COURSE PLANNING

INTRODUCTION

Curriculum planning in nursing is a complex process involving many groups of people like faculty, community leaders, subject experts,
consumers. Student’s employees of the prospective graduate’s educationalist and psychologist.
Many factors affects curriculum development such as needs and interest of learner’s social and cultural factors.
The curriculum is the overall plan for providing learning experiences for students for achieving certain goals. The curriculum based on needs and
interest of student concerned, physiology of the college and faculty and is a systematic way to achieve certain specific goals.

OBJECTIVES:
After completion of the practical the student should be able to
 Spell out the sequence in planning a curriculum.

 Enumerate the concerns of the course plan for a subject.

 Prepare a course plan for a subject.
 To teach basic nursing students

SEQUENCES OF PLANNING
We should explain the sequence in planning curriculum. A curriculum is planned in various stages including;
 Planning a curriculum as a whole.

 Planning a various course.

 Units.
  Lessons for each courses.

SEQUENCE IN PLANNING A CURRICULUM

1) Planning
• Curriculum - over all goals.
• Objectives.
• Learning experiences.
• Evaluation.
2) Planning various courses.
• Goals
• Objectives
• Learning experiences.
• Evaluation
3) Unit planning
• Objectives
• Learning experience
• Evaluation

DEFINITION OF COURSE
It is a series of studies leading to graduation of degree as in case of B.Sc. Nursing course.
LEVELS OF COURSE PLANNING
 • University level
• Institutional level.
• Instructional level.
PURPOSE

The teacher plan the unit of work and the lesson for each course, linking it previous learning of the students without planning there will
be little unity and cohesion in what is being learned. Student’s participation in planning the course is to be encouraged by the teacher and entire
teaching and learning is based on sound education and psychological principles.

OUTLINE FOR A COURSE PLAN

A course plan should contain

 Objectives
 Specification for the level of learner
 Placement in the curriculum.
 Resources of material needed for the course
 Unit plan
 Evaluation measure
 Bibliography

1. OBJECTIVES

These may be general for the entire course. There may be central objective of all units in the course which leads to the attainment of general
objective for the course.

2. SPECIFICATION FOR THE LEVEL OF LEARNER

The stated objectives should be according to the level of the learners. This will include the information regarding the level of the students. The
requisites for the course and experience the students should have had prior to the starting of the course .It should also specify at what stage student
should begin course learning.

3. RESOURCE MATERIALS NEEDED FO THE COURSE

The teacher who prepares the lesson plan, the course outline will be guide by the content in selecting resource material, books journals,
A.V aids which can used in teaching the course, must be suggested in resource.

4. UNIT PLAN
The course plan can be divided in to appropriate unit. Each unit specify its objectives and teaching learning activities.

5. EVALUATION MEASURES
Course plan should include the evaluation method should be used such as written test, practical examination, class examination and quiz.

6. BIBLIOGRAPHY
Course plan must provide a list of books for objectives by teachers and students.
The students can do reading from the list of books provided for reference.
 COURSE PLAN
B.Sc. NURSING – III YEAR
Time allotted : Required hrs.

Hrs.
Theory : 390
Practical : 990
Extra 100
Total hrs. : 1480

Bachelor of Science degree in Nursing is a broad based education aimed to build upon the skills and competencies acquired at the Bachelor degree
in nursing level. It is specifically directed upgrading of critical thinking skills, competencies and standards required for practice of professional
nursing and midwifery as envisaged in National Health Policy. The course is intended to enable the graduates. Assume responsibilities as
professional competent nurses and midwives at basic level in providing promotive, preventive, curative and rehabilitative services. Make
independent decisions in nursing situations, protect the rights of and facilitate individuals and groups in pursuit of health, function in the hospital,
community-nursing services, and conduct research studies in the areas of nursing practice. They are also expected to assume the role of teacher,
supervisor, and manager in clinical/public health settings.

OBJECTIVES
General Objectives
During the clinical posting in the various areas of general, specialties, the nursing students will understand, comprehend and develop skills in
performing the various procedures, strictly following the related scientific and rationale for every adopted.
Contributory Objectives
During the clinical postings the student will:
1. Systematically follow the steps of the procedure.
2. Correlate the Knowledge from other disciplines while performing the steps of the procedures.
3. Assemble all articles, required for the procedure
4. Demonstrate skills in performing the procedures accurately.
5. Develop skills in planning, implementing and evaluating the nursing care in different setups, i.e. Hospital and Community.
6. Assess the learning needs of clients, plan and implement the health education.
7. Develop an ability to record and report.
8. Participate as members of health team in the promotion, preventive, curative and restorative health care delivery system of the country.
9. Demonstrate skills in communication and interpersonal relationship.
10. Demonstrate leadership qualities and decision-making abilities in various situations.
11. Demonstrate skills in teaching to individuals and groups in community health setting.
12. Demonstrate managerial skills in community health settings.
13. Practice ethical values in their personal and professional life.
14. Participate in research activities and utilize research findings in improving nursing practice.
15. Recognize the need for continued learning for their personal and professional development.

MEDICAL SURGICAL NURSING

(ADULT INCLUDING GERIATRICS) – II
 HOURS OF INSTRUCTION
Total : 390 hrs.
Theory : 120 hrs.
Practical: 270 hrs.

Course Description:

The purpose of this course is to acquire knowledge and develop proficiency in caring for patients with medical and surgical disorders in varieties
of health care settings and at home.

Unit Time Learning Objectives Content and Teaching Learning Activity

(Hrs.)
I 15 Describe the etiology, Nursing management of patient with disorders of Ear Nose and Throat
pathophysiology,  Review of anatomy and physiology of the Ear Nose and Throat
clinical manifestations,  Nursing assessment- History and Physical assessment
diagnostic measures  Etiology, Pathophysiology , clinical manifestations, diagnosis, treatment modalities and medical &
and management of Surgical nursing management of Ear Nose & Throat disorders:
patients with disorders  External ear: deformities otalgia, foreign bodies, and tumors
of Ear Nose and Throat  Middle Ear – Impacted wax, Tympanic membrane perforation, otitis media, otosclerosis, mastoiditis,
tumors
 Inner ear – Meniere’s Disease, labyrinthitis, ototoxicity, tumors
 Upper airway infections – Common cold, sinusitis, rhinitis, pharyngitis, tonsillitis and adenoiditis,
peritonsilar abscess, laryngitis
 Upper respiratory airway – epistaxis,
 Nasal obstruction, laryngeal obstruction, cancer of the larynx
 Cancer of the oral cavity
 Speech defects and speech therapy
 Deafness –
 Prevention, control and rehabilitation
 Hearing Aids, implanted hearing devices
Special Therapies
Nursing procedures
Drugs used in treatment of disorders of Ear Nose and Throat
Role of nurse Communicating with hearing impaired and muteness.

Teaching learning Activities

 Lecture Discussion
 Explain using Charts, graphs
 Models, films, slides
 Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
  Drug book/ presentation Assessment of skills with check list
 Assessment of patient management problem
II 15 Describe the etiology, Nursing management of patient with disorder of eye
Pathophysiology,  Review of anatomy and physiology of the eye –
Clinical  Nursing Assessment - History and Physical assessment
manifestations,  Etiology, Pathophysiology , clinical manifestations, diagnosis, treatment modalities and medical &
diagnostic measures Surgical nursing management of eye disorders:
and management of  Refractive errors
patients with disorders  Eyelids-infection, tumors & deformities
of eye.  Conjunctiva - inflammation and infection, bleeding
 Cornea-inflammation and infection
 Lens-Cataracts
 Glaucoma
 Disorder of the uveal tract,
 Ocular tumors
 Disorders of posterior chamber & retina : retinal and vitreous problems
 Retinal detachment
 Ocular emergencies and their prevention
 Blindness
 National blindness control program
 Eye Banking
 Eye prostheses and Rehabilitation
 Role of nurse - Communication with visually impaired patient, Eye camps
Special Therapies
Nursing procedures
Drugs used in treatment of disorders of eye

Teaching Learning Activity

 Lecture Discussion
 Explain using Charts, graphs
 Models, films, slides
 Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Drug book/ presentation
 Visit to eye bank
 Participation in eye-camps
 Assessment of skills with check list
 Assessment of patient management problem
III 16 Describe the Nursing management of patient with neurological disorders
etiology,  Review of anatomy and physiology of the neurological system
pathophysiology,
clinical  Nursing Assessment - History and Physical and neurological
manifestations,  Etiology, Pathophysiology , clinical manifestations, diagnosis, treatment modalities and medical &
diagnostic Surgical nursing management of neurological disorders
measures & nursing  Congenital malformations
management of  Headache
patients with neuro-  Head Injuries
logical disorders
 Spinal Injuries:
o Paraplegia
o Hemiplegia
o Quadriplegia
 Spinal cord compression-herniation of intervertebral disc
 Tumors of the brain & spinal cord
 Intra cranial & cerebral aneurysms
 Infections :
oMeningitis, Encephalitis, Brain abscess, neurocysticercosis
 Movement disorders
 Chorea
 Seizures
 Epilepsies
 Cerebrovascular Accidents (CVA)
 Cranial, Spinal Neuropathies - Bell’s palsy, trigeminal neuralgia
 Peripheral Neuropathies; Guillain-Barre Syndrome
 Myasthenia gravis
 Multiple sclerosis
 Degenerative diseases
 Delirium
 Dementia
 Alzheimer’s disease
 Parkinson’s disease
 Management of unconscious patients & patients with stroke
 Role of the nurse in communicating with patient having neurological deficit
 Rehabilitation of patients with neurological deficit
Role of nurse in long stay facility (institutions) and at home
Special Therapies
Nursing procedures
Drugs used in treatment of neurological disorders

Teaching Learning Activity

 Lecture Discussion
 Explain using Charts, graphs
 Models, films, slides
 Demonstration
  Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Drug book/ presentation
 Visit to rehabilitation center
 Assessment of skills with check list
 Assessment of patient management problem

IV 16 Describe the Nursing management of patients with disorders of female reproductive system
etiology,  Review of anatomy and physiology of the female reproductive system
pathophysiology,  Nursing Assessment - History and Physical assessment
clinical  Breast Self-Examination
manifestations,  Etiology, Pathophysiology , clinical manifestations, diagnosis, treatment modalities and medical &
diagnostic Surgical nursing management of disorder of female reproductive system
measures & nursing  Congenital abnormalities of female reproductive system
management of
 Sexuality & Reproductive Health
patients with
 Sexual Health Assessment
disorders of female
 Menstrual Disorders; Dysmenorrhea, Amenorrhea, Premenstrual Syndrome
reproductive
 Abnormal Uterine Bleeding; Menorrhagia, Metrorrhagia
system
 Pelvic Inflammatory Disease –
 Describe concepts
of reproductive  Ovarian and fallopian tube disorders; infections, cysts, tumors
health & family  Uterine & cervical disorders; Endometriosis, polyps, Fibroids, Cervical & uterine tumors, uterine
welfare programme displacement, Cystocele/ Urethrocele/Rectocele
 Vaginal disorders; Infections, cysts, tumors
 Diseases of breasts; Deformities, Infections, Cysts and Tumors
 Menopause and Hormonal Replacement Therapy
 Infertility
 Contraception ; Types Methods, Risk and effectiveness
 Spacing Methods
- Barrier methods, Intra- Uterine Devices, Hormonal, Post conception Methods, etc.
 Terminal methods
- Sterilization
 Emergency Contraception methods
 Abortion – Natural, Medical & surgical abortion – MTP Act
 Toxic Shock Syndrome
 Injuries & Trauma; Sexual violence
Special Therapies
Nursing procedures
Drugs used in treatment of gynecological disorders
National family welfare programme
 Teaching Learning Activity
 Lecture Discussion
 Explain using Charts, graphs
 Models, films, slides
 Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Drug book/ presentation
 Assessment of skills with check list
 Assessment of patient management problem

V 10  Describe the Nursing management of patients with Burns, reconstructive & cosmetic surgery
etiology,  Review of anatomy and physiology of the skin & connective tissues and various deformities
Pathophysiology,  Nursing Assessment - History and Physical assessment & Assessment of burns & fluid and electrolyte
clinical loss
manifestations,  Etiology, Classification, Pathophysiology, clinical manifestations, diagnosis, treatment modalities and
diagnostic medical & Surgical nursing management of Burns & Re-constructive and Cosmetic surgery;
measures & nursing  Types of Re-constructive and Cosmetic surgery; for burns, congenital deformities, injuries & cosmetic
management of purposes
patients with
 Burns,  Role of Nurse
reconstructive and  Legal aspects
cosmetic surgery  Rehabilitation
 Special therapies
oPsycho social aspects
Nursing procedures
Drugs used in treatment of Burns, reconstructive and cosmetic surgery

Teaching Learning Activity

 Lecture Discussion
 Explain using Charts, graphs
 Models, films, slides
 Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Drug book/ presentation

VI 10  Describe the Nursing management of patients with oncological conditions

etiology,  Structure & characteristics of normal & cancer cells
Pathophysiology,
clinical  Nursing Assessment - History and Physical assessment
manifestations,  Prevention, Screening, Early detection, Warning signs of cancer
diagnostic  Epidemiology, Etiology, Classification, Pathophysiology, Staging, clinical manifestations, diagnosis,
measures & nursing treatment modalities and medical & Surgical nursing management of oncological conditions
management of  Common malignancies of various body systems ; Oral, larynx, lung, Stomach & Colon, Liver,
patients with Leukemia’s & lymphomas, Breast, Cervix, Ovary, Uterus, Sarcoma, Brain, Renal, Bladder, Prostate etc.
oncology  Oncological emergencies
 Modalities of treatment
o Immunotherapy
o Chemotherapy
o Radiotherapy
o Surgical Interventions
o Stem cell and Bone marrow transplants
o Gene therapy
o Other forms of treatment
 Psychosocial aspects of cancer
 Rehabilitation
 Palliative care; Symptom and Pain Management, Nutritional support
 Home care
 Hospice care
 stoma Therapy
  Special therapies
oPsycho social aspects
 Nursing procedures

Teaching Learning Activity

 Lecture Discussion
 Explain using Charts, graphs
 Models, films, slides
 Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Drug book/ presentation
 Assessment of skills with check list
 Assessment of patient management problem

VII 10  Describe Nursing management of patient in Emergency & Disaster situations

organization of Disaster Nursing :
emergency &  Concepts & principles of Disaster Nursing
disaster care  Causes and Types of Disaster : Natural and Man-made
services
 Describe the role of  Earthquakes, Floods, Epidemics, Cyclones
nurse in disaster  Fire, Explosion, Accidents
management  Violence, Terrorism; bio-chemical, War
 Describe the role of  Policies related to emergency/disaster management; International, national, state, institutional
nurse in  Disaster preparedness:
management of  Team, Guidelines, protocols, Equipment’s, Resources
common  Coordination and involvement of; Community, various govt. departments, non-govt. organizations &
Emergencies International agencies
 Role of nurse: working
 Legal Aspects of Disaster Nursing
 Impact on Health and after effects; Post Traumatic Stress Disorder
 Rehabilitation; physical, psycho-social, Financial, Relocation
Emergency Nursing
 Concept, priorities, principles & scope of emergency nursing
 Organization of emergency services: physical setup, staffing, equipment and supplies, protocols,
Concepts of triage & role of triage nurse
 Coordination & involvement of different departments & facilities
 Nursing Assessment- History and Physical assessment
 Etiology, Pathophysiology , clinical manifestations, diagnosis, treatment modalities and medical &
Surgical nursing management of patient with medical & surgical Emergency
 Principles of emergency management
 Common Emergencies;
 Respiratory Emergencies
 Cardiac Emergencies
 Shock & Hemorrhage
 Pain
 Poly-Trauma, road accidents, crush injuries, wound
 Bites
 Poisoning; Food, Gas, Drugs & chemical poisoning
 Seizures
 Thermal Emergencies
Heat stroke & Cold injuries
 Pediatric Emergencies
 Psychiatric Emergencies
 Obstetrical Emergencies
 Violence, Abuse, Sexual assault
 Cardio Pulmonary Resuscitation
 Crisis Intervention
 Role of the nurse; Communication & Inter personal Relations
 Medico-Legal Aspects;

Teaching Learning Activity

  Lecture Discussion
 Explain using Charts, graphs
 Models, films, slides
 Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Disaster management Drills
 Drug book/ presentation
 Assessment of skills with check list
 Assessment of patient management problem

VIII 10  Explain the concept Nursing care of the elderly

and problems of  Nursing Assessment –History & Physical assessment
aging  Ageing;
 Describe nursing  Demography; Myths and realities
care of the elderly  Concepts & theories of ageing
 Cognitive Aspects of Ageing
 Normal biological ageing
 Age related body systems changes
 Psychosocial Aspects of Ageing
 Medications and elderly
 Stress & coping in older adults
 Common Health Problems & Nursing Management;
 Cardiovascular, Respira-tory, Musculoskeletal,
 Endocrine, genitor-urinary, gastrointestinal
 Neurological, Skin and other Sensory organs
o Psychosocial and Sexual
o Abuse of elderly
 Role of nurse for care of elderly: ambulation, nutritional, communicational, psychosocial & spiritual
 Role of nurse for caregivers of elderly
 Role of family and formal and non-formal caregivers
 Use of aids & prosthesis (hearing aids, dentures,
 Legal & Ethical Issues
 Provisions & Programmes for elderly; privileges, Community Programs and health services;
 Home & institutional care

Teaching Learning Activity

 Lecture Discussion
 Explain using Charts, graphs
 Models, films, slides
  Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Drug book/ presentation
 Visit to old age home
 Assessment of skills with check list
 Assessment of patient management problem

IX 10  Describe Nursing management of patient in critical care units

organization of  Nursing Assessment –History & Physical assessment
critical care units  Classification
 Describe the role of  Principles of critical care nursing
nurse in  Organization; Physical setup, Policies, staffing norms,
management of  Protocols, equipment and supplies
patients critical  Special equipment’s; ventilators, cardiac monitors, defibrillators
care units
 Resuscitation equipment’s
 Infection Control Protocols
 Nursing management of critically ill patient;
 Monitoring of critically ill patient
 CPR-Advance Cardiac Life support
 Treatments & procedures
 Transitional care
 Ethical & Legal Aspects
 Communication with patient and family
 Intensive care records
 Crisis Intervention
 Death & Dying-coping with
 Drugs used in critical care unit

Teaching Learning Activity

 Lecture Discussion
 Explain using Charts, graphs
 Models, films, slides
 Demonstration
 Role plays
 Counseling
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
  Drug book/ presentation
 Assessment of skills with check list
 Assessment of patient management problem

X 8  Describe the Nursing management of patients adults including elderly with Occupational and Industrial disorders
etiology,  Nursing Assessment –History & Physical assessment
Pathophysiology,  Etiology, Pathophysiology-logy, clinical manifestations, diagnosis, treatment modalities and medical &
clinical Surgical nursing management of occupational and industrial health disorders
manifestations,  Role of nurse
assessment, diagnostic Special Therapies, alternative therapies
measures & Nursing procedures
management of Drugs used in treatment of Occupational & Industrial disorders
patients with
occupational Teaching Learning Activity
and industrial health  Lecture Discussion
disorder  Explain using Charts, graphs
 Models, films, slides
 Demonstration
 Role plays
 Counseling
 Practice session
  Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Drug book/ presentation
 Assessment of skills with check list
 Assessment of patient management problem
 MEDICAL SURGICAL NURSING – II PRACTICAL
(ADULT AND GERIATRICS) – II

HOURS OF INSTUCTION
PRACTICAL: 120 HRS.
 Duration
Areas (in weeks) Objectives of Posting Skills to be developed Assignments Assessment methods

ENT 1  Provide care  Perform  Provide  Assess each

to patients examination care to 2-3 skill with
with ENT of ear, nose assigned checklist
disorders and throat patients  Assess
 Counsel and  Assist with  Nursing performance
educate diagnostic care plan -1 with rating
patient and procedures  Observatio scale
families  Assist with n reports of  Evaluation of
therapeutic OPD observation
procedures  Maintain report of OPD
 Instillation of drug book  Completion of
drops activity record
 Perform/
assist with
irrigations
 Apply ear
bandage
 Perform
tracheostomy
care
 Teach
patients &
families
Ophthalm 1  Provide care  Perform  Provide  Assess each
ology to patients examination care to 2-3 skill with
with Eye of eye assigned checklist
disorders  Assist with patients  Assess
 Counsel and diagnostic  Nursing performance
educate procedures care plan -1 with rating
patient and scale Placement:
 Assist with  Observatio
families therapeutic n reports of  Evaluation of Clinical
procedures OPD & observation
Training
 Perform/ Eye bank report of
assist with  Maintain OPD /Eye
irrigations drug book bank
 Apply eye  Completion of
bandage activity record
 Apply eye
 Time: 9 weeks

Areas Duratio Objective Skills Assessment

n (in
week)
Medical ward 2 Provide comprehensive Integrated Assess clinical
care to patients with Practice performance with
medical and surgical rating scale
Surgical ward 2 conditions including
emergencies
Critical care unit /ICCU 1
Casualty/Emergency Assist with common
2 operations
Operation Theatre
(Eye, ENT, Neuro)
Scheme of University Examination for Medical Surgical Nursing

Theory

There shall be one theory paper of three hours duration carrying 100 marks. Distribution of type of questions and marks for Medical
Surgical Nursing shall be as given under.

Distribution of Type of Questions and Marks for Medical Surgical Nursing- II,

Type of Questions No. of Questions Marks Sub-total

Long Essay (LE) 2 10 20
Short Essay (SE) 10 5 50
Short Answer (SA) 10 3 30
Total Marks 100

Practical and Viva

Internal Assessment University Total

Examination
Medical - Surgical Nursing- II 50 50 100

Note:

All practical examinations must be held in the respective clinical areas.

One internal and one external examiner should jointly conduct practical /clinical examination for each student.
 CHILD HEALTH NURSING

HOURS OF INSTRUCTION
Theory - 90 hours Practical - 270 hours Clinical Training – 145 hours

Course Description:

This course is designed for developing an understanding of the modern approach to child – care, identification, prevention and nursing
management of common health problems of neonates and children.

Time Learning
Unit (Hrs.) Objective Content and Teaching Learning Activities
I 15 Explai Introduction
n the Modern concepts of childcare
moder  Internationally accepted rights of the Child
n  National policy & legislations in relation to child
concep health and welfare
t of  National programmes related to child health and
child welfare
care &  Agencies related to welfare services to the children
princip  Changing trends in hospital care, preventive,
les of promotive & curative aspects of child health
child  Child morbidity and mortality rates
health
 Differences between an adult and child
Nursin
 Hospital environment for a sick child
g
 Impact of hospitalization on the child and family
 Descri
be  Grief and bereavement
nation  The role of a Child health nurse in caring for a
al hospitalized child
 policy  Principles of pre and post-operative care of infants
progra and children
ms and  Child health nursing procedures
legisla
tion in Teaching Learning Activities
relatio  Lecture Discussion
n to  Demonstration of common pediatric procedures
child  Assessment of skills with checklist
health
and
welfar
e.
 List
major
causes
of
death
during
infanc
y,
early
& late
childh
ood
 Descri
be the
major
functio
ns and
role of
the
pediatr
ic
 nurse
in
caring
for a
hospit
alized
child.
 Descri
be the
princip
les of
child
health
nursin
g
II 20  Desc The healthy child
ribe  Principles of growth and development
the  Factors affecting growth & development
Nor  Growth and development from birth to adolescence
mal  The needs of normal children through the stages of
grow developmental and parental guidance
th &  Nutritional needs of children & infants: breast
deve feeding, exclusive breast feeding
lopm supplementary/artificial feeding and weaning,
ent  Baby friendly hospital concept
of  Accidents: causes and prevention
child
 Value of play and selection of play material
ren
 Preventive immunization, immunization programme
at
and cold chain
diffe
rent  Preventive pediatrics
ages  Care of under-five & under five clinics/well baby
 Ident clinics
 ify Teaching Learning Activities
the  Lecture Discussion
need  Developmental study of infant and children
s of  Observation on study of normal and sick child
child  Field visit to Anganwadi, child guidance clinic
ren  Film show on breast feeding
at Clinical practice /field
diffe  Assessment of field visits and developmental
rent study reports
ages
&
provi
de
pare
ntal
guid
ance
 Ident
ify
the
nutri
tiona
l
need
s of
child
ren
at
diffe
rent
ages
and
ways
 of
meet
ing
the
need
s
 Appr
eciat
e the
role
of
play
for
norm
al &
sick
child
ren
 Appr
eciat
e the
prev
entiv
e
meas
ures
and
strat
egies
for
child
ren
III 15  Prov Nursing care of a neonate
 ide  Nursing care of a normal newborn/Essential
care newborn care
to  Neonatal resuscitation
norm  Nursing management of a low birth weight baby
al &  Kangaroo mother care
high  Nursing management of common neonatal disorders
risk  Organization of neonatal unit
neon
 Identification & nursing management of common
ates
congenital malformations
 Perf
orm Teaching Learning Activities
neon
 Lecture Discussion
atal
 Workshop on neonatal resuscitation
resus
citati  Demonstration
on  Practice session
 Reco  Clinical practice
gniz  Assessment of skills with checklist
e
and
man
age
com
mon
neonatal
problems
IV 10 Integrated management of neonatal and childhood
illnesses (IMNCI)
V 20  Prov Nursing management in common childhood diseases
ide  Nutritional deficiency disorders
nursi  Respiratory disorders and infections
ng  Gastrointestinal infections, infestations and
care congenital disorders
 in  Cardio vascular problem: congenital defects and
com rheumatic fever, rheumatic heart disease
mon  Genitor-urinary disorders: acute glomerulo nephritis,
child Nephrotic syndrome, Wilms’ tumor, infection and
hood congenital disorders
disea  Neurological infections and disorders: convulsions,
ses epilepsy, meningitis, hydrocephalus, spina-bifida
 Ident  Hematological disorders : Anemias, thalassemia,
ify ITP, Leukemia, hemophilia
meas  Endocrine disorders: Juvenile Diabetes Mellitus
ures  Orthopedic disorders :club feet, hip dislocation and
to fracture
prev  Disorders of skin, eye, & ears
ent
 Common communicable diseases in children, their
com
identification, nursing management in hospital and
mon
home and prevention
child
 Child health emergencies: poisoning, foreign bodies,
hood
hemorrhage, burns & drowning
disea
ses  Nursing care of infant and children with HIV/AIDS
inclu
ding Teaching Learning Activities
imm  Lecture Discussion
uniz  Demonstration
ation  Practice session
 Clinical practice
VI 10  Man Management of behavioral & social problems in
age children
the  Management of common behavioral disorders
child  Management of common psychiatric problems
with  Management of challenged children : Mentally,
beha Physically, & socially challenged
viora  Welfare services for challenged children in India
l&
 socia  Child guidance clinics
l
probl Teaching Learning Activities
ems  Lecture Discussion
 Ident  Field visits to child guidance clinics, school for
ify mentally & physically, socially challenged
the  Assessment of field visits and study reports
socia
l&
welf
are
servi
ces
for
chall
enge
d
child
ren
 CHILD HEALTH NURSING – PRACTICAL

Practical: 270 hours (9 Weeks)

Clinical Training: 145 hours (3 Weeks)

Areas Duratio Objectives Skills Assignments Assessment Methods

n (in
weeks)
Pediatric 3  Provide  Taking pediatric  Give care  Assess clinical
Medicine nursing History to three performance
ward care to  Physical examination assigned with rating scale
children and assessment of pediatric  Assess each skill
with children patients with checklist
various  Administer of oral, I/M  Nursing OSCE/ OSPE
medical & IV medicine/fluids Care Plan  Evaluation of
disorder  Calculation of fluid –1 case
s requirements  Case study/presentatio
 Counsel  Prepare different study/pres n & Health
and strengths of I.V. fluids entations- education
educate  Apply restraints 1 session
parents  Administer O2  Health  Completion of
inhalation by different Talk -1 activity record
methods
 Give baby bath Feed
children by Katori
spoon, etc.
 Collect specimens for
common investigations
 Assist with common
diagnostic procedures
 Teach mothers/parents
 Malnutrition
 Oral rehydration
 therapy
 Feeding & Weaning
 Immunization
schedule
 Play therapy
 Specific Disease
conditions
Pediatric 3  Recog  Calculate, prepare and  Give care  Assess clinical
Surgery nize administer I/V fluids to three performance with
Ward differe  Do bowel wash assigned rating scale
nt  Care for ostomies : pediatric  Assess each skill
pediatr o Colostomy irrigation surgical with checklist
ic o Ureterostomy patients OSCE/ OSPE
surgica o Gastrostomy  Nursing  Evaluation of
l o Enter ostomy Care Plan case
conditi –1 study/presentatio
 Urinary
ons/  Case n
catheterization
malfor study/pres  Completion of
and drainage
mation entation-1 activity record
 Feeding
s
 Nasog
 Provid
astric
e pre
 Gastro
and
stomy
post-
 Jejuno
operati
stomy
ve care
 Care of surgical
to
wounds
childre
o Dressing
n with
comm o Suture
on removal
pediatr
ic
 surgica
l
conditi
ons/
malfor
mation
 Couns
el and
educat
e
parents
Pediatric 1  Perfor  Assessment of  Develop  Assess clinical
OPD/ m children mental performance with
Immunizat assess  Health study -1 rating scale
ion room ment assessment  Completion of
of  Developmenta activity record
childre l assessment
n:  Anthropometri
Health, c assessment
Develo  Immunization
pment  Health/Nutritional
al and Education
Anthro
po-
metric
 Perfor
m
Immun
ization
 Give
Health
Educat
ion
 /Nutritional
Education
Pediatric 1+1  Provid  Care of a baby in  Nursing  Assess clinical
medicine e incubator/warmer care plan 1 performance with
and nursin  Care of a child on  Observa rating scale
surgery g care ventilator tion  Completion of
ICU to  Endotracheal suction report 1 activity record
critical  Chest physiotherapy  Evaluation of
ly ill  Administer fluids observation report
childre with infusion pump
n  Total parenteral
nutrition
 Phototherapy
 Monitoring of babies
 Cardio Pulmonary
resuscitation

Clinical Training

Duration (in
Area Objective Skills Assessment Methods
weeks)
Pediatric 1  Provide comprehensive  Integrat  Assess clinical
medicine care to children with ed performance with
ward/ICU medical conditions Practice rating scale
Pediatric 1  Provide comprehensive  Integrat  Assess clinical
Surgery care to children with ed performance with
ward/ICU surgical conditions Practice rating scale
NICU 1  Provide intensive care  Integrat  Assess clinical
to neonates ed performance with
Practice rating scale

Scheme of University Examination for Child Health Nursing

Theory

There shall be one theory paper of three hours duration carrying 100 marks. Distribution of type of questions and marks for Child Health
Nursing shall be as given under.

Distribution of Type of Quest0ions and Marks for Child Health Nursing

Type of Questions No. of Questions Marks Sub-total

Long Essay (LE) 2 10 20
Short Essay (SE) 10 5 50
Short Answer (SA) 10 3 30
Total Marks 100

Practical and Viva

Internal Assessment University Total
Examination
. Child Health Nursing 50 50 100

Note:
All practical examinations must be held in the respective clinical areas.
One internal and one external examiner should jointly conduct practical /clinical examination for each students.
 MENTAL HEALTH NURSING

Theory - 90 hours
Practical - 270 hours Clinical Training - 95 hours (2 weeks)

Course Description:
This course is designed for developing an understanding of the modern approach to mental health, identification, prevention and nursing
management of common mental health problems with special emphasis on therapeutic interventions for individuals, family and community.

Time Learning Objective Teaching evaluati reference

Unit (Hrs) Content and Teaching Learning Activities Learning on
Activitie
s
I 5  Describes the Introduction Lecture Oral Sreevanis textbook
historical  Perspectives of Mental Health and Mental Health nursing cum type, of mental health
development & : evolution of mental health services, treatments and discussio short nursing, nursing
current trends in nursing practices, n answer diagnosis in
mental health nursing  Prevalence and incidence of mental health problems and type mental health by
 Describe the disorders question mary C townsend.
epidemic-logy of  Mental Health Act s Lippincotts
mental health  National Mental health policy vis a vis National health manual of
problems policy psychiatric nursing
 Describe  National Mental health programme
the National Mental  Mental Health team
Health Act,  Nature and scope of mental health nursing
programmes and mental  Role and functions of mental health nurse in various
health policy settings and factors affecting the level of nursing practice
 Concepts of normal and abnormal behavior
 Assessment of field visits reports
19
II 5  Defines the Principles and Concepts of Mental Health Nursing Lecture Essay Sreevanis textbook of
various terms used  Definition: mental health nursing and terminology used cum questions mental health nursing,
in mental health  Classification of mental disorders : ICD discussio nursing diagnosis in
nursing  Review of personality development, defense mechanisms n mental health by mary
 Explains the  Maladaptive behavior of individuals and groups: stress, crisis C townsend.
classification of and disaster(s) Lippincotts manual of
mental disorders  Etiology: bio-psycho-social factors psychiatric nursing
 Explain psycho  Psychopathology of mental disorders: review of structure &
dynamics of function of brain, limbic system and abnormal neuro
maladaptive transmission
behavior  Principles of Mental health Nursing
 Discuss the  Conceptual models and the role of nurse:
etiological factors, o Existential Model
psychopathology o Psycho-analytical models
of mental o Behavioral model
disorders
o Interpersonal model
 Explain the
Principles
& standards of mental
health nursing
 Describe the
conceptual models
of mental health
nursing
III 8  Describe nature, Assessment of mental health status Lecture short Sreevanis textbook of
purpose & process  History taking cum answers mental health nursing,
of assessment of  Mental status examination discussion and lony nursing diagnosis in
mental health  Mini mental status examination essay mental health by mary
status  Neurological examination : review type C townsend.
 Investigations : Related Blood chemistry, EEG, CT & MRI Lippincotts manual of
 Psychological tests Role and responsibilities of nursing psychiatric nursing
IV 6  Identify Therapeutic communication and nurse-patient relationship Lecture Sessional Sreevanis textbook of
therapeutic  Therapeutic communication: types, techniques, characteristics cum exams mental health nursing,
communication  Types of relationship, discussion nursing diagnosis in
techniques  Ethics and responsibilities mental health by mary
C townsend.
20
  Describe  Elements of nurse patient contract Lippincotts manual of
therapeutic  Review of technique of IPR-Johari Window psychiatric nursing
relationship  Goals, phases, tasks, therapeutic techniques
 Describe  Therapeutic impasse and its intervention
therapeutic
impasse and its
intervention
V 14  Explain treatment Treatment modalities and therapies used in mental disorders Lecture Re
modalities &  Psycho Pharmacology cum demonstr
therapies used in  Psychological therapies: Therapeutic community, discussion ation
mental disorders psychotherapy-individual: psycho-analytical, cognitive & and
and role of the supportive, Family, Group, behavioral. Play, Psycho-drama, demonstra
nurse Music, Dance, Recreational & Light therapy, Relaxation tion
therapies : Yoga, Meditation, bio feedback
 Alternative systems of medicine
 Occupational therapy
 Physical Therapy: electro convulsive therapy
 Geriatric considerations
Role of nurse in above therapies

VI 5  Describe the Nursing management of patient with Schizophrenia, and other Lecture Class test
etiology, psycho- psychotic disorders cum
pathology, clinical  Classification: ICD discussion
manifestations,  Etiology, psycho-pathology,
diagnostic criteria types, clinical manifestations, diagnosis
& management of  Nursing Assessment - History, Physical & mental assessment
patients with  Treatment modalities and nursing management of patients
Schizophrenia, with Schizophrenia & other psychotic disorders
and other  Geriatric considerations
psychotic  Follow up and home care and rehabilitation
disorders
VII 5  Describe the Nursing management of patient with mood disorders Lecture Sreevanis textbook of
etiology psycho-  Mood disorders: Bipolar affective disorder, Mania cum mental health nursing,
pathology, clinical Depression & dysthymia etc. discussion nursing diagnosis in
manifestations,  Etiology, psycho-pathology, clinical manifestations, diagnosis, mental health by mary
diagnostic criteria  Nursing Assessment –History, Physical and mental assessment C townsend.
21
 and management  Treatment modalities and nursing management of patients Lippincotts manual of
of patients with with mood disorders psychiatric nursing
mood disorders  Geriatric considerations
 Follow-up and home care and rehabilitation

Teaching Learning Activities

 Lecture discussion
 Case discussion
 Case presentation
 Clinical practice
 Assessment of patient management problems
VIII 8  Describe the Nursing management of patient with neurotic, stress related and Lecture Sreevanis textbook of
etiology , psycho- somatization disorders cum mental health nursing,
pathology, clinical  Anxiety disorder, Phobias, Dissociation and Conversion discussion nursing diagnosis in
manifestations, disorder, Obsessive compulsive disorder, somatoform mental health by mary
diagnostic criteria disorders, Post-traumatic stress disorder C townsend.
and manage-ment  Etiology, psycho-pathology, clinical manifestations, diagnosis Lippincotts manual of
of patients with  Nursing Assessment-History, Physical & mental assessment psychiatric nursing
neurotic, stress  Treatment modalities and nursing management of patients
related and with neurotic, stress related and somatization disorders
somatization disorders  Geriatric considerations
 Follow-up and home care and rehabilitation
IX 5  Describe the Nursing management of patient with substance use disorders Lecture Oral Sreevanis textbook of
etiology psycho-  Commonly used psychotropic substance: Classification, cum type, mental health nursing,
pathology, clinical forms, routes, action, intoxication & withdrawal discussion short nursing diagnosis in
manifestations,  Etiology of dependence: tolerance, psychological and physical and case answer mental health by mary
diagnostic criteria dependence, withdrawal syndrome, diagnosis, presentati type C townsend.
and management  Nursing Assessment - History, Physical, mental assessment on questions Lippincotts manual of
of patients with and drug assay psychiatric nursing
substance use  Treatment (detoxification, Antabuse and narcotic antagonist
disorders therapy and harm reduction) & nursing management of
patients with substance use disorders
 Geriatric considerations
 Follow-up and home care and rehabilitation

22
X 4  Describe the Nursing management of patient with Personality, Sexual & Eating Lecture Oral Sreevanis textbook of
etiology psycho- disorders cum type, mental health nursing,
pathology, clinical  Classification of disorders discussion short nursing diagnosis in
manifestations,  Etiology, psycho-pathology, characteristics, diagnosis, and case answer mental health by mary
diagnostic criteria  Nursing assessment-History, Physical and mental assessment discussion type C townsend.
and management  Treatment modalities and nursing management of patients questions Lippincotts manual of
of patients with with Personality, Sexual & Eating disorders , class psychiatric nursing
personality,  Geriatric considerations test
Sexual & Eating  Follow-up and home care and rehabilitation
disorders
Teaching Learning Activities
 Lecture discussion
 Case discussion
 Case presentation
 Clinical practice
 Assessment of patient management problems
XI 6  Describe the Nursing management of child-hood and adolescent disorders Lecture Oral Sreevanis textbook of
etiology psycho- including mental deficiency cum type, mental health nursing,
pathology, clinical  Classification discussion short nursing diagnosis in
manifestations,  Etiology, psycho-pathology, characteristics, diagnosis, answer mental health by mary
diagnostic criteria Nursing assessment-History, Physical, mental and IQ type C townsend.
and management assessment questions Lippincotts manual of
of childhood and  Treatment modalities and nursing management of childhood psychiatric nursing
adolescent disorders including mental deficiency
disorders  Follow-up and home care and rehabilitation
including mental
deficiency
XII 5  Describe the Nursing management of organic brain disorders Clinical Oral Sreevanis textbook of
etiology, psycho-  Classification: ICD? practice type, mental health nursing,
pathology, clinical  Etiology, psycho-pathology, clinical features, diagnosis, and and short nursing diagnosis in
manifestations, Differential diagnosis (Parkinson’s and Alzheimer’s) lecture answer mental health by mary
diagnostic criteria  Nursing assessment-History, Physical, mental and cum type C townsend.
and management neurological assessment discussion questions Lippincotts manual of
of organic brain  Treatment modalities and nursing management of organic psychiatric nursing
disorders brain disorders
 Geriatric considerations
23
  Follow-up and home care and rehabilitation

XIII 6  Identify Psychiatric emergencies and crisis intervention Demonstr Oral Sreevanis textbook of
psychiatric  Types of psychiatric emergencies and their management ation and type, mental health nursing,
emergencies and  Stress adaptation Model: stress and stressor, coping, resources lecture short nursing diagnosis in
carry out crisis and mechanism cum answer mental health by mary
interventions  Grief: theories of grieving process, principles, techniques of discussion type C townsend.
counseling questions Lippincotts manual of
 Types of crisis psychiatric nursing
 Crisis Intervention: Principles, Techniques and Process
 Geriatric considerations
Role and responsibilities of nurse

XIV 4  Explain legal Legal issued in Mental Health Nursing Lecture Oral Sreevanis textbook of
aspects applied in  The Mental Health Act 1987: Act, sections, Articles & their cum type, mental health nursing,
mental health implications etc. discussion short nursing diagnosis in
settings and role  Indian Lunacy Act 1912 answer mental health by mary
of the nurse  Rights of mentally ill clients type C townsend.
 Forensic psychiatry questions Lippincotts manual of
 Acts related to narcotic and psychotropic substances and psychiatric nursing
illegal drug trafficking
 Admission and discharge procedures
Role and responsibilities of nurse

XV 4  Describe the Community Mental Health Nursing Lecture Oral

model of  Development of Community Mental Health Services: cum type,
preventive  National Mental Health Programme discussion short
psychiatry  Institutionalization Versus Deinstitutionalization answer
 Describes  Model of Preventive Psychiatry: Levels of Prevention type
Community  Mental Health Services available at the primary, secondary, questions
Mental health tertiary levels including rehabilitation and Role of nurse
services & role of  Mental Health Agencies: Government and voluntary,
the nurse National and International
 Mental health nursing issues for special populations: Children,
24
Adolescence, Women, Elderly, Victims of violence and abuse,
Handicapped, HIV/AIDS etc.

25
 MENTAL HEALTH NURSING – PRACTICA
Practical - 270 hours (9 Weeks)
Clinical Training - 95 hours (2 Weeks)

Areas Duration Objectives Skills Assignments Assessment

(in week) Methods
Psychiatri 1  Assess  History taking  History  Assess
c OPD patient  Perform mental status taking perfor
s with examination (MSE) and mance
mental  Assist in Psychometric mental with
health assessment status rating
proble  Perform Neurological examinat scale
ms examination ion – 2  Assess
 Obser  Observe and assist in  Health each
ve & therapies education skill
assist  Teach patients and -1 with
in family members  Observati checkl
therapi on report ist
es of OPD  Evalua
 Couns tion of
el & health
educat educat
e ion
patient  Assess
,& ment
familie of
s observ
ation
report
 Compl
etion
of
26
 activit
y
record
Child 1  Assess  History taking  Case  Assess
Guidance ment  Assist in psychometric work – 1 perfor
clinic of assessment  Observati mance
childre  Observe and assist in on report with
n with various therapies of rating
variou  Teach family and different scale
s significant others therapies  Assess
mental -1 each
health skill
proble with checklist
ms  Evalua
 Couns tion of
el and the
educat observ
e ation
childre report
n,
familie
s&
signifi
cant
others
Inpatient 6  Assess  History taking  Give care  Assess
ward patient  Perform mental status to 2-3 perfor
s with examination (MSE) patients ma-
mental  Perform Neurological with nce
health examination various with
proble  Assist in psychometric mental rating
ms assessment disorders scale
 To  Record therapeutic  Case  Assess
provid communication study-1 each
27
 e  Administer medications  Care skill
nursin  Assist in Electro- plan-2 with checklist
g care convulsive therapy  Clinical  Evalua
for nb(ECT) Presentation - 1 tion of
patient  Participate in all  Process the
s with therapies recordin case
variou  Prepare patients for g2 study,
s Activi-ties of Daily  Maintai care
mental health living (ADL) n drug plan,
problems  Conduct admission and book clinica
 Assist discharge counseling l
in  Counsel and teach presen
variou patients and families tation,
s proces
therapi s
es record
 Couns ing
el &  Compl
educat etion
e of
patient activit
s, y
familie record
s&
signifi
cant
others
Commu- 1  To  Conduct case work  Case  Assess
nity identif  Identify individuals work – 1 perfor-
Psychiatry y with mental health  Observa- mance
patient problems tion with
s with  Assists in mental health report on rating
variou camps and clinics field scale
s  Counsel and Teach visits  Evalua
28
 mental family members, tion of
disord patients and community case
ers work
 To and
motiva observ
te ation
patient report
s for  Compl
early etion
treatm of
ent activit
& follow up y
 To record
assist
in
follow
up
clinic
 Couns
el and
educat
e
patient
,
family
and
community

Clinical Training

Area Duration Objective Skills Assessment Methods

Psychiatry 2 weeks Provide comprehensive care  Integrated  Assess clinical
ward to patients with mental health Practice performance with
problems rating scale
29
30
Scheme of University Examination for Mental Health Nursing

Theory

There shall be one theory paper of three hours duration carrying 100 marks. Distribution of type of questions and marks for Mental
Health Nursing shall be as given under.

Distribution of Type of Quest0ions and Marks for Mental Health Nursing

Type of Questions No. of Questions Marks Sub-total

Long Essay (LE) 2 10 20
Short Essay (SE) 10 5 50
Short Answer (SA) 10 3 30
Total Marks 100

Practical and Viva Voce

Internal University Total
Assessment Examination
Mental Health Nursing 50 50 100

Note: All practical examinations must be held in the respective clinical areas.
One internal and one external examiner should jointly conduct practical /clinical examination for each student.

31
 Midwifery and Obstetrical Nursing

Placement : Third Year

Time : Theory - 90 hours
Practical - 180 hours

Course Description : This course is designed for students to appreciate the concepts and principles of midwifery and obstetrical nursing. It
helps them to acquire knowledge and skills in rendering nursing care to normal and high risk pregnant women during antenatal, natal and post
natal periods in hospitals and community settings. It also helps to develop skills in managing normal & high risk neonates & participate in
family welfare programme.

Time Learning
Unit (Hrs) Objective Content and Teaching Learning Activities
I 3  Recognis Introduction to midwifery and obstetrical Nursing
e the  Introduction to concepts of midwifery and
trends & obstetrical Nursing
issues in  Trends in midwifery and obstetrical nursing
midwifer o Historical perspectives and current trends
y and o Legal and ethical aspects
obstetric o Pre-conception care and preparing for parenthood
al o Role of nurse in midwifery and obstetrical care
nursing o National policy and legislation in relation to
maternal health & welfare
o Maternal, morbidity, mortality and fertility rates
o Perinatal, morbidity and mortality rates

Teaching Learning Activities

 Lecture discussion
 Explain using Charts and graphs
II 8  Describe Review of anatomy & physiology of female reproductive
the system and foetal development
anatomy  Female pelvis- general description of the bones joints,
& ligaments, planes of the pelvis diameters of the true
physiolog pelvis, important landmarks, variations in pelvis shape
32
 y of  Female organs of reproduction - external genetalia,
female internal genital organs and their anatomical relations,
reproduc- musculature – blood supply, nerves, lymphatics,
tive pelvic cellular tissue, pelvic peritoneum
system  Physiology of menstrual cycle
 Human sexuality
 Foetal development
o Conception
o Review of fertilization, implantation (embedding of
the ovum), development of the embryo & placenta at
term functions, abnormalities, the foetal sac, amniotic
fluid, the umbilical chord,
o Foetal circulation, foetal skull, bones, sutures and
measurements
 Review of Genetics

Teaching Learning Activities

 Lecture discussion
 Review with Charts and models
III 8  Describe Assessment and management of pregnancy (ante-natal)
the  Normal pregnancy
diagnosis  Physiological changes during pregnancy
& o Reproductive system
manage- o Cardio vascular system
ment of o Respiratory system
women o Urinary system
during o Gastero intestinal system
antenatal o Metabolic changes
period
o Skeletal changes
o Skin changes
o Endocrine system
o Psychological changes
o Discomforts of pregnancy
 Diagnosis of pregnancy
o Signs
o Differential diagnosis
33
 o Confirmatory tests
 Ante-natal care
o Objectives
o Assessment
- History and physical examination
- Antenatal Examination
- Signs of previous child-
birth
o Relationship of foetus to
uterus and pelvis : Lie,
Attitude, Presentation,
Position
o Per vaginal examination
 Screening & assessment for high risk;
 Risk approach
 History and Physical Examination
 Modalities of diagnosis; Invasive & Non-Invasive,
ultrasonics, cardiotomo-graphy , NST, CST
 Antenatal preparation
o Antenatal counseling
o Antenatal exercises
o Diet
o Substance use
o Education for child-birth
o Husband and families
o Preparation for safe-confinement
o Prevention from radiation
 Psycho-social and cultural aspects of pregnancy
o Adjustment to pregnancy
o Unwed mother
o Single parent
o Teenage pregnancy
o Sexual violence
 Adoption

Teaching Learning Activities

34
  Lecture Discussion
 Demonst-ration
 Case discussion/ presentation
 Health talk
 Practice session
 Counseling session
 Supervised Clinical practice
 Assessment of skills with checklist
 Assessment of patient management problems
IV 12  Describe Assessment and management of intra-natal period
the  Physiology of labour, mechanism of labour
physiolog  Management of labour
y and o First stage
stages of - Signs and symptoms of onset of
labour labour; normal & abnormal
 Describe - Duration
the - Preparation of:
manage –  Labour room
ment of  Woman
women - Assessment & observation of woment
during in labour ; partogram – maternal and
intra-natal foetal monitoring
period - Active management of labour,
Induction of labour
- Pain relief and comfort in labour
 Second stage
o Signs and symptoms; normal & abnormal
o Duration
o Conduct of delivery ; principles and techniques
o Episiotomy (only if required)
o Receiving the new born
- Neonatal resuscitation ; initial steps
and subsequent resuscitation
- Care of umbilical cord
- Immediate assessment including
screening for congenital anomalies
35
 - Identification
- Bonding
- Initiate feeding
- Screening and transport-tation of the
neonate
 Third stage
o Signs and symptoms; normal & abnormal
o Duration
o Method of placental expulsion
o Management; Principles and techniques
o Examination of the placenta
o Examination of perineum
 Maintaining records and reports
 Fourth Stage

Teaching Learning Activities

 Lecture Discussion
 Demonst-ration
 Case discussion/ presentation
 Simulated practice
 Supervised Clinical practice
 Assessment of skills with checklist
 Assessment of patient management problems

V 5  Describe Assessment and management of women during post natal

the period
physiolog  Normal puerperium; Physiology Duration
y of  Postnatal assessment and management
puerperiu o Promoting physical and emotional well-being
m o Lactation management
 Describe o Immunization
the  Family dynamics after child-birth
managem  Family welfare services; methods, counselling
ent of  Follow-up
women
 Records and reports
36
 during
post-natal Teaching Learning Activities
period  Lecture Discussion
 Demonstra-tion
 Health talk
 Practice session
 Supervised Clinical practice
 Assessment of patient management problems
 Assessment of skills with checklist
VI 6  Describe Assessment and management of normal neonates
the Identi-  Normal Neonate:
fication o Physiological adaptation,
and o Initial & Daily assessment
manage- o Essential newborn care ; Thermal control,
ment of o Breast feeding, prevention of infections
women  Immunization
with high  Minor disorders of newborn and its management
risk
 Levels of Neonatal care (level I, II, & III)
pregnancy
 At primary, secondary and tertiary levels
 Maintenance of Reports and Records

Teaching Learning Activities

 Lecture Discussion
 Demonst-ration
 Practice Session
 Supervised Clinical practice

VII 10  Describe High-risk pregnancy-assessment & management

the  Screening and assessment
Identifi- o Ultrasonics, cardiotomo-graphy, NST, CST,
cation non-invasive & invasive,
and o Newer modalities of diagnosis
manage-  High –risk approach
ment of  Levels of care; primary, secondary & tertiary levels
women  Disorders of pregnancy
with high o Hyper-emesis gravidarum, bleeding in early
37
 risk pregnancy, abortion, ectopic
pregnancy o Pregnancy, vesicular mole,
o Ante-partum haemorrage
 Uterine abnormality and displacement
 Diseases complicating pregnancy
o Medical and surgical conditions
o Infections, RTI(STD), UTI, HIV, TORCH
o Gynaecological diseases complicating pregnancy
o Pregnancy induced hypertension & diabetes, Toxemia
of pregnancy, hydramnios,
o Rh incompatibility
o Mental disorders
 Adolescent pregnancy, Elderly primi and grand
multipara
 Multiple pregnancy
 Abnormalities of placenta & cord
 Intra-uterine growth-retarda-tion
 Nursing management of mothers with high-risk
pregnancy
 Maintenance of Records and Report

Teaching Learning Activities

 Lecture Discussion
 Demonstrate using video films, scan reports, photo
graph etc
 Case discussion/ presentation
 Health talk
 Practice Session
 Supervised Clinical practice
 Assessment of skills with checklist
 Assessment of skills with checklist
VIII 10  Describe Abnormal Labour – assessment and management
manage-  Disorders in labour
ment of o CPD and contracted pelvis
abnormal o Malpositions and malpresentations
labour o Premature labour, disorders of uterine actions-
38
  And precipitate labour, prolonged labour
obstetrical o Complications of third stage: injuries to birth
emergencies canal
 Obstetrical procedures and operations;
o Presentation and prolapse of cord, Vasa praevia,
amniotic fluid embolism, rupture of uterus, shoulder
dystocia, obstretical shock
 Obstetrical procedures and operations;
o Induction of labour, forceps, vacuum version, manual
removal of placenta, caesarean
section, destructive operations
 Nursing management of women undergoing Obstetri-
cal operations & procedures

Teaching Learning Activities

 Lecture Discussion
 Demonstration
 Case discussion/ presentation
 Practice Session
 Supervised Clinical practice
 Assessment of skills with checklist
 Assessment of patient management problems

IX 4  Describe Abnormalities during Postnatal Periods

manage-  Assessment and management of women with postnatal
ment of complications
post natal o Puerperial infections, breast engorgement &
complica- infections, UTI, thrombo- Embolic disorders,
tions post-partum haemorrage,
Eclampsia & subinvolution
o Psychological complications:
- Post partum Blues
- Post partum Depression
- Post partum Psychosis
X 10  Identify Assessment and management of High risk newborn
the high  Admission of neonates in the neonatal intensive care
39
 risk units- protocols
neonates  Nursing management of :
and their - Low birth weight babies
nursing - Infections
managem - Respiratory problems
ent - haemolytic disorders
- Birth injuries
- Malformations
 Monitoring of high risk neonates
 Feeding of high risk neonates
 Organisation & management of neonatal intensive
care units
 Infection control in neonatal intensive care units
 Maintenance of reports and records
XI 4  Describe Pharmaco-therapeutics in obstetrics
indication  Indication, dosage, action, contra indication & side
, dosage, effects of drugs
action,  Effect of drugs on pregnancy, labour & puerperium,
side  Nursing responsibilities in the administration of drug
effects in Obstetrics – oxytocins, antihy-pertensives,
and diuretics, toco-lytic agents, anti-convulsants;
nurses  Analgesics and anesthesics in obstetrics
responsibi  Effects of maternal medica-tion on foetus & neonate
lities in
the Teaching Learning Activities
administr  Lecture discussion
a-tion of  Drug book
drugs
 Drug presentation
used for
mothers
XII 10  Appreciat Family Welfare Programme
e the  Population trends and problems in India
importanc  Concepts, aims, importance & history of family
e of welfare programme
family  National Population: dynamics, policy & education
welfare  National family welfare programme; RCH, ICDS,
programm MCH Safe motherhood
40
 e  Organization & administration at national, state,
 Describe district, block and village levels
the  Methods of contraception; spacing, temporary &
methods permanent, Emergency contraception
of  Infertility and its management
contracept  Counseling for family welfare
ion & role  Latest research in contraception
of nurse  Maintenance of vital statistics
in family  Role of national, international & voluntary
welfare organizations
programm
 Role of a nurse in family welfare programme
e
 Training/Supervision/Collabo-ration with other
functionaries in community like ANMs, LHVs,
Anganwadi workers, TBAs (Traditional birth
attendant- Dai)

Teaching Learning Activities

 Lecture Discussion
 Demonstration
 Practice session
 Assessment of skills with checklist
 Assessment of field visits and project reports

41
 Midwifery and Obstetrical Nursing – Practical
Placement: Third Year & Fourth Year
Time: Practical - 180 hours each in Third year & Fourth Year
Clinical Training - 240 hours
Areas Duratio Objectives Skills Assignments Assessment
n (in Methods
week)
Antenatal 2  Assessment  Antenatal history taking  *Conduct  Verification
clinic/ of pregnant  Physical examination Antenatal of findings of
OPD women  Recording of Weight & B.P.  Examinations Antenatal
 Hb & Urine testing for sugar 30 examinations
and albumin  Health talk –  Completion
 Antenatal examination-abdomen 1 of casebook
and breast  Case book recordings
 Immunization recordings
 Assessment of risk status
 Teaching antenatal mothers
 Maintenance of Antenatal
records
Labour 4  Assess  Assessment of women in labour  * Conduct  Assessment
room women in  Pervaginal examinations & normal of clinical
O.T. labour interpretation deliveries-20 performance
 Carry out per-  Monitoring & caring of woman  * Pervaginal with rating
vaginal in labour examinations scale
examinations  Maintenance of partograph -5  Assessment
 Conduct  Conduct normal delivery  * Perform & of each skill
normal  Newborn assessment & suture the epi with
deliveries immediate care -siotomies-5 checklists
 Perform  Resuscitation of newborns  Resuscitate  Completion
episiotomy &  Assessment of risk status of newborns-5 of case book
suture it newborn  * Assist with recordings
 Resuscitatene  Episiotomy & suturing Caesarean
wborns  Maintenance of labour & birth sections-2
 Assist with records  * Witness
Caesarean abnormal
42
 Sections,  Arrange for & assist with deliveries-5
MTP and Caesarean section and care for  Assist with
other surgical woman & baby during MTP & other
procedures Caesarean surgical
 Arrange for and assist with MTP procedures-1
and other surgical procedures  Case book
recordings

University Examination shall be held at the end of Fourth year.

Scheme of University Examination for Midwifery and Obstetrical Nursing

Theory

There shall be one theory paper of three hours duration carrying 100 marks. Distribution of type of questions and marks for Midwifery
and Obstetrical Nursing shall be as given under.

Distribution of Type of Questions and Marks for Midwifery and Obstetrical Nursing,

Type of Questions No. of Questions Marks Sub-total

Long Essay (LE) 2 10 20
Short Essay (SE) 10 5 50
Short Answer (SA) 10 3 30
Total Marks 100

Practical and Viva Voce

Internal University Total
Assessment Examination
Midwifery and Obstetrical 50 50 100
43
 Nursing

Note:
All practical examinations must be held in the respective clinical areas.
One internal and one external examiner should jointly conduct practical /clinical examination for each student.

44
1. .

45
 I Introduction 5hrs. Discussion, self study, review Nil
classes

II Health assessment of patients 20hrs. Demonstration, discussion, Medical ward

clinical teaching

III Care in hosptial setting 5hrs. Discussion, self study, review Nil
classes

IV Management of patients which disorders 12hrs. Seminar, discussion lecture, Surgical ward
of GI tract review classes

V Management of patients with disorders 16hrs. Seminar, discussion lecture, Neuro Medicine & neuro
of nervous system review classes surgery ward

VI Management of patients with disorders 16hrs. Seminar, discussion, self study Medicine ward
of respiratory system
VII Management of patients with disorders 21hrs. Seminar, discussion clinical Cardiac medicine, cardiac
of cardiovascular system presentation synopsis surgery CCU,CTVS, ICU,
Cardiac OPD
VIII Management of patients with disorders 5hrs. Seminar,self study discussion Medicine ward
of blood
IX Management of patients with disorders 10hrs. Seminar discussion clinical Oncology ward (surgical)
of genitor urinary system presentation

46
 X Management of patients with disorders 18hrs. Seminar, discussion, lectur, Medical ward
of endocrine system self study

XI Management of patients with disorders 8hrs. Seminar discussion lecture Ortho ward
of musculo skeletal system

XII Management of patients with disorders 5hrs. Lecture, seminar, discussion Medical ward, skin, oPD,
of intergumentary system emergency ward visit to
burns ward
XIII Management of patients with disorders 5hrs. Seminar, discussion, self Eye, ENT ward
of eye and ENT study, teaching practice

XIV Management of patients with disorders 3hrs. Teaching practice, self study Gynaecology ward
of reproductive system
XV Geriatric nursing 3hrs. Seminar, discussion Visist to old age home
XVI Care of patients with communicable and 3hrs. Seminar, self study Snehadan posting
sexually transmitted diseases

XVII Emergency, trauma and multi – system 5hrs. Seminar, discussion Emergency ward, OPD
organ failure

47
48