Semester VI
1. Child Health Nursing II (Pediatric Advanced Care)
This subject transitions from basic growth and development to advanced clinical pathologies in children.
- Systemic Pathologies (Unit I): Focus on nursing care plans, pre- and post-operative care for congenital malformations:
- Cardiovascular: Tetralogy of Fallot (TOF), ASD, VSD, PDA, and Rheumatic Heart Disease.
- Gastrointestinal: Cleft Lip/Palate, Pyloric Stenosis, Hirschsprung’s disease.
- Genitourinary & Neuro: Wilms Tumor, Hypospadias, Spina Bifida, and Hydrocephalus.
- Pediatric Communicable Diseases (Unit II): Memorize the incubation periods, clinical features, and isolation protocols for classic childhood illnesses (Diphtheria, Pertussis, Tetanus, Measles, Mumps, Chickenpox, Dengue, and COVID-19).
- Behavioral & Social Pediatrics (Unit III): Understand the role of Child Guidance Clinics (CGC). Study eating disorders, childhood psychiatric conditions (Autism, ADHD), and legal/welfare services available for challenged or abused children in India.
2. Mental Health Nursing II (Advanced Psychiatry)
This block addresses complex psychiatric conditions, forensic mandates, and community mental health frameworks.
- Substance Use & Personality Disorders (Units I & II): Focus on diagnostic criteria, detoxification regimens, Antabuse therapy, and nursing interventions for withdrawal states.
- Organic Brain Disorders & Emergencies (Units IV & V): Learn to differentiate between Delirium and Dementia. Prioritize crisis intervention steps and management of acute emergencies like active suicide attempts and Delirium Tremens.
- Mental Health Legislation (Unit VI): This is a high-yield exam area. Master the Mental Health Care Act (MHCA) 2017 (especially admission/discharge procedures), the POSCO Act, and the rights of mentally ill patients.
- Community Psychiatry (Unit VII): Understand the National Mental Health Program (NMHP) and the levels of prevention (Primary, Secondary, Tertiary) in mental health.
3. Nursing Management and Leadership
This NORCET 11 Syllabus 2026 administrative section prepares you for leadership roles in clinical and educational settings.
- Management Process & Services: Understand the 5 core functions (Planning, Organizing, Staffing, Leading, Controlling). Focus on strategic budgeting, cost-benefit analysis, Gantt charts, and disaster planning for a hospital ward.
- Educational Institutions: Study INC norms for establishing nursing colleges, faculty-to-student ratios, curriculum planning, and master rotation timelines.
- Professional, Legal, and Ethical Issues: Deep dive into the Consumer Protection Act, tort laws, malpractice/negligence, and the INC/ICN Code of Ethics. Understand electronic health infrastructure like EMR and Telenursing.
4. Midwifery / Obstetrics & Gynecology (OBG) Nursing I
This critical practical and theoretical paper focuses entirely on the low-risk, physiological childbearing process.
- Foundations & Metrics (Unit I): Focus on maternal/infant vital health indicators (MMR, IMR, NMR). Study the concepts of Respectful Maternity Care (RMC) and Midwifery-Led Care Units (MLCU).
- Embryology & Anatomy (Unit II): Review pelvic diameters, fetal skull landmarks (sutures, fontanelles), fetopelvic relationships, and fetal circulation.
- Antenatal Care (Unit III): Learn trimester-wise assessments. Master the calculation of EDD, abdominal palpations (Leopold’s maneuvers), fetal well-being tests (NST, CTG, Biophysical Profile), and the identification of obstetric danger signs.
- Intrapartum Care (Unit IV): Master the stages and mechanism of normal labor. Prioritize learning how to plot a Partograph / Labor Care Guide and executing the Active Management of the Third Stage of Labor (AMTSL) to prevent postpartum hemorrhage.
Child Health Nursing II Detailed Table
| Unit | Content |
| I | Cardiovascular system: • Identification and Nursing management of congenital malformations • Congenital heart diseases: Cyanotic and Acyanotic (ASD, VSD, PDA, TOF) • Others: Rheumatic fever and Rheumatic heart disease, Congestive cardiac failure Hematological conditions: a) Congenital: Hemophilia, Thalassemia b) Others: Anemia, Leukemia, Idiopathic thrombocytopenic purpura, Hodgkins and non-hodgkins lymphoma Gastrointestinal system: • Identification and Nursing management of congenital malformations. • Congenital: Cleft lip, Cleft palate, Congenital hypertrophic pyloric stenosis, Hirschsprung’s disease (Megacolon), Anorectal malformation, Malabsorption syndrome, Abdominal wall defects, Hernia • Others: Gastroenteritis, Diarrhea, Vomiting, Protein energy malnutrition, Intestinal obstruction, Hepatic diseases, intestinal parasites Genitourinary urinary system: • Identification and Nursing management of congenital malformations. • Congenital: Wilms tumor, Extropy of bladder, Hypospadias, Epispadias, Obstructive uropathy • Others: Nephrotic syndrome, Acute glomerulonephritis, renal failure Nervous system: • Identification and Nursing management of congenital malformations a) Congenital: Spina bifida, Hydrocephalus. b) Others: Meningitis, Encephalitis, Convulsive disorders (convulsions and seizures), Cerebral palsy head injury |
| II | Orthopedic disorders: • Club foot • Hip dislocation and • Fracture Disorder of eye, ear and skin: • Refractory errors • Otitis media and • Atopic dermatitis Communicable diseases in children, their identification/ diagnosis, nursing management in hospital, in home, control & prevention: • Tuberculosis • Diphtheria • Tetanus • Pertussis • Poliomyelitis • Measles • Mumps, and • Chickenpox • HIV/AIDS • Dengue fever • COVID-19 |
| III | Management of behavior and social problems in children • Child Guidance clinic • Common behavior disorders in children and management o Enuresis and Encopresis o Nervousness o Nail biting o Thumb sucking o Temper tantrum o Stealing o Aggressiveness o Juvenile delinquency o School phobia o Learning disability • Psychiatric disorders in children and management o Childhood schizophrenia o Childhood depression o Conversion reaction o Posttraumatic stress disorder o Autistic spectrum disorders • Eating disorder in children and management o Obesity o Anorexia nervosa o Bulimia • Management of challenged children. o Mentally o Physically o Socially o Child abuse, o Substance abuse • Welfare services for challenged children in India |
Mental Health Nursing II Detailed Table
| Unit | Content |
| I | NORCET Syllabus 2026 Nursing Management of Patients with Substance Use Disorders • Prevalence and incidence • Commonly used psychotropic substance: classifications, forms, routes, action, intoxication and withdrawal • Psychodynamics/etiology of substance use disorder (Terminologies: Substance Use, Abuse, Tolerance, Dependence, Withdrawal) • Diagnostic criteria/formulations • Nursing Assessment: History (substance history), Physical, mental assessment and drug and drug assay • Treatment: (detoxification, antabuse and narcotic antagonist therapy and harm reduction, Brief interventions, MET, refusal skills, maintenance therapy) and nursing management of patients with substance use disorders • Special considerations for vulnerable population • Follow-up and home care and rehabilitation |
| II | Nursing Management of Patient with Personality and Sexual Disorders • Prevalence and incidence • Classification of disorders • Etiology, psychopathology, characteristics, diagnosis • Nursing Assessment: History, Physical and mental health assessment • Treatment modalities and nursing management of patients with personality, and sexual disorders • Geriatric considerations • Follow-up and home care and rehabilitation |
| III | Nursing Management of Behavioural & Emotional Disorders occurring during Childhood and Adolescence (Intellectual disability, autism, attention deficit, hyperactive disorder, eating disorders, learning disorder) • Prevalence and incidence • Classifications • Etiology, psychodynamics, Characteristics, diagnostic criteria/formulations • Nursing Assessment: History, Physical, mental status examination and IQ assessment • Treatment modalities and nursing management of childhood disorders including intellectual disability • Follow-up and home care and rehabilitation |
| IV | Nursing Management of Organic Brain Disorders (Delirium, Dementia, amnestic disorders) • Prevalence and incidence • Classification • Etiology, psychopathology, clinical features, diagnosis and Differential diagnosis • Nursing Assessment: History, Physical, mental and neurological assessment • Treatment modalities and nursing management of organic brain disorders • Follow-up and home care and rehabilitation |
| V | Psychiatric Emergencies and Crisis Intervention • Types of psychiatric emergencies (attempted suicide, violence/aggression, stupor, delirium tremens and other psychiatric emergencies) and their managements • Maladaptive behaviour of individual and groups, stress, crisis and disaster(s) • Types of crisis • Crisis intervention: Principles, Techniques and Process – Stress reduction interventions as per stress adaptation model – Coping enhancement – Techniques of counseling |
| VI | Legal Issues in Mental Health Nursing • Overview of Indian Lunacy Act and The Mental Health Act 1987 • (Protection of Children from Sexual Offence) POSCO Act • Mental Health Care Act (MHCA) 2017 • Rights of mentally ill clients • Forensic psychiatry and nursing • Acts related to narcotic and psychotropic substances and illegal drug trafficking • Admission and discharge procedures as per MHCA 2017 • Role and responsibilities of nurses in implementing MHCA 2017 |
| VII | Community Mental Health Nursing • Development of Community Mental Health Services: • National mental health policy viz. National Health Policy • National Mental Health Program • Institutionalization versus Deinstitutionalization • Model of Preventive psychiatry • Mental Health Services available at the primary, secondary, tertiary levels including rehabilitation and nurses’ responsibilities • Mental Health Agencies: Government and voluntary, National and International • Mental health nursing issues for special populations: Children, Adolescence, Women Elderly, Victims of violence and abuse, Handicapped, HIV/AIDS etc. |
Nursing Management and Leadership Detailed Table
| Section | Content |
| Foundations & Processes | * Health Care Care and Development of Nursing Services in India * Current health care delivery system of India – review * Planning and development of nursing services and education at global and national scenario * Recent trends and issues of nursing service and management Management Basics Applied to Nursing * Definitions, concepts and theories of management * Importance, features and levels of management * Management and administration * Functions of management * Principles of management * Role of a nurse as a manager Introduction to Management Process * Planning * Organizing * Staffing * Directing/Leading * Controlling |
| Management of Nursing Services | Planning Nursing Services * Vision, Mission, philosophy, objectives * Nursing service policies, procedures and manuals * Functional and operational planning * Strategic planning * Program planning – Gantt chart & milestone chart * Budgeting – concepts, principles, types, * Budget proposal, cost benefit analysis * Planning hospital and patient care unit (Ward) * Planning for emergency and disaster Organizing * Organizing as a process – assignment, delegation and coordination * Hospital – types, functions & organization * Organizational development * Organizational structure * Organizational charts * Organizational effectiveness * Hospital administration, Control & line of authority * Hospital statistics including hospital utilization indices * Nursing care delivery systems and trends * Role of nurse in maintenance of effective organizational climate Staffing (Human resource management) * Definition, objectives, components and functions * Use of computers in hospital, college and community * Telemedicine & Tele nursing * Electronic Medical Records (EMR), HER Personal Management – Review * Emotional intelligence * Resilience building * Stress and time management – de-stressing * Career planning |
| Management of Educational Institutions | Establishment of Nursing Educational Institutions * Indian Nursing Council norms and guidelines – Faculty norms, physical facilities, clinical facilities, curriculum implementation, and evaluation/examination guidelines * Coordination with regulatory bodies – INC and State Nursing Council constitution and functions * Accreditation – Inspections * Affiliation with university/State council/board of examinations Planning and Organizing * Philosophy, objectives and mission of the college * Organization structure of school/college * Review – Curriculum planning * Planning teaching and learning experiences, clinical facilities – master plan, time table and clinical rotation * Budget planning – faculty, staff, equipment & supplies, AV aids, Lab equipment, library books, journals, computers and maintenance * Infrastructure facilities – college, classrooms, hostel, library, labs, computer lab, transport facilities * Records & reports for students, staff, faculty and administrative * Committees and functioning * Clinical experiences Staffing and Student Selection * Faculty/staff selection, recruitment and placement, job description * Performance appraisal * Faculty development * Faculty/staff welfare * Student recruitment, admission, clinical placement Directing and Controlling * Review – Curriculum implementation and evaluation * Leadership and motivation, supervision – review * Guidance and counselling * Quality management – educational audit * Program evaluation, evaluation of performance * Maintaining discipline * Institutional records and reports – administrative, faculty, staff and students |
| Professional Considerations | Review – Legal and Ethical Issues * Nursing as a profession – Characteristics of a professional nurse * Nursing practice – philosophy, aim and objectives * Regulatory bodies – INC and SNC constitution and functions Review – Professional ethics * Code of ethics and professional conduct – INC & ICN * Practice standards for nursing – INC * International Council for Nurses (ICN) Legal aspects in nursing: * Consumer protection act, patient rights * Legal terms related to practice, legal system – types of law, tort law & liabilities * Laws related to nursing practice – negligence, malpractice, breach, penalties * Invasion of privacy, defamation of character * Nursing regulatory mechanisms – registration, licensure, renewal, accreditation, nurse practice act, regulation for nurse practitioner/specialist nursing practice Professional Advancement * Continuing Nursing Education * Career opportunities * Membership with professional organizations – national and international * Participation in research activities * Publications – journals, newspaper |
Midwifery / Obstetrics and Gynecology (OBG) Nursing I Detailed Table
| Unit / Time | Content |
| Unit I (Hours missing) | Introduction to midwifery * History of midwifery in India * Current scenario: * Trends of maternity care in India * Midwifery in India – Transformative education for relationship based and transformative midwifery practice in India * Vital health indicators – Maternal mortality ratio, Infant Mortality Rate, Neonatal Mortality Rate, perinatal mortality rate, fertility rates * Maternal death audit * National health programs related to RMNCH+A (Reproductive Maternal Newborn and Child Health + Adolescent Health) * Current trends in midwifery and OBG nursing: * Respectful maternity and newborn care (RMNC) * Midwifery-led care units (MLCU) * Women centered care, physiologic birthing and demedicalization of birth * Birthing centers, water birth, lotus birth * Essential competencies for midwifery practice (ICM) * Universal rights of child-bearing women * Sexual and reproductive health and rights * Women’s expectations & choices about care Legal provisions in midwifery practice in India: * INC/MOH&FW regulations * ICM code of ethics * Ethical issues in maternal and neonatal care * Adoption laws, MTP act, Pre-Natal Diagnostic Test (PNDT) Act, Surrogate mothers * Roles and responsibilities of a midwife/Nurse practitioner midwife in different settings (hospital/community) * Scope of practice for midwives |
| Unit II 6 (T), 3 (L) | Anatomy and physiology of human reproductive system and conception (Maternal, Fetal & Newborn physiology) Review: * Female organs of reproduction * Female pelvis – bones, joints, ligaments, planes, diameters, landmarks, inclination, pelvic variations * Fetal skull – bones, sutures, fontanelles, diameters, moulding * Fetopelvic relationship * Physiology of menstrual cycle, menstrual hygiene * Fertilization, conception and implantation * Embryological development * Placental development and function, placental barrier * Fetal growth and development * Fetal circulation & nutrition |
| Unit III (Hours missing) | Assessment and management of normal pregnancy (ante-natal): Pre-pregnancy Care * Review of sexual development (Self Learning) * Socio-cultural aspects of human sexuality (Self Learning) * Preconception care * Pre-conception counseling (including awareness regarding normal birth) Genetic counseling (Self Learning) * Planned parenthood Pregnancy assessment and antenatal care (I, II & III Trimesters) Normal pregnancy * Physiological changes during pregnancy * Assess and confirm pregnancy: Diagnosis of pregnancy – Signs, differential diagnosis and confirmatory tests * Review of maternal nutrition & malnutrition * Building partnership with women following RMC protocol * Fathers’ engagement in maternity care Ante-natal care: 1st Trimesters * Antenatal assessment: History taking, physical examination, breast examination, laboratory investigation * Identification and management of minor discomforts of pregnancy * Antenatal care: as per GoI guidelines * Antenatal counseling (lifestyle changes, nutrition, shared decision making, risky behavior, sexual life during pregnancy, immunization etc.) * Danger signs during pregnancy * Respectful care and compassionate communication * Recording and reporting: as per the GoI guidelines * Role of Doula/ASHAs II Trimester * Antenatal assessment: abdominal palpation, fetal assessment, auscultate fetal heart rate – Doppler and pinnard’s stethoscope * Assessment of fetal well-being: DFMC, biophysical profile, Non stress test, cardio-tocography, USG, Vibro acoustic stimulation, biochemical tests * Antenatal care * Women centered care * Respectful care and compassionate communication * Health education on IFA, calcium and vitamin D supplementation, glucose tolerance test, etc. * Education and management of physiological changes and discomforts of 2nd trimester * Rh negative and prophylactic anti D * Referral and collaboration, empowerment * Ongoing risk assessment * Maternal Mental Health III Trimester * Antenatal assessment: abdominal palpation, fetal assessment, auscultate fetal heart rate – Doppler and pinnard’s stethoscope * Education and management of physiological changes and discomforts of 3rd trimester * Third trimester tests and screening * Fetal engagement in late pregnancy * Childbirth preparation classes * Birth preparedness and complication readiness including micro birth planning * Danger signs of pregnancy – recognition of ruptured membranes * Education on alternative birthing positions – women’s preferred choices, birth companion * Ongoing risk assessment * Cultural needs * Women centered care * Respectful and compassionate communication * Health education on exclusive breastfeeding * Role of Doula/ASHA’s |
| Unit IV 12 (T), 12 (L), 80 (C) | Physiology, management and care during labour * Normal labour and birth * Onset of birth/labour * Per vaginal examination (if necessary) * Stages of labour * Organization of labour room – Triage, preparation for birth * Positive birth environment * Respectful care and communication * Drugs used in labour as per GoI guidelines First Stage * Physiology of normal labour * Monitoring progress of labour using Partograph/labour care guide * Assessing and monitoring fetal well being * Evidence based care during 1st stage of labour * Pain management in labour (non-pharmacological) * Psychological support – Managing fear * Activity and ambulation during first stage of labour * Nutrition during labour * Promote positive childbirth experience for women * Birth companion * Role of Doula/ASHA’s Second stage * Physiology (Mechanism of labour) * Signs of imminent labour * Intrapartum monitoring * Birth position of choice * Vaginal examination * Psychological support * Non-directive coaching * Evidence based management of physiological birth/Conduction of normal childbirth * Essential newborn care (ENBC) * Immediate assessment and care of the newborn * Role of Doula/ASHA’s Third Stage * Physiology – placental separation and expulsion, hemostasis * Physiological management of third stage of labour * Active management of third stage of labour (recommended) * Examination of placenta, membranes and vessels * Assess perineal, vaginal tear/ injuries and suture if required * Insertion of postpartum IUCD * Immediate perineal care * Initiation of breast feeding * Skin to skin contact * Newborn resuscitation Fourth Stage * Observation, Critical Analysis and Management of mother and newborn |
| Unit V 7 (T), 6 (L), 40 (C) | Postpartum care/Ongoing care of women * Normal puerperium – Physiology, duration * Post-natal assessment and care – facility and home-based care * Perineal hygiene and care * Bladder and bowel function * Minor disorders of puerperium and its management * Physiology of lactation and lactation management * Postnatal counseling and psychological support * Normal postnatal baby blues and recognition of post-natal depression * Transition to parenthood * Care for the woman up to 6 weeks after childbirth * Cultural competence (Taboos related to postnatal diet and practices) * Diet during lactation-review * Post-partum family planning * Follow-up of postnatal mothers * Drugs used in the postnatal period * Records and reports |
| Unit VI 7 (T), 7 (L), 40 (C) | Assessment and ongoing care of normal neonates * Family centered care * Respectful newborn care and communication * Normal Neonate – Physiological adaptation * Newborn assessment – Screening for congenital anomalies * Care of newborn up to 6 weeks after the childbirth (Routine care of newborn) * Skin to skin contact and thermoregulation * Infection prevention * Immunization * Minor disorders of newborn and its management |
| Unit VII 8 (T), 2 (L), 40 (C) | Family welfare services * Impact of early/frequent childbearing * Comprehensive range of family planning methods * Temporary methods – Hormonal, non-hormonal and barrier methods * Permanent methods – Male sterilization and female sterilization * Action, effectiveness, advantages, disadvantages, myths, misconception and medical eligibility criteria (MEC) for use of various family planning methods * Emergency contraceptives * Recent trends and research in contraception * Family planning counseling using Balanced Counseling Strategy (BCS) * Legal and rights aspects of FP * Human rights aspects of FP adolescents * Youth friendly services – SRHR services, policies affecting SRHR and attitude of nurses and midwives in provision of services (Review) * Importance of follow up and recommended timing Gender related issues in SRH * Gender based violence – Physical, sexual and abuse, Laws affecting GBV and role of nurse/midwife * Special courts for abused people * Gender sensitive health services including family planning |