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

Appeared in: Hariyana-CHO-2021

Explanation

Under the national Home Based Newborn Care (HBNC) guidelines, a total of seven home visits are scheduled for a baby born at home.
These visits are conducted by a trained community health worker (ASHA) on specific days: Day 1, 3, 7, 14, 21, 28, and 42.
The first visit is critical and occurs within 24 hours of birth to provide immediate newborn care, support breastfeeding initiation, and identify any early danger signs.

Option A: This is an incorrect number of visits for the initial HBNC schedule.
Option C: This is an incorrect number of visits for the HBNC schedule.
Option D: This is an incorrect number of visits for the HBNC schedule.

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 strategy to reduce the Neonatal Mortality Rate (NMR) by ensuring timely care and identification of danger signs in the crucial first month of life.
ASHA workers are the frontline providers, trained to assess the newborn for danger signs (e.g., hypothermia, poor feeding, fast breathing), counsel the mother on exclusive breastfeeding and hygiene, and facilitate prompt referral for sick newborns.
What if? - If the delivery had occurred in a hospital (institutional delivery), the number of home visits would be six. The first visit on Day 1 is omitted because care during the initial 48 hours is provided at the facility before discharge.

How to Approach the Question

First, identify the core components of the question: 'Home Based Newborn Care (HBNC)', 'home delivery', and 'number of visits'.
This is a factual recall question based on national health program guidelines in India.
Recall the specific schedules for HBNC. Remember that the schedule differs based on the place of delivery.
Mentally differentiate: Home delivery has one extra visit at the beginning compared to institutional delivery.
The schedule for home delivery is 7 visits (Day 1, 3, 7, 14, 21, 28, 42).
Select the option that matches this number.

Concept Tested & Keywords

Concept Tested: Home Based Newborn Care (HBNC) visit schedule
Stem keywords: home based new born care, HBNC, home delivery, number of visits
Lead-in keywords: Number of
Clinical cues: The phrase 'home delivery' is the key clinical cue that determines the correct number of visits.

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

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