LHV Exam 2026 Full Notes – By Dr. AbdulRehman Yousaf

We Analyse The LHV past papers and integrated the most relevant content into a single, detailed, exam-ready, bilingual study notes document for LHV Exams 2026.

Below is the fully customized version of "LHV Exam 2026 Notes 

– By Dr. AbdulRehman Yousaf", including:

• Subjective long/short questions

• MCQs with Roman Urdu explanations

• A comprehensive question bank at the end

• Past paper content merged, simplified, and reorganized

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📘 LHV Exam 2026 Full Notes – By Dr. AbdulRehman Yousaf

(English + Roman Urdu) | Punjab Nursing Council

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🎯 Study Plan & What’s Inside:

🔹 Complete Subjective Questions (Long & Short)
🔹 Past Paper Based Important MCQs with Roman Urdu Explanation
🔹 Important Definitions & Nursing Procedures
🔹 Updated According to LHV 2026 Syllabus
🔹 Bonus: MCQ Question Bank for Practice

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🧾 SECTION A: Subjective Notes (Solved)

🔹 1. Functions of the Placenta

English:

• Gas and nutrient exchange

• Excretes fetal waste

• Secretes hCG, progesterone

• Immunity (IgG transfer)

• Partial barrier to harmful substances

Roman Urdu:

• Maa se oxygen/nutrition baby ko

• Baby ka CO₂/waste nikalta hai

• Pregnancy hormones banata hai

• Baby ko protection deta hai (antibodies)

• Drugs/alcohol ko filter karta hai (hamesha nahi)

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🔹 2. Hyperemesis Gravidarum

Signs:

• Persistent vomiting

• Weight loss >5%

• Ketones in urine

• Electrolyte imbalance

• Jaundice (severe case)

Nursing Care:

• IV fluids + electrolyte balance

• Small dry meals (BRAT diet)

• Antiemetics: ondansetron, vitamin B6

• Monitor vitals, urine, hydration

Roman Urdu:

• Zyada vomiting se dehydration hoti hai

• IV fluids aur khanay mein dry cheezein

• Vomiting ki medicine aur rest zaroori hai

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🔹 3. Postpartum Hemorrhage – Causes

• Uterine Atony

• Retained placenta

• Trauma to birth canal

• Coagulopathy (DIC)

• Uterine inversion

Roman Urdu:

• Uterus ka relax ho jana (sabse zyada common)

• Placenta ka poora na nikalna

• Cheera/vaginal damage

• Khoon jamne ki problem

• Bachadani ka ulta ho jana

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🔹 4. Colostrum – Composition & Advantages

Composition:

• IgA, protein, vitamins A/E

• Minerals, lactoferrin, leukocytes

Benefits:

• Infection protection

• Removes meconium

• Reduces risk of jaundice

Roman Urdu:

• Peela gaadha doodh – infection se bachata hai

• Baby ka pehla potty (meconium) nikalta hai

• Jaundice ka risk kam karta hai

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🔹 5. Immediate Newborn Care

• Dry & warm the baby

• Suction nose/mouth

• Check APGAR at 1 and 5 min

• Vitamin K injection

• Start breastfeeding

Roman Urdu:

• Bacha sukhayein aur garm kapray mein lapetain

• Munh/naak saaf karna zaroori

• Vitamin K injection bleeding roknay k liye

• Breastfeeding jitni jaldi ho, start karwayen

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🔹 6. Normal Physiological Changes in Pregnancy

• ↑ Blood volume (40–50%)

• ↑ Heart rate (10–15 bpm)

• Uterus size increases

• Hormones: estrogen, hCG, progesterone rise

Roman Urdu:

• Pregnancy mein khoon ka pressure barhta hai

• Uterus ka size bhi barhta hai

• Hormone level badal jata hai

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🔹 7. Role of Midwife in Labor

• Monitor fetal position & descent

• Support mother emotionally

• Identify complications

• Prepare for delivery

• Observe labor progress

Roman Urdu:

• Midwife bacha ka position check karti hai

• Maa ko himmat deti hai

• Complication ho to doctor ko batati hai

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✅ SECTION B: Important Definitions

Term	Definition
Lochia	Vaginal discharge after delivery
Puerperium	6 weeks after childbirth where uterus returns to normal
Engagement	Baby’s head enters pelvic inlet (station 0)
Retraction Ring	Abnormal ridge between upper/lower uterus (dangerous)
APGAR Score	System to check baby’s condition at birth

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🔥 SECTION C: Top MCQs with Roman Urdu Explanation

Q#	Question	Answer	Roman Urdu
1	Hormone secreted by placenta	hCG	Pregnancy maintain karne wala hormone
2	First sign of pregnancy	Amenorrhea	Period ka band hona
3	Fetal heart starts beating at	6 weeks	Baby ka dil 6th week mein dharkta hai
4	Common preeclampsia symptom	Headache & blurred vision	Dimaagi pressure ka sign
5	Drug for eclampsia	Magnesium Sulfate	Fits rokne ke liye
6	Best way to prevent PPH	Uterine massage	Bachadani ko tight karna
7	Oxytocin function	Uterine contraction	Labor ko strong banata hai
8	Position for cord prolapse	Knee-chest	Cord bachay se dur rahe
9	Common site for IM injection in newborn	Vastus lateralis	Baby ke leg ka side part
10	Immunoglobulin in colostrum	IgA	Infection se protection deta hai

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🧠 Final Section: 📘 MCQ Question Bank (Practice)

Q1. Placenta ka sabse important hormone?
Q2. Normal labor ka pehla stage kya hota hai?
Q3. PPH ka sabse common cause?
Q4. Retraction ring kis time pe hoti hai?
Q5. Bacha paida hone ke baad sabse pehle kya karna chahiye?
Q6. Colostrum ka color kaisa hota hai?
Q7. Breastfeeding ka pehla faida kya hai?
Q8. APGAR score 3 ka matlab kya hai?
Q9. IUCD ka full form kya hai?
Q10. Labor ka second stage kitni der ka hota hai?

📝 Try to answer these yourself. Check answers in notes above.

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📌 Conclusion – LHV Exams 2026 ki Tayari Karo Asaani Se!

Yeh notes LHV students ke liye specially tayar kiye gaye hain. Agar aap Punjab Nursing Council ke exams de rahe hain to yeh aap ke liye complete study package hai.

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👉 Just comment or message: “Send me LHV 2026 PDF by Dr. AbdulRehman Yousaf”
👉 Download link will be sent FREE!

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🏷 Tags:

LHV Notes 2026, Punjab Nursing Council, LHV Past Papers, Obstetrical Nursing MCQs, Midwifery Notes in Roman Urdu, Hyperemesis Management, Postpartum Hemorrhage, Newborn Care, Dr AbdulRehman Yousaf Notes

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Dear Students! Below is a complete subject-wise list of most important questions with answers for Punjab Nursing Council (PNC) LHV Exams, compiled from past papers and syllabus patterns. The content is bilingual (English + Roman Urdu) for easy understanding and exam-focused preparation.

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📚 LHV Subject-Wise Important Questions with Answers – Punjab Nursing Council

By Dr. AbdulRehman Yousaf | Updated for 2026

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✅ 1. Obstetrical Nursing (Midwifery)

🔹 Long Questions:

Q1. Describe the stages of labor.
Answer:

1. First Stage: Cervical dilation (0–10 cm)

2. Second Stage: Delivery of baby

3. Third Stage: Delivery of placenta

Roman Urdu:

1. Pehla Stage: Bacha dani ka muh khulna

2. Dosra Stage: Bacha paida hona

3. Teesra Stage: Placenta ka nikalna

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Q2. Define Postpartum Hemorrhage and its causes.
Answer:
Loss of more than 500ml blood after delivery.
Causes:

• Uterine atony

• Retained placenta

• Birth canal trauma

Roman Urdu:
Zyada khoon behna after delivery.
Wajuhat:

• Uterus ka tight na hona

• Placenta ka andar reh jana

• Rasta phat jana

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Q3. What are the benefits of colostrum?
Answer:

• Rich in IgA, protects baby

• Clears meconium

• Prevents jaundice

Roman Urdu:

• Baby ko infection se bachata hai

• Pehla potty nikalne mein madad deta hai

• Peeli ko kam karta hai

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🔹 Short Questions:

• What is engagement?

• Define APGAR score.

• Write two signs of eclampsia.

• Causes of obstructed labor.

• Complications of multiple pregnancy.

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✅ 2. Community Health Nursing

🔹 Long Questions:

Q1. Define Primary Health Care and its principles.
Answer:
Primary health care is basic health service accessible to all.
Principles:

• Equitable distribution

• Community participation

• Preventive approach

• Inter-sectoral coordination

Roman Urdu:
Har shakhs ke liye asaan aur bunyadi sehat ki sahulat.
Usool: Barabri, community ka hissa lena, bachao pe zor

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Q2. Describe the role of Lady Health Visitor in rural community.
Answer:

• Health education

• Antenatal/postnatal care

• Family planning counseling

• Immunization

Roman Urdu:

• Sehat taleem dena

• Maa aur bache ka khayal

• Planning walay mashware

• Vaccine lagwana

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🔹 Short Questions:

• Define sanitation.

• Role of LHV in vaccination.

• Methods of health education.

• Name 2 communicable diseases.

• Write two food hygiene principles.

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✅ 3. Nutrition

🔹 Long Questions:

Q1. Define balanced diet. Name its components.
Answer:
A diet that contains all nutrients in correct amounts.
Components:

• Carbohydrates

• Proteins

• Fats

• Vitamins

• Minerals

• Water

Roman Urdu:
Aisa khana jo tamam zaroori gizayen de.
Jaise: carbs, protein, fat, pani, vitamins

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Q2. Malnutrition types and prevention.
Answer:
Types:

• Protein-energy malnutrition

• Vitamin deficiency diseases

Prevention:

• Balanced diet

• Breastfeeding

• Nutrition education

Roman Urdu:
Kamzor ghiza se bimariyan – jaise vitamin ki kami.
Ilaj: Achha khana, maa ka doodh, taleem

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🔹 Short Questions:

• Name two iron-rich foods.

• Functions of Vitamin A.

• Define dehydration.

• Write two signs of rickets.

• What is anemia?

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