Call for emergency help. 25. Emergency equipment → Suction and spare tubes. SAGAR NURSING CLASSES 26. Oxygen delivery → Use a suitable tracheostomy interface. 27. Oral care → Maintains mouth hygiene. 28. Skin care → Prevents irritation and pressure injury. 29. Suction catheter → Never force against resistance. 30. Suction insertion → No suction while advancing. 31. Cuff overinflation → May damage tracheal mucosa. 32. Cuff leakage → Audible air leak may occur. 33. Tube flange → Rests against the neck. 34. Tracheostomy ties → Avoid excessive tightness. 35. Decannulation → Removal of the tracheostomy tube. 36. Stoma assessment → Check redness, swelling and discharge. 37. Respiratory distress → Assess airway and breathing immediately. 38. Suctioning frequency → Based on clinical need. 39. Nutrition assessment → Check swallowing and aspiration risk. 40. Nursing priority → Maintain airway patency and oxygenation. https://whatsapp.com/channel/0029VaEq4BC1yT271U52Ir1r

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