LESSON PLAN

Subject : Obstetrics and gynaecological nursing

Topic : Antepartam hermorrhage
Group : A.N.M 2nd year
Size : 40
Time : 11 pm to 12pm
Duration : 45 min
Date of presentation : 18.12.2023
Venue : A.N.M 2ND year classroom
Name of supervisor :
Name of teacher : Ms. Shweta yadav
Method of teaching : Lecture cum discussion
A.V. Aids : Powerpoint Presentation , black board .
Previous knowledge : Students has some knowledge about the anepartum hemorrhage
GENERAL OBJECTIVES
After the completion of planned teaching programme students of A.N.M 2 ND year will be able to gain knowledge about antepartam hemorrhage and they can
apply their knowledge in the clinical and educational setting which will enable students to provide quality care to patients.

SPECIFIC OBJECTIVES
After the completion of the planned teaching programme the students of A.N.M 2ND year will be able to :
 Define antepartam hemorrhage
 Enlist types of antepartum hemorrhage
 Enlist the factors of causing antepartum hemorrhage
 Discuss the pathophysiology of antepartum hemorrhage
 Enlist the clinical manifestation of antepartum hemorrhage
 Explain the management of antepartum hemorrhage
S.No Time Specific Content Teaching A.V. Aids Evaluation
Objective Learning
Activity

1 30 sec Self Introduction

My self shweta yadav.

2 30 sec Define the Define What is the

first stage of the first stage of labour begins with the onset of true contractions and ends first stage of
labour with complete dialation and effacement of the ervix. labour?

3 3 min Enumerate the  The latent phase is prior to active first stage of labour and may last Lecture cum Power point What are the
phases of first 6to 8 hours in first time mothers when the cervix dilates from 0cm to discussion presentation phases of first
stage of labour 3-6 cm dialated and the cervical canal shortness from 3cm long to stage of labor
less than0.5 cm long . ?
 The active first stage of labour is the time when the cervix
undergoes more and in the presence rythamic contractions ,is
complete when the cervix is fully dialated (10cm).
 The transitional phase is the stage of labour when the cervix is from
around 8cm until is fully dialated .

4 2 min Describe the Lecture cum Power point Describe the

assessment of Asessement of first stage of labour- discussion presentation assessement
first stage of  Reviews of records of first stsge
labour  Review of laboratory test of labour ?
 Initial interview
 Psychosocial assessment
 Physical assessment
 Assessment of fetal status
5 3 min Enlist the Lecture cum Power point Enlist the
observations  Reaction to labour discussion presentation observations
 Pulse rate ?
 Temperature
 Blood pressure
 Urinalysis
 Fluid balance
 Abdominal examination
 Vaginal examination and progress of labour

6 3 min Enumerate the The nurse must identify and prioritize the diagnosis and initiate the Lecture cum PPT Enumerate
nursing appropriate nursing interventions discussion the nursing
diagnosis diagnosis?
7 2 min List down the  Anxiety related to fear of unknown ,situational crisis, Lecture cum PPT What are the
possible  Fear related to previous negative experiences and knowledge deficit discussion nursing
nursing  Risk for infection related to prolonged rupture of membranes and diagnosis
diagnosis repeated vaginal examination during 1st
during the first  Altered nutrition related to restrict dietary intake during labour stage of
stage of labour labour?

8. 5 min Explain the  Vital signs Lecture cum PPT Explain the
implementatio  Fetal heart rate discussion implementati
ns during first  Status of the fetal membranes ons during
stage of labour  Contractions first stage of
 Nutrition and fluids labour?
 Eliminations
 Coping,stress
 Sleep,rest
 comfort

9. 8 min Describe the Expected outcomes- Lecture cum PPT Describe the
expected The women will- discussion expected
outcomes  verbalizes that she understand what to expect as labour progress outcomes
during first  maintain appropriate fluid balance during first
stage of labour  remain free sign of infections stage of
 report a reasonable level of comfort labour?
  demonstrate use of relaxation technique that promote comfort
 verbalize the ability to cope with the stressors of labour

10. 3 min conclusion Conclusions

The nurse must identify the prioritize the diagnosis and initiate the
appropriate nursing intervensions

11. 4 min. Assignment write down the few nursing diagnosis and interventions of first stage of
labour
12 1 min Bibliography  Bibliography-
 Dutta Parul (2023) Pediatric Nursing(5 edition ) New
Delhi ;Jaypee Brothers Medical Publishers pvt ltd .
 Guidelines for Antenatal Care and skilled attendance at birth
ANMs and LHVs ‘
 Fracer ,Diana M & Cooper ,Margaret A,(2005) ,Myles text book
of midwifes .(14 editions )Churchil Livingstone ; Elsevier Ltd.