MATERNAL AND
CHILD
HEALTH NURSING
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
Comprehensive Study Guide for Nursing Students
🤰 Antenatal Care 👶 Labor & Delivery 🍼 Postpartum Care
Prenatal assessment, nutrition, Stages of labor, pain management, Recovery, breastfeeding, mental health
screening complications
👶 Newborn Care 🧒 Pediatric Nursing 📊 Quick Reference
APGAR, screening, common conditions Growth, immunization, common Vital signs, milestones, emergency
illnesses protocols
2026 EDITION
Designed for Active Recall & Clinical Competency
,TABLE OF CONTENTS
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━━━━━━━━━━━━
1. Antenatal Care — Prenatal assessment, nutrition, screening, common complications
2. Intrapartum Care — Stages of labor, fetal monitoring, pain management, delivery
3. Postpartum Care — Recovery, breastfeeding, mental health, family planning
4. Newborn Care — APGAR, screening, thermoregulation, feeding, common conditions
5. Pediatric Growth & Development — Milestones, nutrition, immunization schedule
6. Common Pediatric Conditions — Respiratory, GI, infectious diseases, emergencies
7. High-Risk Pregnancy — Hypertensive disorders, diabetes, preterm labor, bleeding
8. Neonatal Complications — Prematurity, jaundice, sepsis, respiratory distress
9. Family Planning & Contraception — Methods, counseling, emergency contraception
10. Emergency Protocols & Quick Reference — Vital signs, resuscitation, drug dosages, milestones
, CHAPTER 1
ANTENATAL CARE
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🤰 Prenatal Assessment
Parameter Details
First Visit Timing Ideally within first 12 weeks (first trimester)
Recommended Visits Minimum 8 visits: 1st at <12wks, then at 20, 26, 30, 34, 36,
38, 40 weeks
Initial Assessment History (medical, obstetric, family, social), physical exam,
baseline vitals, BMI
Dating the Pregnancy Naegele's Rule: LMP + 1 year - 3 months + 7 days;
Ultrasound (most accurate <20 weeks)
Estimated Date of Delivery (EDD) 280 days (40 weeks) from first day of LMP
📋 Routine Screening Tests
Test/Timing Purpose
Blood Group & Rh Factor Identify ABO incompatibility and Rh sensitization risk
Hemoglobin/Hematocrit Screen for anemia (Hb <11 g/dL = anemia in pregnancy)
Blood Glucose Screen for gestational diabetes (OGTT at 24-28 weeks)
HIV, Hepatitis B, Syphilis Identify infections for prevention of MTCT
Urine Analysis Proteinuria (preeclampsia), glucosuria (GDM), bacteriuria
(UTI)
Ultrasound Confirm viability, dating, anatomy scan (18-22 weeks),
growth monitoring
Down Syndrome Screening First trimester: nuchal translucency + PAPP-A + free β-hCG
Group B Streptococcus Vaginal-rectal swab at 35-37 weeks; treat in labor if
positive
🥗 Nutrition in Pregnancy
Nutrient Requirement Sources
Folic Acid 400-800 mcg daily (start 1 month Leafy greens, fortified cereals,
before conception) supplements
Iron 27 mg/day (increased to 60 mg if Red meat, spinach, beans, supplements
anemic)
Calcium 1000 mg/day Dairy, fortified plant milk, leafy greens
Vitamin D 600 IU/day Sunlight, fortified foods, supplements
Protein 71 g/day (increased from 46 g) Meat, fish, eggs, dairy, legumes
Iodine 220 mcg/day Iodized salt, seafood, dairy
Weight Gain BMI <18.5: 12.5-18 kg; BMI 18.5-24.9: Balanced diet + prenatal vitamins
11.5-16 kg; BMI 25-29.9: 7-11.5 kg;
BMI ≥30: 5-9 kg
💡 Folic acid supplementation (400 mcg) before conception and during first trimester reduces risk of
neural tube defects by 50-70%.
⚠️ Common Complications in Pregnancy
CHILD
HEALTH NURSING
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
Comprehensive Study Guide for Nursing Students
🤰 Antenatal Care 👶 Labor & Delivery 🍼 Postpartum Care
Prenatal assessment, nutrition, Stages of labor, pain management, Recovery, breastfeeding, mental health
screening complications
👶 Newborn Care 🧒 Pediatric Nursing 📊 Quick Reference
APGAR, screening, common conditions Growth, immunization, common Vital signs, milestones, emergency
illnesses protocols
2026 EDITION
Designed for Active Recall & Clinical Competency
,TABLE OF CONTENTS
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━━━━━━━━━━━━
1. Antenatal Care — Prenatal assessment, nutrition, screening, common complications
2. Intrapartum Care — Stages of labor, fetal monitoring, pain management, delivery
3. Postpartum Care — Recovery, breastfeeding, mental health, family planning
4. Newborn Care — APGAR, screening, thermoregulation, feeding, common conditions
5. Pediatric Growth & Development — Milestones, nutrition, immunization schedule
6. Common Pediatric Conditions — Respiratory, GI, infectious diseases, emergencies
7. High-Risk Pregnancy — Hypertensive disorders, diabetes, preterm labor, bleeding
8. Neonatal Complications — Prematurity, jaundice, sepsis, respiratory distress
9. Family Planning & Contraception — Methods, counseling, emergency contraception
10. Emergency Protocols & Quick Reference — Vital signs, resuscitation, drug dosages, milestones
, CHAPTER 1
ANTENATAL CARE
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━━━━━━━━━━━━
🤰 Prenatal Assessment
Parameter Details
First Visit Timing Ideally within first 12 weeks (first trimester)
Recommended Visits Minimum 8 visits: 1st at <12wks, then at 20, 26, 30, 34, 36,
38, 40 weeks
Initial Assessment History (medical, obstetric, family, social), physical exam,
baseline vitals, BMI
Dating the Pregnancy Naegele's Rule: LMP + 1 year - 3 months + 7 days;
Ultrasound (most accurate <20 weeks)
Estimated Date of Delivery (EDD) 280 days (40 weeks) from first day of LMP
📋 Routine Screening Tests
Test/Timing Purpose
Blood Group & Rh Factor Identify ABO incompatibility and Rh sensitization risk
Hemoglobin/Hematocrit Screen for anemia (Hb <11 g/dL = anemia in pregnancy)
Blood Glucose Screen for gestational diabetes (OGTT at 24-28 weeks)
HIV, Hepatitis B, Syphilis Identify infections for prevention of MTCT
Urine Analysis Proteinuria (preeclampsia), glucosuria (GDM), bacteriuria
(UTI)
Ultrasound Confirm viability, dating, anatomy scan (18-22 weeks),
growth monitoring
Down Syndrome Screening First trimester: nuchal translucency + PAPP-A + free β-hCG
Group B Streptococcus Vaginal-rectal swab at 35-37 weeks; treat in labor if
positive
🥗 Nutrition in Pregnancy
Nutrient Requirement Sources
Folic Acid 400-800 mcg daily (start 1 month Leafy greens, fortified cereals,
before conception) supplements
Iron 27 mg/day (increased to 60 mg if Red meat, spinach, beans, supplements
anemic)
Calcium 1000 mg/day Dairy, fortified plant milk, leafy greens
Vitamin D 600 IU/day Sunlight, fortified foods, supplements
Protein 71 g/day (increased from 46 g) Meat, fish, eggs, dairy, legumes
Iodine 220 mcg/day Iodized salt, seafood, dairy
Weight Gain BMI <18.5: 12.5-18 kg; BMI 18.5-24.9: Balanced diet + prenatal vitamins
11.5-16 kg; BMI 25-29.9: 7-11.5 kg;
BMI ≥30: 5-9 kg
💡 Folic acid supplementation (400 mcg) before conception and during first trimester reduces risk of
neural tube defects by 50-70%.
⚠️ Common Complications in Pregnancy
