Swasth Nari Sashakt Parivar Abhiyaan 2025 | 25 Important Nursing MCQs for NORCET & Staff Nurse Exams

Swasth Nari Sashakt Parivar (SNSP): Nursing Guide + NORCET-Style MCQs

Healthy Woman, Empowered Family — objectives, screening packages, nursing responsibilities, counseling, documentation & referrals, plus practice MCQs.

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Introduction

Swasth Nari Sashakt Parivar (SNSP) literally means “Healthy Woman, Empowered Family”. The approach emphasises that when women’s health needs are met across the life-course — adolescence, reproductive years, and beyond — families and communities thrive. For nurses, this translates into proactive screening, counseling, early referral, continuity of care, and accurate documentation/reporting at community and facility levels.

Objectives

• Promote women’s health literacy and health-seeking behaviour.
• Provide age-appropriate screening (anemia, NCDs, reproductive cancers) and timely referral.
• Integrate services across RMNCH+A, NCD, and Nutrition platforms.
• Support mental health, gender-based violence (GBV) response, and social protection linkages.

Target Groups & Service Points

• Adolescent girls (10–19): anemia screening, MHM education, nutrition (IFA), deworming, counseling (school/AKY clinics/RKSK sessions).
• Women 20–49 years: BP, blood glucose, BMI, anemia, breast self-exam (BSE)/clinical breast exam (CBE); cervical screening (VIA/Pap as per protocol), FP services, ANC/PNC care.
• Women 50+ years: NCD screening (HT/DM), breast & cervical cancer screening, bone health, mental health.
• Service points: VHNDs, Sub-centres/HWCs, PHC/UPHC, CHC/DH; outreach by ASHA/ANM/SN with referral linkages.

Screening Package (Illustrative)

• Vitals & Anthropometry: BP, pulse, height, weight, BMI, waist circumference.
• Anemia: Hb estimation, dietary counseling, IFA/folic acid, deworming as per schedule.
• NCDs: Random/fasting blood glucose; risk assessment (age, family history, tobacco, inactivity); lipid profile as advised.
• Breast: BSE education, CBE; refer for imaging if suspicious lump/discharge/skin changes.
• Cervix: VIA/Pap (as per eligibility & local protocol); positive screens → colposcopy/referral.
• Reproductive health: FP counseling, RTI/STI syndromic management, safe abortion referral per law, menstrual hygiene counseling.
• Mental health & GBV: basic screening, psychological first aid, safe referral pathways.

Nursing Responsibilities

1. Assess & screen: follow checklists; ensure privacy/informed consent.
2. Counsel: nutrition (iron-rich foods), physical activity, tobacco/alcohol cessation, MHM, contraception, danger signs.
3. Provide/ administer: IFA, calcium, deworming; vaccines per schedule; FP methods within scope.
4. Refer: red-flag findings (HT urgency, severe anemia, suspicious breast/cervical findings, GBV, mental health risk).
5. Document & report: registers/portal, follow-up plans, defaulter tracking with ASHA.
6. IEC & community engagement: VHNDs, sessions with SHGs/schools, involvement of family decision-makers.

Key Counseling Messages (Quick Notes)

• Balanced diet rich in iron (green leafy veg, pulses), protein, and vitamin C enhancers; limit trans-fats & excess salt/sugar.
• 60–150 minutes/week of moderate physical activity; maintain healthy BMI & waist.
• Tobacco/alcohol cessation; second-hand smoke avoidance.
• Monthly BSE; seek care for lumps, nipple discharge, skin dimpling.
• Regular cervical screening as per age/eligibility and local protocol.
• FP choices, birth spacing, post-partum contraception.
• Seek help for sadness, anxiety, or violence; confidential support exists.

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NORCET-Style MCQs — Swasth Nari Sashakt Parivar

Click “Show Answer” to reveal the correct option and rationale.

1) The core idea of “Swasth Nari Sashakt Parivar” emphasises that:

1. Only maternal health determines family health
2. Women’s health across the life-course strengthens family and community outcomes
3. Adolescent health alone is sufficient
4. Only hospital-based care matters

Correct: B. SNSP is a life-course approach linking women’s health to empowered families.

2) A 28-year-old woman at HWC is due for NCD screening. Which set is most appropriate?

1. BP only
2. Random glucose only
3. BP, blood glucose, BMI/waist, risk assessment
4. Lipid profile only

Correct: C. A package approach improves detection and counseling.

3) The first step before a clinical breast exam is to ensure:

1. Fasting state
2. Privacy, informed consent, and explanation
3. Analgesic administration
4. ECG monitoring

Correct: B. Respect, consent, and communication are essential.

4) VIA-positive cervical screening at HWC warrants:

1. No action; repeat after 5 years
2. Immediate hysterectomy
3. Referral as per protocol for colposcopy/confirmatory evaluation
4. Antibiotics for 7 days

Correct: C. Positive screens need timely referral for diagnosis and treatment.

5) An adolescent girl’s Hb is 9 g/dL. The nurse’s immediate plan includes:

1. Discharge without advice
2. Therapeutic IFA as per protocol, dietary counseling, deworming schedule
3. Only hemoglobin electrophoresis
4. IV iron for all

Correct: B. Manage anemia severity-wise; counsel diet and compliance.

6) Which is not a red-flag in breast symptoms?

1. New painless lump
2. Nipple retraction/discharge
3. Skin dimpling/peau d’orange
4. Mild cyclical tenderness without lump

Correct: D. Cyclical tenderness alone is common; others require prompt evaluation.

7) For cervical screening in resource-constrained settings, a common method is:

1. MRI pelvis
2. VIA (visual inspection with acetic acid)
3. CT scan
4. Colonoscopy

Correct: B. VIA is low-cost and feasible with proper training.

8) Counseling to enhance iron absorption includes:

1. Tea/coffee immediately with IFA
2. Vitamin C-rich foods and avoiding inhibitors near IFA time
3. Skipping meals
4. Only calcium supplements together with IFA

Correct: B. Vitamin C helps; tea/coffee inhibit iron absorption.

9) A woman with BP 170/110 and headache presents at HWC. The priority is:

1. Routine follow-up after 1 month
2. Immediate referral/medical attention for hypertensive urgency/emergency
3. Only dietary advice
4. Start antidepressants

Correct: B. Severe hypertension with symptoms is a red-flag.

10) Which is true for BSE education?

1. Teach only to women > 60 years
2. Teach all adult women to be familiar with their breasts and report changes
3. Prohibit self-examination
4. Only doctors can teach BSE

Correct: B. BSE awareness improves early reporting.

11) For GBV disclosures, the nurse should first:

1. Dismiss the concern
2. Ensure privacy, listen non-judgmentally, assess immediate safety, and discuss options
3. Call family without consent
4. Share details publicly

Correct: B. Safety, confidentiality, and informed choices are paramount.

12) Dietary counselling for anemia excludes which advice?

1. Include green leafy vegetables and pulses
2. Combine iron foods with vitamin C
3. Take tea/coffee with meals to aid iron absorption
4. Adhere to IFA as prescribed

Correct: C. Tea/coffee reduce iron absorption.

13) Documentation should include all, except:

1. Screening results and date
2. Referrals given
3. Follow-up plan
4. Personal gossip

Correct: D. Records must be factual and professional.

14) CBE finding most suspicious for malignancy:

1. Diffuse tender nodularity pre-menstrually
2. Hard irregular fixed lump ± skin/nipple changes
3. Symmetrical fullness
4. Mastalgia without lump

Correct: B. Fixed hard mass with overlying changes is concerning.

15) In VIA screening, aceto-white areas at transformation zone suggest:

1. Normal finding
2. Positive screen → refer per protocol
3. UTI
4. Ovarian cyst

Correct: B. VIA-positive requires further evaluation.

16) A key adolescent service at AKY/RKSK clinics is:

1. Hip replacement
2. Anemia screening, IFA, MHM & nutrition counseling
3. Only geriatric care
4. Radiation therapy

Correct: B. Adolescent-friendly services focus on nutrition, anemia, MHM, mental health, etc.

17) Waist circumference is used to:

1. Assess hydration only
2. Assess central obesity and cardiometabolic risk
3. Measure lung capacity
4. Diagnose anemia

Correct: B. Central adiposity correlates with risk.

18) After counseling on contraception, the nurse must:

1. Force a method
2. Support informed, voluntary choice and explain side-effects/when to return
3. Withhold information
4. Ignore follow-up

Correct: B. Rights-based FP prioritizes informed choice.

19) Which combination is correct for basic NCD risk counseling?

1. Tobacco use, inactivity, healthy diet
2. Only diet
3. Tobacco/alcohol cessation, physical activity, diet, stress & sleep hygiene
4. Only sleep

Correct: C. A comprehensive approach is needed.

20) A client reports watery bloody nipple discharge. The nurse should:

1. Refer for further evaluation
2. Ignore as normal
3. Advise tight garments only
4. Start antibiotics without assessment

Correct: A. Discharge with red-flag features warrants prompt assessment.

21) Deworming aligns with anemia control because:

1. It increases vitamin D
2. Worm infestations can cause blood loss and reduce iron absorption
3. It cures diabetes
4. It lowers BP directly

Correct: B. Deworming supports anemia prevention strategies.

22) Which item is most critical for privacy during VIA/CBE?

1. Bright open corridor
2. Private, well-lit room with female chaperone as per policy
3. Waiting area
4. Open OPD hall

Correct: B. Dignity and privacy must be ensured.

23) Life-course approach means:

1. Only pregnancy care
2. Health interventions tailored from adolescence through older age
3. Only elderly care
4. Only surgical services

Correct: B. SNSP integrates services across ages.

24) Which record helps continuity of care?

1. Verbal message only
2. Registers/portal entries with screening results, referrals, and follow-ups
3. Personal notebook of staff
4. None

Correct: B. Standard records allow tracking and follow-up.

25) A key message for families under SNSP is:

1. Women’s health is secondary
2. Screening only if symptomatic
3. Prioritise preventive check-ups and support women’s health decisions
4. Delay referrals

Correct: C. Supportive families enable timely care and prevention.

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Frequently Asked Questions (FAQ)

An integrated approach to women’s health across the life-course, linking preventive care, screening, counseling, and timely referrals to empower families.

Vitals/BMI, anemia (Hb), NCDs (BP, blood glucose), breast awareness/CBE, cervical screening (VIA/Pap as per protocol), and mental health screening.

At VHNDs, Sub-centres/HWCs, PHC/UPHC, CHC/DH with outreach by ASHA/ANM/Staff Nurse and referral linkages.

Screen, counsel, administer supplies (IFA, deworming, vaccines), ensure privacy/consent, document, and refer red-flag findings promptly.

Severely high BP with symptoms, suspicious breast lump/discharge, VIA-positive findings, severe pallor, acute distress, danger signs.

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