NONursing Officer HubGandaki Province · Level 7
Paper II · Unit 2 · 20%

Family Health and Reproductive Health

Complete step-by-step revision notes with examiner-focused MCQs and likely subjective questions.

How to use

Read the concept, reproduce the steps from memory, then answer the possible questions.

Revision target

Complete one topic, ten MCQs and one written answer before marking it revised.

Topic 1

Family health nursing and home visit

Core meaning: Family health nursing assesses and supports the family as a unit.

Step-by-step learning

Prepare

Purpose, records and supplies.

Enter respectfully

Introduce, obtain permission and build rapport.

Assess

Home, family, risk and resources.

Provide care and education

Demonstrate and involve family.

Record, refer and follow up

Document and plan next visit.

Key points to remember

  • Home visits should be planned, purposeful, flexible and recorded.
  • Maintain privacy and infection prevention.
Possible MCQs
  • What is the first principle of a home visit?
Possible subjective questions
  • Discuss role and responsibilities of a nurse in family health care.
  • Explain importance and principles of home visiting.
Topic 2

Reproductive health across the lifespan

Core meaning: Reproductive health covers physical, mental and social wellbeing related to reproduction throughout life.

Step-by-step learning

Adolescence

Information, menstrual health and protection.

Preconception

Nutrition, risk assessment and family planning.

Pregnancy and birth

Safe motherhood and skilled care.

Postpartum and newborn

Recovery, feeding and danger signs.

Later life

Menopause, screening and sexual health.

Key points to remember

  • Components include family planning, maternal health, STI/HIV care, adolescent health and infertility-related support.
  • Rights and informed choice are central.
Possible MCQs
  • Which services are part of reproductive health?
Possible subjective questions
  • Explain reproductive health concept, components and lifespan approach.
Topic 3

Safe motherhood

Core meaning: Safe motherhood reduces preventable maternal and newborn morbidity and mortality.

Step-by-step learning

Antenatal care

Risk assessment, prevention and birth planning.

Skilled birth

Clean and safe delivery.

Emergency readiness

Recognition, transport and referral.

Postnatal care

Mother and newborn follow-up.

Audit and improvement

Review maternal/perinatal outcomes.

Key points to remember

  • Know danger signs and three delays.
  • Respectful maternity care is essential.
Possible MCQs
  • What are the three delays?
  • Which sign requires urgent referral?
Possible subjective questions
  • Discuss safe motherhood and birth preparedness.
Topic 4

Family planning

Core meaning: Family planning enables informed choice about number and spacing of children.

Step-by-step learning

Assess need

Reproductive intention and medical eligibility.

Counsel

Effectiveness, side effects, protection and return to fertility.

Support choice

Voluntary and noncoercive.

Provide or refer

Correct technique and infection prevention.

Follow up

Manage side effects and continuation.

Key points to remember

  • Condoms also reduce STI transmission.
  • No method should be imposed.
  • Use current national eligibility guidance.
Possible MCQs
  • Which method also protects against STI?
Possible subjective questions
  • Classify contraceptive methods and explain counselling.
Topic 5

HIV/AIDS and STI prevention and care

Core meaning: Prevention combines safer behaviour, testing, treatment, partner services and stigma reduction.

Step-by-step learning

Assess risk and symptoms

Nonjudgmentally.

Counsel and test

Consent and confidentiality.

Treat or refer

Syndromic/diagnostic care per current guideline.

Prevent transmission

Condoms, ART adherence and maternal interventions.

Follow up

Partner management and support.

Key points to remember

  • Standard precautions apply to all patients.
  • Do not discriminate based on status.
Possible MCQs
  • What is the basis of standard precautions?
Possible subjective questions
  • Discuss nursing role in HIV/STI prevention and care.