BSc Nursing 4th Year Syllabus, Subjects, Practical, Marks Division, Books, Colleges

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Anubhav Rai

Content Writer at Collegedunia | Updated on - Sep 18, 2025

The fourth year of the BSc Nursing program includes both theoretical and practical components across subjects such as midwifery and obstetrical nursing, community health nursing, and the management of nursing services and education. The total marks for the 4th year syllabus are 500.

Practical subjects in BSc Nursing fourth year vary by discipline. These practicals encompass a range of activities, including conducting antenatal examinations, maintaining casebook recordings, assisting in labor room operations, performing normal deliveries, conducting per vaginal examinations, and presenting and recording case studies.

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BSc Nursing 4th Year Syllabus

The syllabus of BSc Nursing 4th year comprises theory as well as practical subjects, which comprise midwifery and obstetrical nursing, community health nursing, management of Nursing services and education, etc.

The BSc Nursing 4th year 2025 syllabus includes both theory classes and practical/viva examinations, where students get hands-on experience in real-world clinical scenarios. This allows students to apply their knowledge to patient care, community health initiatives and administrative responsibility in nursing.

The syllabus of BSc Nursing is tabulated below for your reference.

Theory Practical and Viva-voce
Midwifery and Obstetrical Nursing Midwifery and Obstetrical Nursing
Community Health Nursing-II Community Health Nursing-II
Management of Nursing Services and Education -

BSc Nursing 4th Year Subjects

BSc Nursing 4th year 2025 subjects comprise midwifery and obstetrical nursing, community health nursing, management of Nursing services and education, etc. Let's discuss these subjects in detail for your reference.

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Midwifery and Obstetrical Nursing

This subject helps the candidates to design and understand the concepts and principles of midwifery and obstetrical nursing. Midwifery and Obstetrical Nursing subjects equip students with the necessary knowledge and clinical skills required to provide comprehensive nursing care to women during pregnancy, childbirth and the postnatal period, as well as to the newborn child.

  • Introduction to Midwifery and Obstetrical Nursing: This includes an introduction to concepts of midwifery and obstetrical nursing, trends in midwifery and obstetrical nursing, historical perspective, legal and ethical aspects in midwifery, etc.
  • Review of anatomy and physiology of the female reproductive system and fetal development: This includes the female pelvis, female organs of reproduction, physiology of the menstrual cycle, human sexuality, etc.
  • Assessment and management of pregnancy- Normal pregnancy: This includes physiological changes during pregnancy, psychological changes, discomforts of pregnancy, diagnosis of pregnancy, antenatal care, etc.
  • Assessment and management of the intra-natal period: This includes the physiology of labor, stages of labor, Neonatal resuscitation, active management of labor, pain relief and comfort in labor, etc.
  • Assessment and management of women during the postnatal period- Normal puerperium: This includes physiology, duration and management, postnatal assessment, promoting physical and emotional well-being, minor disorders of puerperium, lactation management, etc.
  • Assessment and management of normal neonates: This Normal neonate, physiological adaptation, initial and daily assessment, breastfeeding, prevention of infections, immunization, etc.
  • High-risk pregnancy-Assessment and Management: This includes screening and assessment, ultrasonics, cardiotocography, levels of care, disorders of pregnancy, bleeding in early pregnancy, antepartum haemorrhage, pregnancy-induced hypertension, etc.
  • Abnormal Labour- Assessment and Management: This includes disorders in labor, complications of the third stage: injuries to the birth canal, obstetrical emergencies and their management, Nursing management of women undergoing obstetrical operations, etc.
  • Assessment and management of high-risk newborns: This includes admission of neonates in the neonatal intensive care units protocols, nursing management low low-weight babies, infections, respiratory problems, etc.

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Community Health Nursing-II

Community Health Nursing is a vital subject in the BSc Nursing program that prepares students to deliver healthcare services to individuals, families and groups in both rural and urban communities. The course focuses on health promotion, disease prevention and the empowerment of people to maintain and improve their own health.

  • Health Planning and Policies and Problems: This includes national health planning in India- Five-year plans, various committees such as NRHM, NUHM, MDG, SDG, National Health Policy 1983-2002, National population policy, health problems in India, etc.
  • Delivery of Community Health Services: This includes planning, budgeting and material management of SC, PHC and CHC, Programme management including supervision and monitoring, Ayushman Bharat, primary health care centers, system of medicine and health care allopathy, homoeopathy, etc.
  • Community Health nursing approaches, concepts and roles and responsibilities of nursing personnel: This includes nursing theories and nursing process, epidemiological approach, evidence-based approach, empowering people to care for themselves, concepts of primary health care, Qualities of community health Nurse, etc.
  • Assisting individuals and groups to promote and maintain their health: This includes empowerment of self-care of individuals, families and groups, seeking health services, maintenance of health records for self and family, continuing medical care and follow-up in the community for various diseases and disabilities, etc.
  • Health Agencies: This includes International agencies such as WHO, UNFPA, UNDP, World Bank, UNICEF, DANIDA, Red Cross, USAID, UNESCO, ILO, CARE, national agencies including the Indian Red Cross, Indian Council for Child Welfare, Family Planning Association of India, the Central Social Welfare Board, etc.

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Management of Nursing Services and Education

The Management of Nursing Services and Education course is designed to help students develop leadership and administrative skills required for managing clinical nursing services, community health programs and nursing educational institutions. These subjects equip nurses with knowledge of management principles, organisational behaviour, human resource planning and educational program development.

Some of the subjects included are:

  • Introduction to Management in Nursing: This Subject includes the definition, concepts, functions of management, principles of management, and the role of the nurse as a manager.
  • Management Process: This Subject includes planning, mission, philosophy, staffing, human resources management, recruiting, development, budgeting, material management, and program evaluation.
  • Organisational Behaviour and Human Relations: This subject includes concepts and theories of organisational behaviour, review of channels of communication, leadership styles, review of motivation, group dynamics, techniques of communication and interpersonal relationships.
  • In Service Education: This subject includes the Nature and scope of the service education program, organisation of the service education, principles of adult learning, planning for an in-service education program, preparation of reports, etc.
  • Management of Nursing educational institutions: This subject includes the establishment of Nursing educational institutions' norms and guidelines, coordination with regulatory bodies, etc.

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BSc Nursing 4th Year Practical

The BSc Nursing 2025 4th year syllabus includes crucial practical training designed for students to equip them with various healthcare skills. The hands-on experience in Midwifery & Obstetrical Nursing and Community Health Nursing allows students to apply theoretical knowledge to both clinical and community-based scenarios.

All this practical experience really makes sure that nursing grads are totally prepared to handle anything that comes their way in hospitals, maternity wards, and health centers in both cities and rural areas.

Subjects Topics Included
Midwifery and Obstetrical Nursing Antenatal/clinic/OPD
  • Conduct Antenatal Examinations
  • Health Talk-I
  • Case book recording
Labour room OT
  • Conduct Normal deliveries -20
  • Per vaginal examination
  • Perform and suture the episiotomies
  • Resuscitate Newborn
  • Assist with Cesarean sections
  • Witness abnormal deliveries
Postnatal Ward
  • Case presentation
  • Case book recordings
  • Give care to the postnatal
  • Health talks-i
  • Case study
Newborn Nursery
  • Case study-I
  • Observation Study- I
Family Planning clinic
  • IUD insertion
  • Observation study-I
  • Counseling-2
  • Simulation exercise
Community Health Nursing
  • Community health Survey report
  • Family Care study
  • Community Diagnosis
  • Family care
  • Home visit
  • Screen Manage and referrals
  • Conduct delivery at centre/home
  • School health programme
  • Provide family welfare services

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BSc Nursing 4th Year Total Marks

  • The final year of the BSc Nursing program is evaluated out of 500 marks.
  • This total is divided into internal assessments and university exams.
  • Internal assessments account for 150 marks, covering assignments, practicals, and in-class performance.
  • University exams contribute the remaining 350 marks, including both written and hands-on components.
  • Key subjects include Midwifery, Obstetrical Nursing, Community Health Nursing-II, Nursing Research & Statistics, and Educational Technology.
  • Evaluation considers grades, clinical training, and research skills.

Check the following table for more information:

Subjects Internal Assessment Final Marks Total Marks
Community & Educational Technology 25 75 100
Community Health Nursing-II 25 75 100
Nursing Research & Statistics 25 (15+10) 75 (50+ 25) 100
Midwifery and Obstetrical Midwifery 25 75 100
Community Health Nursing- II 50 50 100
Total 150 350 500

BSc Nursing 4th Year Book

During the final year of the BSc Nursing program, students focus on specialized clinical subjects such as Midwifery, Obstetrical Nursing, and Community Health Nursing-II. To excel in these areas, having the right reference books is important. These books not only help in clearing university exams but also strengthen practical knowledge for internships and future jobs.

Below is the list of some of the top recommended books for the BSc Nursing 4th year. These Books are used by nursing students across India and are available both online and offline.

Subjects Books Author
Midwifery and Obstetrical Nursing Textbook of Midwives Fraser
Midwifery and Obstetrical Nursing Textbook of Obstetrics New Central Book Agency
Midwifery and Obstetrical Nursing Maternity Nursing Mosby
Community Health Nursing- II Public Health Nursing: Population centered Health Care in the community Stanhope
Community Health Nursing- II Introduction to Community Health Nursing KS Rao
Community Health Nursing- II Community Nursing Manual T.N.A.I

BSc Nursing Top Colleges

The Candidates interested in pursuing BSc Nursing, some of the best institutes in India include AIIMS campuses, IGIMS Patna, and CMC Vellore.

Government colleges like AIIMS, New Delhi, AIIMS, Patna, and IGIMS, Patna are very affordable because of their nominal fees, making them accessible to students. On the other hand, private institutions and deemed universities such as Christian Medical College (CMC), Vellore, and Ambedkar Institute of Higher Education, Patna, charge higher fees, but provide world-class infrastructure and placement opportunities. Check the table below for the top BSc nursing colleges.

BSC Nursing 4th Year Syllabus: FAQs

Ques. What are the subjects of the fourth year of BSc Nursing?

Ans. Some of the major subjects included in BSc Nursing are Midwifery and Obstetrical Nursing, Community Health Nursing, Management of services and education.

  • Midwifery and Obstetrical Nursing: Midwifery and Obstetrical Nursing subjects equip students with the necessary knowledge and clinical skills required to provide complete nursing care to women during pregnancy, childbirth and the postnatal period, as well as to the newborn child.
  • Community Health Nursing: The course focuses on health promotion, disease prevention and the empowerment of people to maintain and improve their own health.
  • Management of Nursing Services and Education: These subjects equip nurses with knowledge of management principles, organisational behaviour, human resource planning and educational program development.

Ques. What is the syllabus of the BSc Nursing fourth year?

Ans. Some of the topics include Midwifery and Obstetrical Nursing, Community Health Nursing, Management of services and education, etc

The syllabus of BSc Nursing is given below for your reference.

Theory Practical and Viva-voce
Midwifery and Obstetrical Nursing Midwifery and Obstetrical Nursing
Community Health Nursing-II Community Health Nursing-II
Management of Nursing Services and Education -

Ques. Is there an internship in the 4th year?

Ans. Yes, the 4th year includes a compulsory internship, where students integrate theoretical knowledge with hands-on practice in different clinical areas for in-depth experience.

Ques. What Topics are covered under Midwifery and Obstetrical Nursing?

Ans. The topics covered in Midwifery and Obstetrical Nursing are:

  • Introduction to Midwifery and Obstetrical Nursing
  • Review of anatomy and physiology of the female reproductive system and fetal development
  • Assessment and management of pregnancy: Normal pregnancy
  • Assessment and management of the intra-natal period
  • Assessment and management of women during the postnatal period: Normal puerperium
  • Assessment and management of normal neonates
  • High-Risk pregnancy-Assessment and Management
  • Abnormal Labour- Assessment and Management
  • Assessment and management of high-risk newborns.

Ques. What Topics are covered under Community Health Nursing?

Ans. Community Health Nursing is a program designed for students to practice community Health Nursing for individuals, families and groups in both urban and rural areas. Some of the topics covered under this subject are:

  • Health Planning and Policies, and Problems
  • Delivery of Community Health Services
  • Community Health nursing approaches, concepts and roles and responsibilities of nursing personnel
  • Assisting individuals and groups to promote and maintain their health
  • Health Agencies

Ques. What is the B.Sc Nursing 4th year syllabus RGUHS?

Ans. The BSc Nursing 4th year syllabus at Rajiv Gandhi University of Health Sciences (RGUHS) has three key subjects with both theory and practical components.

The three core subjects are:

  1. Midwifery and Obstetrical Nursing
  2. Community Health Nursing-II
  3. Management of Nursing Services and Education.

Bachelor of Science [B.Sc] (Nursing) : 9 answered questions

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Ques. Which is better for ug university college of medical sciences (ucms) or vmmc?

● Top Answer By Akriti Banerjee on 25 Sept 23

Ans. As a student of UCMS, I will try to enlighten you about my college. Location- It is true that UCMS is located in the periphery of Delhi, and its surrounding is not as developed as that of VMMC. Regardless, the location of UCMS offers most of the facilities required for a good college life. You can access Cinepolis, PVR and Big Cinemas from here, reach CP in 20-30 minutes by metro/private vehicle, and catch a metro from Jhilmil metro station to explore Delhi/NCR.  Campus- UCMS has a beautiful campus, the best among Delhi medical colleges. It has a huge central field where you can play cricket, basketball, football, etc. Boys get single seater hostel rooms from the first year itself. The campus has two 24*7 canteens, a book shop from where you can access all your medical books, an ATM, and a post office.The hospital has undergone renovation, and looks new and well managed. Academics- UCMS offers excellent academics. The faculty is skilled and teaches with sincerity. The Histology Lab in the Anatomy department is really good.  Extracurriculars- UCMS has a sports society, a western dance team, a theme choreography team, a dramatics team, a musical society, a literary society and a medical education unit. You can join any of these. According to me, both UCMS and VMMS are good medical colleges. You can choose the latter if location is a concern to you, otherwise, UCMS is a good choice too.Read more
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Ques. How to get direct admission in BSc. nursing at SGPGIMS Lucknow?

● Top Answer By Sagar Dikshit on 30 Dec 23

Ans. As per the official website, the College of Nursing at SGPGIMS Lucknow offers a 4 year BSc. in Nursing, the admission to which is based on an All India Entrance Test conducted by the college.  Thus, there is no provision for direct admission into BSc. Nursing at the university.  You can check other details on the BSc. Nursing program at SGPGIMS such as course details, etc. Read more
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Ques. What is the syllabus for pgims for bsc nursing

● Top Answer By Kirti Das on 31 Jul 23

Ans. PGIMER has two BSc Nursing programs  BSc (Post-Basic) Nursing and PGIMER BSc (Hons.) Nursing. The former is a two-year program the question paper of which is based on the syllabi taught during the GNM course while the latter is a four-year UG program the entrance exam of which is based on the syllabus taught in class 12. The syllabus of the respective programs is mentioned below BSc (Post-Basic) Nursing:    Anatomy and Physiology Personal Hygiene Ear, Nose, and Throat Community Health Nursing Midwifery and Gynaecological Nursing Microbiology First Aid Communicable Diseases Computer Education - Psychology Medical-Surgical Nursing I Oncology/Skin Community Health Nursing - II - Sociology Fundamentals of Nursing Mental Health and Psychiatric Nursing Pediatric Nursing - BSc (Post-Basic) Nursing: Biology The Difference between Prokaryotic & Eukaryota Cell Theory Structural Organization of Cell Mendel’s Law of Inheritance Classification Binomial and Nominal Nomenclature Five Kingdom Classifications The Role of Plants in Human Welfare Mineral Nutrition Essential Elements and Their Function Physics Current Electricity Electromagnetic Induction Electronic Devices Alternating Current Atoms and Nuclei Communication Systems Electromagnetic Waves Optics Dual Nature of Matter Electrostatics Magnetic Effect of Current & Magnetism Chemistry Solid State Biomolecules Chemistry in Everyday Life General Principles & Processes of Isolation of Elements Solutions Chemical Kinetics Electrochemistry Polymers P -Block Elements Surface Chemistry D & F -Block Elements Organic Compounds containing Nitrogen Alcohols Phenol & Ester Coordination Compounds Keystones and Carboxylic Acids General English Syllabus Comprehension passage Synonyms / Antonyms Spot the error Fill in the blanks One word substitutions Shuffling of sentence parts Shuffling of Sentences in a Passage Improvement Close passage Detecting Mis-spelt words Idioms and phrases Hope this helped you!Read more
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Ques. What is the RUHS BSc nursing syllabus?

● Top Answer By Trina Guha on 29 Jun 22

Ans. RUHS BSc Nursing syllabus contains topics from 10+2 Biology, Physics, Chemistry of Rajasthan Board or equivalent. You can find the detailed syllabus on the official website of the institute.  The video gives a detailed explanation of semester-wise RUHS BSc Nursing Syllabus The questions asked in the examination are objective type. The question paper will be in English and Hindi both. There is no provision for negative marking.Read more
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Ques. Can boys also do bsc nursing at amity university Gurgaon ?

● Top Answer By Vinima Bhola on 30 Jun 25

Ans. Yes, boys can enrol in Amity University Gurgaon's B.Sc. Nursing programme . Students applying must have earned at least 45% in Physics, Chemistry, and Biology (PCB) in their 10+2 in order to be eligible for the university's B.Sc. Nursing programme. The course is open to both male and female applicants. Admission in  B.Sc. Nursing programme Step Description Application Online application form; 1,100 application fee Selection Criteria Class 12 (10+2) marks in Physics, Chemistry, Biology (min. 45% aggregate) Entrance Exam Not required Personal Interview Not specified as mandatory for B.Sc. Nursing Document Verification Shortlisted students only  Final Offer Admission letter sent via email/SMS; pay required fees to secure seatRead more
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Ques. BSC Nursing College is available?

● Top Answer By Vinima Bhola on 21 Jun 25

Ans. Yes, B.Sc. Nursing is available at Techno India University, Kolkata. Feature Details Course B.Sc. Nursing Duration 4 years Intake 60 seats Approval INC & WBUHS Eligibility 10+2 with Biology Selection Merit/Entrance (TNJEE, JENPAUH) Application Online Practicals Techno India DAMA Healthcare & Medical Centre The most referenced figure is ?1,58,000, but it is not clear if this is the annual or total fee for B.Sc. Nursing at Techno India University, Kolkata.Read more
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Ques. Is bsc nursing good in chandigarh University ?

● Top Answer By Vinima Bhola on 18 Jun 25

Ans. For students aspiring to pursue a healthcare career, the BSc Nursing programme at Chandigarh University is regarded as a solid choice. For those who are prepared to invest in a private university education, the programme is reasonably priced, well-structured, and offers a good balance of theory and practical experience. Comparison with Other Colleges Feature CU PGIMER GMCH Annual Fee 1.5–3,60,000 10K–20K 15K–25K Hostel Charges 90K–1.5L Subsidized Subsidized Placement Support Active Limited Limited CU is often listed among the top private universities for nursing in India and is highly ranked in the Chandigarh region for both social life and academic support.Read more
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Ques. Give Information regarding BSc nursing course entrance exam date, seats and also fees of hostel. How to join without neet exam and how to join 2022 admission?

● Top Answer By Gayatri Sinha on 17 May 22

Ans. AIIMS BSc Nursing 2022 entrance examination date is June 18 . You will be able to get the admit card on 11th June. It is a computer-based test and will be conducted in 150 test centers in 14 cities across the country.  Number of seats available for B.Sc Nursing (Hons.) at AIIMS Delhi is 571. B.Sc Nursing students need to pay a security deposit of INR 1000 for the hostel. Mess fees need to be paid separately. The current mess charges for four meal format fixed menu is around INR 2000. For student-run messes, mess fee is higher. Read more
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Ques. Which entrance exam is needed for bsc nursing ?

● Top Answer By Prashant Ranjan on 10 May 22

Ans. CMC Vellore conducts a computer-based entrance test for B.Sc Nursing admission. It is a state-level entrance examination. CMC released the application form for the entrance test on 2nd May 2022. The last date for submission of the online application with the required payment is 3rd June 2022 . The examination is scheduled for 12th July 2022 . The course will start on 29 November 2022. Read more
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