NORCET 8 Prelims-2025
Community Health Nursing
Easy
The 4 D's are related to which national health program?
Appeared in: NORCET 8 Prelims-2025
Explanation
- The Rashtriya Bal Swasthya Karyakram (RBSK) is a national initiative for child health screening and early intervention.
- The core of RBSK is the screening for '4 D's': Defects at birth, Diseases, Deficiencies, and Developmental delays including disabilities.
- This program targets children from birth up to 18 years of age, aiming to provide comprehensive care from early detection to free treatment.
- RBSK covers 30 common health conditions to ensure holistic health support for children.
Why Other Options Were Wrong
- Option A: Janani Suraksha Yojana (JSY) is a safe motherhood intervention focused on reducing maternal and neonatal mortality by promoting institutional deliveries.
- Option C: Rashtriya Kishor Swasthya Karyakram (RKSK) is a health program specifically for adolescents (10-19 years), addressing their unique health needs like nutrition, mental health, and reproductive health.
- Option D: Navjaat Shishu Suraksha Karyakram (NSSK) is a program focused on training healthcare providers in basic newborn care and resuscitation at the time of birth.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Knowledge of Indian national health programs and their specific focus areas as background academic context rather than a clinical decision trigger.
- Community health nurses play a vital role in RBSK by being part of mobile health teams that conduct screenings in Anganwadi centers and schools.
- Early identification of the '4 D's' is crucial for preventing long-term disability and improving the quality of life for children. Nurses are key in this screening and referral process.
- What if a child is screened and found to have a congenital heart defect? The nurse's immediate responsibility is to ensure the child is referred to the District Early Intervention Centre (DEIC) for confirmation, and then facilitate access to free treatment and management as per RBSK guidelines.
How to Approach the Question
- First, identify the key term in the question, which is '4 D's'.
- Recall or deduce the context of this term. '4 D's' is a mnemonic used in a specific Indian public health program.
- Evaluate each option, which are acronyms for different national health programs.
- Match the mnemonic '4 D's' (Defects, Diseases, Deficiencies, Delays) with the program that focuses on comprehensive child health screening. This is the core function of RBSK.
- Eliminate the other options by recalling their primary focus: JSY (maternal health/institutional delivery), RKSK (adolescent health), and NSSK (newborn resuscitation).
Concept Tested & Keywords
- Concept Tested: Knowledge of Indian national health programs and their specific focus areas.
- Stem keywords: 4 D's, national health program
- Lead-in keywords: related to
Question ID
QHSq6PWZE8Cm3ay2Pmay_u
Reference Book
E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart C (pp 404-604 of 604) p. 147-149
E6 Comprehensive Textbook of Community Health Nursing for BSc Nursing Students Part 2 — Subpart A (pp 1-275 of 550) p. 262-264
Practise the full NORCET 8 Prelims-2025
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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