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

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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) : 34 answered questions

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Ques. How are the placements for Bachelor of Science [B.Sc] (Nursing) at CMC Vellore?

● Top Answer By Bhavesh kalal on 02 Jul 22

Ans. 70% of students are placed in campus selection. The highest package was 3.5 LPA and the average package was 2.5 LPA. Top recruiting organizations are government hospitals like SMS medical college and hospitals etc. Internships are also good in our college, students get internships in our medical college also. The top roles offered are registered nurse and male nurse in government and private hospitals.Read more
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Ques. What is the admission process at Bachelor of Science [B.Sc] (Nursing) CMC Vellore?

● Top Answer By Bhavesh kalal on 02 Jul 22

Ans. The admission process was simple and the application form was downloaded online and the same had to be printed out and send to the college along with the DD of 1000 in the favour of college. The college conducts its own entrance after which we were called for the interview followed by the counseling.Read more
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Ques. What is the fees for Bachelor of Science [B.Sc] (Nursing) in CMC Vellore?

● Top Answer By Bhavesh kalal on 02 Jul 22

Ans. The fee for the course is around Rs.65,000 which is bifurcated down to Rs.50,000 as tuition fee, Rs.8,000 as caution money (to be refunded), and Rs.1500 as library fee. Rs.3000 has to be paid as exam fee and if opted for hostel, Rs.6400/month is the hostel rent plus Rs.3000 per month for the mess chargeRead more
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Ques. How is the course curriculum of Bachelor of Science [B.Sc] (Nursing) in CMC Vellore?

● Top Answer By Bhavesh kalal on 02 Jul 22

Ans. The faculty are nice and warm with the students and most of them were the nurses in the hospital. They know how to teach the students and they paid attention to everbody . They were friendly but strict at the same time to us.The course is wide and extensive and we have quite a good day in which the first half of the college.Read more
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Ques. How are the placements for Bachelor of Science [B.Sc] (Nursing) at JIPMER?

● Top Answer By Mansi kumari on 01 Apr 24

Ans. The students after completing the 4year course can apply for integrated internship which is for 6months and you get paid around 12000-14000. After internship you need to clear entrance exam and interview to get the placement and the average package is around 65000 per month which increases with increase in clinical experiences. After this course you are eligible to work as a nursing officer in various government and private hospitals. After completing my course I'm planning to crack norcet and work in AIIMS as a nursing officer.Read more
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Ques. What is the admission process at Bachelor of Science [B.Sc] (Nursing) JIPMER?

● Top Answer By Shihin fathima E on 25 Apr 24

Ans. - merit selection based on NEET score -all information will be available on www.jipmer.edu.in -OBC, SC,ST etc reservatoons can be availed -NEET exam is conducted once every year and has moderate difficulty -admission process can be made a bit easierRead more
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Ques. What is the fees for Bachelor of Science [B.Sc] (Nursing) in JIPMER?

● Top Answer By Shihin fathima E on 25 Apr 24

Ans. -The fees are fixed and do not hike -constant fees of Rs.11,000/- for the first year and Rs. 5000/- then onwards + exam fees+ hostel rent of Rs. 500/- per month -various central and state scholarships can be availed -no campus placements but internship opportunities availableRead more
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Ques. How is the course curriculum of Bachelor of Science [B.Sc] (Nursing) in JIPMER?

● Top Answer By Shihin fathima E on 25 Apr 24

Ans. -adequate number of practical and theory hours are alloted for each subject -100% clinical attendance is mandatory to pass the course -the teaching methods could be more innovative -internal exams from time to time and final exam at the end of academic yearRead more
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Ques. How are the placements for Bachelor of Science [B.Sc] (Nursing) at PGIMER Chandigarh?

● Top Answer By Pooja on 31 Jan 25

Ans. Students from 4rth year are eligible for placement. Pgi provide job for it's own students. Bond system is here. Students can apply for foreign jobs as pgi provide their degree and a sheet with completed number of hours as in clinical we need 100% attendance. Students who don't want to work in pgi can go to different hospitals as pgi is a recognized university they will get job easily. 80% students get job in pgi. As many new blocks are building here for future, they will require large amount of nursing officers so they will give job to their own university students. Some senior got their job with a high amount as salary with health benefits, hostel allowanc, travel allowance, and tax is included. Working hour are less here, people can switch there shifts with there workmates as per there convince. My plan is to work here as a nursing officer and do my master degree from pgi itself.Read more
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Ques. What is the admission process at Bachelor of Science [B.Sc] (Nursing) PGIMER Chandigarh?

● Top Answer By Pooja on 31 Jan 25

Ans. I had appeared for neet. But as a average student i couldn't make it to be a doctor insted i cracked pgi chandigarh nsc nursing entrance. Pgi chandigarh is very affordable. It provide job as bond is signed during admission, hostel is provided, everything is very affordable here, we have to pay for uniform and that is one time investment. Pgi conduct exam for admission. Pgi chandigarh bsc nursing entrance is the name of exam, it's basically conducted in month of june or july and it is conducted in 4-5 state of north india, it is for females only. Merit list will ne released after the result and student who get their name in list can apply for counseling. Currently there are 89 seats in bsc nursing for 2024 but from 2025 seats will be increased and they will be 128 . Exam is of moderate level. It comprises of biology 20 question. Physics 20 question. Chemistry 20 question. English 20 question. Nursing aptitude 20 question. Paper is conducted in online mode Exam is of 2 hours and 100 questions will be there and +1 for a correct answer and -0. 25 for a wrong answer. Eligibility- Age -17 Education- 12th (50% marks required) Exam is conducted in many languages. All the best for exam.Read more
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