SGT UNIVERSITY

BUDHERA (GURGAON)

LESSON PLAN ON

ANTENATAL EXERCISES

SUBJECT: OBSTETRICS AND GYNAECOLOGY

SUBMITTED TO: SUBMITTED BY:

MS. ANKITA (220242003)

M.SC NURSING 2 ND YEAR

DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY

DATE: 17-11-2023
IDENTIFICATION DATA
Title of course: MSc. NURSING 2ND Year

Name of student: Ms. ANKITA

Name of teacher: MS. DEEPAK

Topic: ANTENATAL EXERCISES

Unit: Teaching-Learning Process

Date: 17-11-2023

Group: BSC 4TH year students

Method of teaching: Lecture Cum Discussion

Audio-Visual Aids: Chart, flash cards

Previous knowledge of group: The students have some basic knowledge regarding ANTENATAL EXERCISES.
General Objectives:
At the end of seminar, the students will be able to have complete knowledge about antenatal exercises.

Specific objectives:
At the end of seminar, students will be able to:

1. Introduce the topic (antenatal exercise).

2. Quote the definition of antenatal exercise.
3. Understand the advantages of antenatal exercise.
4. Enlist the advice to be given to the mother in antenatal period to perform antenatal exercise.
5. Identify the preparation of the environment to be done.
6. Identify the types of antenatal exercises.
7. Identify the purposes and techniques of performing the exercises.
8. Understand the exercises to be avoid in the antenatal period.
9. Explain the guidelines for good posture.
10. Research Abstract on antenatal exercises.
11. Summarize the topic.
12. Conclude the topic.
SR.NO DURATION SPECIFIC CONTENT TEACHING AV. AIDS EVALUATION
OBJECTIVES LEARNING
ACTIVITY

1. ½ min To introduce myself Self-Introduction:

and to make them Good morning to all. I am Ankita Introduce myself
identify the topic student of MSc. Nursing 2nd year.
name or to give a
little hint about the Announcement of the topic:
topic. Today I am going to discuss with you
about antenatal exercises in detail.

INTRODUCTION:
2. To introduce the
Antenatal exercises aim at improving Student teacher will Power
topic.
the physical and psychological well- be able introduce Point
being of an expected mother for labor the topic. Presentation
and preventing pregnancy-induced
pathologies by various physical
means. It generally includes low
impact aerobic exercises and
stretching exercises.
Antenatal physical exercise has roles
in health maintenance, prevention, and
treatment of disease for pregnant
women and fetuses. Different
organizations and medical institutions
prescribe regular physical exercise
during the antenatal period.

DEFINITION: Student teacher will

Power Point
Define antenatal
3. ½ min To quote the Antenatal exercises are those exercises be able to define exercise.
definition of presentation
performed by women during antenatal exercise.
Antenatal exercise. pregnancy, which stimulate circulation
 and gives a feeling of well-being to
the client.

ADVANTAGES:
1min To explain about the • Reduction in aches and pains of Student teacher will Explain about the
advantages of pregnancy e.g. backache, cramps etc. be able to explain advantages of antenatal
4. antenatal exercise. about the Power Point
• Improves the stamina, gives the exercise?
advantages of presentation
mother more energy to cope with the
growing demands of the pregnancy. antenatal exercise.
• Improves the posture and body
awareness.
• More controlled weight gain.
Improves the sleeping patterns.
• Reduction in minor ailments of
pregnancy such as stiffness, tension,
constipation, sleeplessness.
• Minimizes varicose veins and
swelling due to improved circulation.
• Enhance the psychological well-
being.
• Ensure an effective bearing down in
labour and speedy return to normal
postnatal.

1min To enlist the advices ADVICE GIVEN TO THE

5. to be given to MOTHER IN
antenatal mother. ANTENATAL PERIOD: Student teacher will What are the advices to
Consult to doctor/midwife before
be able to enlist the be given to antenatal
beginning the exercise. Power Point
advice to be given mother?
• Perform exercises regularly, plan a
to antenatal mother. presentation
regular schedule that is at least thrice a
week.
• Dress comfortably (wear loose fitting
clothes)
• Void before exercise.
• Use movements that are slow and
deliberate: avoid jerking and bouncing
movements; jogging and running.
• Exercise on the firm surface.
Drink fluid whenever feel need during
the exercise and after the exercise.
This prevents dehydration.
• Wear supportive shoes when needed.
• Limit activities to shorter interval.
Exercise for 10-15min, rest for
2-3min, then exercise for another 10-
15min.
• Decrease exercise level as pregnancy
progresses.
• Take your pulse every 10-15 min. if
it is more than 140 beats per min ,slow
down until it reaches to the maximum
90bpm.
• Rest in left lateral position for 10
min after the exercise.
Take an increase in calories to replace
those burned during exercises.
• Always rise slowly from lying to
sitting position to prevent orthostatic
hypotension.
• Don't risk activities such as
surfing ,mountain climbing and sky
diving.
• Don't do activities that requires
holding breath and bearing down.
• Do not continue the exercise if you
experience shortness of breath. pain,
undue cramping, vaginal bleeding or
nausea. report to the doctor /midwife
if it is happens.
• Don't become over heated for
 extended period.
Avoid exercise by lying flat in the
later 2nd and 3rd trimester because of
the danger of supine hypotension and
decreased placental/fetal circulation.
Instead a half lying position with back
raised to an angle of approximately
35° can be used.
• Never exercise to a point of fatigue.

1min To identify the PREPARATION OF THE

6. preparation of the ENVIRONMENT FOR
environment for ANTENATAL EXERCISE:
antenatal exercises.  Arrange the area i.e a hard, Student teacher will What are preparation
firm bed or mat spread on the be able to tell the of the environment for
floor. preparation of the Power Point antenatal exercises?
 Ensure privacy. environment for Presentation
 Ensure that there is adequate antenatal exercises
light and ventilation. .

½ min To enlist the types of

7. exercises. TYPES OF EXERCISES: Student teacher will Enlist the types of
1. Breathing exercises be able to enlist the exercise?
2. Circulatory exercises. types of exercise. Power Point
• Leg
Presentation
• Shoulder
3. Stretching exercises
• Leg
• Arm
• Neck
4.Abdominal exercise
5. Pelvic tilting and back stretching
 exercise.
6. Pelvis floor exercises (Kegal's
exercise)
7. Transverse exercise
8. Tailor sitting exercise
9. Hip hitching exercise
1min To identify the
8. purposes and
techniques of the EXECISES THEIR PURPOSES What are the purposes
exercises. AND TECHNIQUES : Student teacher will
and techniques of the
BREATHING EXERCISE: be able to identify
Power point exercises?
PURPOSES: the exercises,their
purposes and presentation
• To strengthen the muscles of
respiration. techniques
• To increase maternal and feto-
placental oxygenation.
TECHNIQUE
• Sit comfortably with eyes closed and
concentrate on breathing.
• Breath in through the nose and out
through the mouth, repeat it five
times.

CIRCULATORY EXERCISES:
PURPOSES:
• To improve circulation and venous
return.
• To stretch and strengthen the calf
muscles.
• To decrease calf muscles cramps.

LEG EXERCISE:
• Sit on a chair with back straight,
move feet up and down. Repeat it 10
times.
• Sitting on a chair ,move feet inwards Power point
and outwards. Repeat it 10 presentation
• Sitting on a chair make a circle with and flash
both feet at anticlock wise direction cards
and vice versa.Repeat it 10 times.

SHOULDER CIRCLING
EXERCISE:
• Shoulder rolls: The finger tips are
placed on shoulder, then brought
forward and up during inhalation,
back and down during exhaustion or
rolling each shoulder forward five
times ,then back five time. Repeat it
10 times.
• Stand straight with legs apart and
stretch arms out to the sides and rotate
arms(make a large circle)clockwise
and anticlockwise. repeat it 10 times.
Power point
STRETCHING EXERCISES: presentation
PURPOSES: and
• Improve circulation of legs. flashcards
• Decrease swelling.
• Decrease calf muscle cramps.

TECHNIQUES:
LEG EXERCISES:
•Stand with feet apart, squat down
hold for as you are comfortable and
back to standing position. Repeat it 5
times.
•Stand with facing a wall with feet
apart, far enough to keep arm straight,
move body towards the wall and holds
it 2 second. Repeat it five times.
•Lie in the supine position and bend
one knee alternatively, hold for5-6sec
and then release it (do not arch your
back while lying). Repeat it 10 times.

ARM EXERCISE
• Sit up straight with head slightly
raised
,shoulder back, stretch
arms out to the sides, keep the palms
facing up make small circles at
anticlockwise and vice versa. Repeat it
10 times.

NECK EXERCISES
• Sit on a chair with straight back,
look upward and bring back head to
neutral position. Repeat it 5 times.
• Sitting: Turn head to left and then to
right. Repeat it 5 times
• Sitting: Bring ear toward the left
shoulder and then right ear towards
right shoulder. Repeat it five times.

ABDOMINAL EXERCISE:
• Lie on back with knees bend and
arms by the (use 1 pillow to support
head).
• Lift head and shoulder off floor,
bring arms to touch knees. Repeat it 5 Power point
times. presentation
• Lift head and shoulder off floor,
bring hand to touch opposite knee.
Repeat it five times.

PELVIC TILTING AND BACK

STRETCHING:
PURPOSES:
• Helps to stretch muscles and
ligament in the back preventing or
 alleviating backache or strain.
• Improves posture.
• Make abdominal muscles firm.

TECHNIQUE:
PELVIC TILTING OR ROCKING:
• Lie well supported with pillows,
knee bend and feet flat.
• Place one hand under the small of
back and the other on the abdomen.
• Tighten the abdomen and buttocks
and press the small of back down onto
underneath hand. Repeat 5 times.
• This exercise can be done in
standing, supine and on all four
position.

KEGAL'S EXERCISE:
PURPOSE:
• To strengthen the pelvic floor
muscles and provide support to the Powerpoint
uterus and pelvic organs. presentation
• Strengthening of the pelvic floor and flash
helps to relax the perineal area foreasy cards
delivery of the baby and also prevent
perineal tear.
TECHNIQUE:
• Empty the bladder
• Adopt any comfortable position with
legs slightly apart (lying , sitting, or
standing).
• Squeeze pelvic floor muscle as
through you are preventing the flow of
urine and bowel action, then feel it
being lift up.
• Try to hold for 4 seconds and rest in
To identify the between 10 sec.
9. ½ min antenatal exercises to Student teacher will
be avoided. TAILOR SIT EXERCISE: be able to identify
PURPOSE: the antenatal Powerpoint
• To prepare for labour and delivery. exercises to be presentation
TECHNIQUE: avoided
• The pregnant mother should assume
a cross legged sitting position
whenever possible. the tailor sit
stretches the muscles of inner thigh.
EXERCISES TO BE
AVOIDED:
Not everything is ideal for pregnancy
and women is advised to avoid several
forms of exercises including the
following:
• Diving
To identify the • Water skiing
1 min guidelines for good • Gymnastics What are the
10.
postures • Netball Student teacher will guidelines for good
• Hockey be able to identify postures?
• Horse riding the guidelines for
• Cycling Powerpoint
good postures
• Rock climbing presentation
• Scuba diving etc

GUIDELINES FOR GOOD

POSTURES:
Standing:
• Relax with upright posture.
• Strengthening your spine by tucking
in your abdomen and buttocks: relax
your shoulders.

Sitting:
• Upright with spine well supported.
 • Use a small pillow to tuck into small
of your back.
• Sit in high backed chair that well
support your back.
• Thighs should be supported by the
chair, and the feet resting flat on the
floor.
• If sitting position is resumed for
longer times, roll shoulder in one way
and then to the opposite to release
tension.

To summarize the Side lying: Student teacher will

11. be able to
1 min topic • Side lying with a pillow under the
head and one under the knee and thigh summarize the Power point
prevents strains strain on the sacroiliac topic. presentation
joint. This is a good position for a
women in late pregnancy.

12.
To conclude the
1 min SUMMARY:
topic Student teacher will
We have learned about the antenatal
be able to conclude
exercises,their advantages,purposes
the topic Power point
and techniques,guideline for good
postures,types,exercises to be avoided presentation
and preparation of the environment.

CONCLUSION:
In pregnancy, exercise help strengthen
muscles tone in preparation for
delivery and rapid restoration of
muscle tone after delivery. The goal of
any exercise programme should be
safety and improved well-being of the
mother and fetus. Promoting adequate
13. oxygenation, placental perfusion,
1 min venous return and positive emotional
state and important element of well-
rounded exercise programme.to gain
all the advantages of exercises, mother
should perform these exercises daily.

BIBLIOGRAPHY:
 www.slideshare.net
 www.ncbi.nlm.nih.gov
 accessmedicine.mhmedical.co
m
 Student teacher will
be able to ecplain
To enlist the the recording of
antenatal advice antenatal chart

What is
11. hypervolemia?
Power
Point
Presentation

11. Power
Usually performed after W15 Point
To summarize the (w15-20). Presentation
topic.
 A needle is inserted through
the skin and uterine wall to the
amniotic sac.

 Insertion is guided by
Ultrasound.
To conclude the
topic.  Sample from amniotic fluid is
obtained for analysis.

 Very safe procedure

(complication rate <1%)
1 min

3.FETAL HEART RATE (FHR)

MONITORING
12.
  Heart starts to beat between
W16-W20but beats can be
detected as early as W8.

 Normal 120-160 bpm.

 Becomes very common test.

½ min ANTENATAL ADVICES:

Diet
exercise
Rest and sleep
Bowel
Bathing
Clothing
Dental care
Coitus
1 min Care of breast
Immunisation

SUMMARY:
We studied about the antenatal
assessment,pre-conceptional Power
counselling,anetanatal visits,timing of
antenatal visits,procedures. Point
Presenta
tion.
CONCLUSION: What are the
Preventing problems for mothers and
babies depends on an operational types of
continuum of care with accessible, electrolyte
high quality care before and during imbalance?
pregnancy, childbirth, and the
1 min postnatal period. It also depends on
the support available to help pregnant
women reach services, particularly
when complications occur Systematic
supervision of a woman during
pregnancy is called antenatal (prenatal
care)

Determines the wellbeing of the

newborn and chance for survival
(mother history)
Areas of concerns.

BIBLIOGRAPHY:
1.D.C.Dutta.textbook of obstetric. 7th Student teacher will
be able to xplain
edition.page no.230-236.
the antenatal
2.B.T.Basvanthappa. 4th edition.page
advices
no.547-548.
3.www.authorstream.com
4.www.babyloss.com
5.www.medicinenet.com
6.Jemedicine.medscape.com

Student teacher will

be able to
summarize the
topic

Student teacher will

 be able to conclude
the topic

Restricted sodium in
diet.Patients with renal
disease may need to have
sodium intake resticted to
500-2000mg/day.
Fluids should be
restricted.

NURSING MANAGEMENT: What is

I&O: the nurse hyponatremia?
should monitor for fluid I&O
at least every 8 hours, or
even hourly.
Daily weight: Assess
the patient’s weight daily to
measure any gains or losses.
Vital signs: Vital signs
should be closely
monitored.
Physical exam:
Physical exam is needed to
reinforce other data about a
fluid or electrolyte
imbalance.
Oral and parenteral
fluids: Administer oral or
parenteral fluids as
indicated to correct the
deficit.

Diet :The nurse must

encourage intake of salt that
are deficient or restrict
intake if the salt levels are
excessive.

SUMMARY:
Today, we have learnt about
the definition, causes, signs
and symptoms, diagnosis,
medical and nursing
management.
CONCLUSION: What is
Hypernatremia is the hyperkalemia?
medical term used to
describe having too much
sodium in the blood. Sodium
is an important nutrient for
proper functioning of the
body. Most of the body’s
sodium is found in the
blood. It’s also a necessary
part of the body’s lymph
fluids and cells.

In many cases,
hypernatremia is mild and
doesn’t cause serious
problems. However, in order
to prevent or reverse
problems caused by
hypernatremia, it’s
important to correct high
sodium levels.
BIBLIOGRAPHY:
Suzanne C. Smeltzer,
Bare, Janice L. Hinkle. "Text
 book of medical-surgical
Nursing",1h edition,
2009.Wottess Kluwer Pvt
Ltd, New Delhi, page
No :301-352
Joyce M.Black, Jane
Hokanson Hawks, "Medical
surgical Nursing, Clinical
management for positive
outcomes",7h edition,
Volume , 2005, Saunders
publication, Missouri, Page
No:205-244.

7.
What is
hypokalemia?
25min

What is
hypercalcemia?
what is
hypocalcemia?
Power
Point
Presenta
tion

What is the
nursing
management of
fluid and
electrolyte
imbalance?
8.
9.
10min

10.
1min
1min