Number of visits in home based new born care in case of institutional delivery is?

Hariyana-CHO-2021

Community Health Nursing

Easy

Appeared in: Hariyana-CHO-2021

Explanation

Under the Home Based Newborn Care (HBNC) program, there are 6 mandatory home visits for newborns after an institutional delivery.
These visits are specifically scheduled on days 3, 7, 14, 21, 28, and 42 of the newborn's life.
The first visit is scheduled for day 3 because the initial 48 hours of postnatal care are provided at the health facility where the delivery occurred.
This structured follow-up is crucial for monitoring the health of both the mother and the baby after discharge.

Option B: This is an incorrect number of visits. While there are special provisions (e.g., for late discharge after a C-section, 5 visits may be conducted from day 7), the standard schedule for a normal institutional delivery is 6 visits.
Option C: This is the number of visits required for a home delivery, not an institutional one.
Option D: This is an arbitrarily low and incorrect number. The HBNC program mandates a more comprehensive schedule of visits to ensure newborn survival.

Clinical Relevance

Nursing practice connection: Knowing Home Based Newborn Care (HBNC) Visit Schedule helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
HBNC is a cornerstone of India's public health strategy to reduce the Neonatal Mortality Rate (NMR) by ensuring a continuum of care from facility to home.
During these visits, nurses and community health workers (ASHAs) perform critical assessments: weighing the baby, checking for danger signs (e.g., poor feeding, hypothermia, fast breathing), counseling on exclusive breastfeeding and hygiene, and facilitating timely referrals.
Patient Safety: These visits are vital for identifying postpartum complications in the mother and life-threatening conditions in the newborn, enabling early intervention.

How to Approach the Question

First, identify the key terms in the question: "Home Based New Born Care," "institutional delivery," and "number of visits."
Recognize that this is a factual recall question based on national health program guidelines (specifically, the National Health Mission).
The crucial step is to differentiate between the visit schedules for "institutional delivery" and "home delivery," which is a common point of confusion in exams.
Recall that an institutional delivery provides care for the first 1-2 days, so the home visit schedule would logically start later than for a home birth.
Based on this, remember the 6-visit schedule for institutional births and the 7-visit schedule for home births.
Select the option that matches the correct number for an institutional birth.

Concept Tested & Keywords

Concept Tested: Home Based Newborn Care (HBNC) Visit Schedule
Stem keywords: home based new born care, institutional delivery, number of visits
Lead-in keywords: is
Clinical cues: The care setting changes urgency, monitoring level, and the expected nursing action.

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E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart C (pp 404-604 of 604) p. 145-147