Specific Teaching

Unit Teaching
objectives Contents Hr Resourse learning Method of
(competencies) activities aids evaluation
person
I Appreciate Introduction to 2 Mrs.Rakhi Lecture slides, Short
the trends concepts of Charts answers
and issues in Obstetric Nursing Discussion
Obstetric -Historical Very
nursing perspectives and short
current trends answers
-Hall marks of
Midwifery,
Contemporary
issues in obstetrics
Identify the -Legal and ethical 1 Mrs.Rakhi Lecture slides, Short
legal and aspects Charts answers
ethical -Role of Obstetric Discussion Very
aspects in Nurse short
obstetric answers
Nursing
II Describe Review of anatomy 2 Mrs.Akhila Lecture Charts Essay
the anatomy and physiology of Models Short
and female reproductive Discussion answers
physiology of system
female Female pelvis- Very
reproductive general description of
short
system. the bones, joints,
ligaments, planes of answers
the pelvis, diameters
of the true pelvis,
important landmarks,
variation in shape of
pelvis.
-Discuss pre Female organs of 3 Mrs.Akhila Lecture Demons Essay
conception reproduction- trate Short
care and external genitalia, Discussion with answers
preparation internal genital models,
for planned organs and their objects
Very
parenthood anatomical relations,
musculature- blood,
short
supply, nerves, answers
lymphatics, pelvic
floor,pelvic peri
toneum, Physiology
of menstrual cycle-
Preconception care
and preparing for
Parenthood

-Explain Review of 2 Mrs.Akhila Lecture Charts Essay

 conception fertilization, Models Short
and fetal implantation, Discussion answers
development embedding of the
ovum, development Very
of the embryo,foetus short
and placenta,placenta
answers
at term, functions
abnormalities, the
foetal sac, amniotic
fluid, the umbilical
cord ,Foetal
circulation, foetal
skull, bones,
Sutures and
measurements
III Explain Maternal, prenatal 2 Mrs.Akhila Lecture slides, Essay
maternal, and genetic Charts Short
prenatal and influences on Discussion answers
genetic development of
influences on defects and diseases
Very
development Conditions affecting 1 External
short
of defects and the mother, genetic faculty
diseases and infections answers
Consanguinity
Prenatal nutrition and
food allergies.
Maternal Age
Maternal drug
therapy Prenatal
diagnosis and
counseling Effect of
radiation, drugs and
chemicals
Infertility
Spontaneous abortion
Neural Tube Defects
and the role of folic
acid in lowering the
risks Down syndrome
(Trisomy 21) Genetic
counseling
Nurses role in
minimizing
threats to the
developing embryo
and fetus
IV Describe Assessment and 2 Mrs.Rakhi Lecture slides, Short
management of Charts answers
the
pregnancy Discussion
Diagnosi (antenatal) Very
Normal pregnancy
sand short
Physiological
managem
answers
changes during
pregnancy :
ent of
Reproductive system,
women Cardio vascular
system,
during
Respiratory system,
antenatal Urinary system,
Gastro intestinal
period
system,
Metabolic changes,
Skeletal changes,
Skin changes,
Endocrine system-
changes of endocrine
and role of endocrine
system in relation to
reproduction
Psychological
changes.
Describe the Diagnosis of 2 Mrs.Rakhi Lecture slides, Essay
Diagnosis of pregnancy: Charts Short
pregnancy History, physical Discussion answers
assessment,
Confirmatory tests, Very
Differential
short
diagnosis.
Foetal assessment- answers
- Bio physical –
foetal movement
count, sonography,
cardiotocography,
NST, CST, nipple
stimulation test,
vibroacoustic
stimulation
test[VAST], Manning
score
-Biochemical-
Human estriol,
Maternal serum alpha
fetoprotein, acetyl
cholineesterase(AchE
), Triple test,
Aminocentesis,
 Cordocentesis.
Chorionic villus
sampling[CVS].Intra
uterine foetal
therapies
-Radiology in
obstetrics
Describe the Antenatal care 2 Mrs.Rakhi Lecture slides, Short
antenatal -Objectives Charts answers
care -Assessment : History Discussion
and physical Very
examination,
short
Antenatal
Examination,
answers
Signs of previous
child birth, Assessm
-Relationship of ent of
2 External
foetus to uterus and skills
faculty
pelvis: Lie, Attitude with
presentation, checklist
position.
-Pervaginal
examination
Screening and
assessment for high
risk,Risk approach.
-Antenatalpreparation
Antenatal counseling,
Antenatal exercises,
Diet,Minor disorders
and management,
Complementary
therapies in obstetric
practice
Child birth Education
classes . Families
Preparation for safe
confinement.
-Psycho social and
cultural aspects of
pregnancy:
Adjustment to
pregnancy,
Unwed mother,
Single parent,
Teenage pregnancy,
Sexual violence,
Adoption .
V Describe Assessment and 6 Mrs.Rakhi Lecture Demons Essay
the management of tration Short
intranatal period Discussion using answers,
physiology - Essential factors of partogra Very
and stages labour ph short
of labour Physiology of labour, answers
mechanism of labour Demons
-Management of tration Assessm
labour: using ent of
First stage- Obstetric skills
-Physiology of Maniqui with
n
normal labour, checklist
Signs and symptoms
Simulat
of onset of labour –
ed
normal and abnormal
practice
Duration,
Preparation of :
Supervis
Labour room
ed
Women
Assessment and clinical
practice
observation of
women in labour.
Partogram- maternal
andfoetal monitoring
Active management
of labour,
Pain relief and
comfort in labour,
Pharmacological and
non pharmacologic
management
Second stage
Signs and symptoms:
normal and abnormal
Duration

Describe Mechanism of labour 6 Mrs.Rakhi Lecture Demons Short

the Conduct of delivery: trate answers
managemen Principles and Discussion using
techniques episioto Very
t of women
Episiotomy (only if my
during short
required) simulato
intranatal answers
Receiving the new r
period born
Neonatal Assessm
resuscitation; initial ent of
steps and subsequent skills
resuscitation, Apgar with
scoring checklist
Care of umbilical
cord
Immediate
assessment including
 screening for
congenital anomalies
Identification
Bonding
Initiate feeding
Screening and
transportation of the
neonate
Third stage
Signs- and
symptoms-
normaland abnormal
Duration
Methods of placental
separation, expulsion
of placenta and
membranes
Management-
Principles and
techniques
Examination of
perineum
Maintaining records
and reports
Fourth Stage
Vigilant observation
and care of the
--mother and
newborn
VI Describe Assessment and 2 Mrs.Rakhi Lecture Demons Short
the management of tration answers
woman during post discussion
physiology
natal period. Health Very
of Normal puerperium talk
puerperium. short
Physiology, Practice
Psychological phases session
answers
of puerperium
Supervis Assessm
ed ent of
clinical skills
practice with
checklist
-Describe Post natal assessment 2 Mrs.Rakhi Lecture Demons Short
the and management discussion tration answers
Promoting physical
management
and emotional Very
of women wellbeing Health
during post short
Management of talk
natal period lactation Practice
answers
Family dynamics session
Assessm
 after child birth Supervis ent of
Family welfare ed skills
services, methods, clinical with
counseling practice checklist
Follow up
Records and reports
VII Describe the Assessment and 2 Mrs.Rakhi Lecture Demons Short
assessment management of tration answers
and normal neonates Discussion Practice Very
management The normal neonate session short
Physiological Supervis
of normal answers
adaptation, Initial ed
neonate Assessm
&daily assessment, clinical
including neonatal practice ent of
reflexes & clinical skills
implications with
checklist
Describe the Essential newborn 2 Mrs.Rakhi Lecture Demons Short
essential care tration answers
newborn care Thermal control, Discussion
Breast feeding Practice Very
Prevention of session
short
infections, Supervis
immunization ed
answers
Minor disorders of clinical Assessm
newborn and its practice ent of
management skills
Levels of Neonatal with
care (level I, II & III) checklist
At primary,
secondary and
tertiary levels
Maintenance of
reports and
records
VIII Describe the High risk 3 Mrs.Rakhi Lecture Demons Short
identification pregnancy- trate answers
and assessment & discussion using
management management video Very
of women -Screening and films,
short
with high risk assessment Newer scan,
pregnancy modalities of reports
answers
diagnosis 4 partogra Assessm
-High risk approach External ph ent of
-Levels of care, faculty skills
primary secondary Case with
and tertiary level discussi checklist
on
3 Mrs.Rakhi Lecture
Describe -Disorders of Health
Disorders of pregnancy talk
pregnancy Hyper emesis discussion
gravidarum, bleeding Practice
in early pregnancy, session
abortion, ectopic
pregnancy &vesicular
mole
Describe Bleeding in late 3 Mrs.Rakhi Lecture Demons Short
Bleeding in pregnancy tration answers
late pregnancy Ante partum discussion
haemorrhage- Case Very
placenta praevia discussi short
Abruptio placenta on
answers
-Uterine abnormality
and displacement
Describe Diseases 3 Mrs.Rakhi Lecture Demons Short
Diseases complicating tration answers
complicating pregnancy- discussion
pregnancy Medical and surgical Case Very
conditions, infections discussi short
UTI, STD, HIV, on
answers
TORCH
Gynecological presenta
diseases complicating tion Assessm
pregnancy, ent of
Pregnancy Induced skills
Hypertension & with
Diabetes, checklist
Hydramnios,
Describe Rh Rh incompatibility, 3 Mrs.Rakhi Lecture Demons Short
incompatibilit multiple gestation, tration answers
y, multiple mental disorders, discussion
gestation, Adolescent Case Very
pregnancy, Elderly discussi short
primi and grand on
answers
multipara
Describe Abnormalities of 3 Mrs.Rakhi Lecture Demons Short
Abnormalities placenta & cord, tration answers
of placenta & Intra uterine growth discussion
cord, restriction, Case Very
Immunology in discussi
short
pregnancy, on
Coagulation failure in
answers
pregnancy,
Describe Nursing management 1 Mrs.Rakhi Lecture Demons Short
Nursing of mothers with high tration answers
management risk pregnancy discussion Case Very
of mothers Maintenance of discussi short
with high risk records and on
answers
pregnancy Reports
IX Describe Abnormal Labour- 3 Mrs.Rakhi Lecture Demons Short
Management Assessment and Discussion tration answers
of Management
abnormal Disorders in labour: Case Very
labour and CPD and contracted discussi short
obstetric pelvis, Mal positions on
answers
emergencies mal presentations,
Premature labour& presenta
premature rupture of tion Assessm
3 External ent of
membrane, disorders
faculty skills
of uterine actions-
precipitated labour, with
prolonged labour or checklist
dysfunctional labour,
abnormal uterine
action

Describe Obstructed labour 2 Mrs.Rakhi Lecture Demons Short

Management Post maturity, Intra tration answers
of uterine fetal death Discussion
abnormal Complications of Case Very
labour third stage: discussi
short
Injuries to birth canal on
answers
Describe -Obstetrical 3 Mrs.Rakhi Lecture Demons Short
Obstetrical emergencies and their tration answers
emergencies management: Discussion
and their Presentation and Case Very
management prolapse of cord, discussi
short
Vasa praevia, on
amniotic fluid
answers
embolism, rupture of presenta
Assessm
uterus, shoulder tion ent of
dystocia skills
obstetrical shock, with
inversion of uterus checklist
 Describe -Obstetrical 4 Mrs.Rakhi Lecture Demons Short
Obstetrical procedures and tration answers
procedures operations Discussion
and operations Induction of labour, Case Very
forceps, vacuum, discussi short
version, manual on
answers
removal of placenta,
caesarean section, presenta
destructive tion Assessm
operations. ent of
-Nursing skills
management of with
women undergoing checklist
obtetrical operations
and procedures
X Describe Abnormalities 2 Mrs.Rakhi Lecture Case Short
Management during Post natal Discussi answers
of post natal Period Discussin on
complicatio -Assessment and Very
ns management of presenta
short
women with post tion
natal complications-
answers
Puerperal infections, Supervis
Breast engorgement ed Assessm
& infections, UTI, Clinical ent of
Thrombo- embolic practice skills
disorders, with
Difficulties of checklist
lactation,
Suppression of
lactation,
Describe Post- partum 2 Mrs.Rakhi Lecture Case Short
Management hemorrhage, and sub Discussi answers
of post natal involution. Discussion on
complicatio -Psychological Very
ns complications: presenta short
Post partum blues, tion
answers
Post partum
depression, Post Supervis
partum Psychosis ed
Clinical
practice
XI Describe Assessment and 2 Mrs.Rakhi Lecture Case Short
assessment management of high Discussi answers
and risk newborn Discussion on
management -Admission of Very
neonates in the presenta
of the high short
neonatal intensive tion
risk neonates answers
care units.
Protocols of Supervis
management ed Assessm
-Nursing Clinical ent of
management of low practice skills
birth weight babies- with
Infections, checklist
Respiratory problems
Hemolytic disorders,
Birth injuries,
Malformations.
Describe -Monitoring of high 3 Mrs.Rakhi Lecture Case Short
management risk neonates Discussi answers
of the high Kangaroo mother Discussion on
risk neonates care Very
Feeding of high risk presenta
short
neonates tion
-Organization and
answers
management of Supervis
neonatal intensive ed Assessm
care units Clinical ent of
-Infection control in practice skills
neonatal intensive with
care units checklist
-Maintenance of
reports and
records
Describe Pharmaco- 3 Mrs.Akhila Lecture Drug Short
indications, therapeutics in book answers
dosage, Obstetrics Discussion
action, side --Indication, dosage, Drug Very
presenta
effects action, contra short
tion
indication and side answers
effects of drugs
--Effect of drugs on
pregnancy, labour
&puerperium
XII Describe --Nursing 3 Mrs.Akhila Lecture Drug Short
nurses responsibilities in the book answers
responsibilit administration of Discussion
ies in the drug in Obstetrics Drug Very
presenta
administrati :oxytocics, anti short
tion
on of drugs hypertensives, answers
 used for diuretics,
mothers corticosteroids,
tocolytic agents, anti
convulsants,
anticoagulants.
Describe --Analgesics and 3 Mrs.Akhila Lecture Drug Short
nurses Anaesthetics in book answers
responsibilit Obstetrics Discussion
ies in the --Effects of maternal Drug Very
presenta
administrati medication on foetus short
tion
on of drugs and neonate answers
used for --Role of obstetric
mothers nurse
XIII -Appreciate Family Welfare 2 Mrs.Akhila Lecture Demons Short
the programme tration answers
importance Population trends and Discussion
of family problems in India Practice Very
welfare Concepts, aims, session short
programme importance and
history of family
Supervis answers
ed
welfare programme
practice Project
National population:
dynamics, policy and and field
education Group
visits
National family project
Counseli
reports
welfare programme:
National maternal ng
and child health session
services, CSSM, Field
RCH, visits
ICDS,BFHI,NRHM,
Integrated
Management of Child
hood Illnesses[IMCI],
Expanded
programe of
immunization,Janani
Suraksha Yojana
 -Describe National policy and 2 Mrs.Akhila Lecture Demons Short
The methods legislation in tration answers
of contracepti relation to maternal Discussion
on and role health and welfare Practice Very
of nurse in Organization and session short
family administration: at Supervis answers
welfare national, state, ed
programme district, block and
practice Project
village levels
Methods of and field
contraception Group
visits
Counseling for family project
Counseli
reports
welfare .Latest
research in contra ng
caption. Role of session
national, international Field
and voluntary organi visits
zations, Role of a
nurse in family
welfare programe
Training/Supervision/
Collaboration with
other functionaries in
community like
ANMs, LHVs,
Anganwadi workers,
TBAs (Traditional
birth attendant Dai),
ASHA

XIV Explain the Maintenance of vital 2 Mrs.Akhila Lecture slides, Short

epidemiolog statistics Charts answers
y of Maternal morbidity, Discussion
Obstetrics mortality and fertility Very
rates .Perinatal, short
morbidity and answers
mortality rates
Neonatal mortality
Causes and
preventive measures
Safe motherhood
initiative Obstetric
health care-
Essential obstetrics
care,Early detection
of complication,
Emergency obstetrics
care[EMOC]
Making pregnancy
safe strategy
 FOURTH YEAR B Sc NURSING

OBSTETRIC AND GYNAECOLOGICAL NURSING

OBSTETRIC NURSING

Placement: IV Year Theory - 100 hrs

Practical: 480 hrs

Nursing faculty: 90 hrs

External faculty: 10 hrs

Course Description:

This course is designed for students to appreciate the concepts and principles of

obstetric nursing and helps them to acquire knowledge and develop attitude and

beginning skills in rendering nursing care to normal and high risk pregnant women

during antenatal, natal and postnatal periods in hospital and community settings. It

also helps to develop skills in managing normal and high risk neonate and

participate in family welfare programmes.