PSG COLLEGE OF NURSING, COIMBATORE-4

UNIT PLAN

Subject : Midwifery and obstetrical nursing

Placement : I YEAR MSC Nursing

Unit : III

Hours allotted : 25 hours

Resource person :

General objectives : The student is able to describe the diagnosis and management of women

During antenatal period, apply this knowledge in the clinical area.

Competencies duration Contents Method Teaching Teaching Method of
the students of learning aids evaluation
are able to teaching activities
Appreciate the  Physiological changes during pregnancy Lecture Lecturing Charts -short answers
physiological 2hr  Introduction discussion discussing Black -objective
changes during  Terms and terminology explaining board type
pregnancy  Normal pregnancy with PPT PPT
 Changes in the reproductive system
 Changes in the cardio vascular system
 Changes in the respiratory system
 Changes in the urinary system
 Changes in the gastro intestinal system
 Changes in the endocrine system
 Changes in the musculoskeletal system
 Metabolic changes
 Skin changes

Appreciate the  PSYCHOLOGICAL CHANGES DURING

psychological 2hr PREGNANCY
changes during  Introduction
pregnancy  Terms and terminology
 Body images
 Appearance
 Function
 Sensation & mobility
 Maternal role transition
 Developmental task
 Summary
 Emotional changes during pregnancy
 During I, II & III trimester
 Case history of emotional changes
  Behavioral changes
 Counseling & treatment

Describe the  Antenatal care Lecture Lecturing Chart -short answers

antenatal care and 2hr  Definition discussion discussing Black -objective
various modalities  Objectives explaining board type
of diagnosing the  Aims demonstration
fetal well being  Assessment
 History and physical
examination
 Antenatal examination
 Signs of previous child birth
 Relationship of fetus to uterus and pelvis
 Per vaginal examination

1hr  Screening and assessment for high risk Lecture Lecture PPT Unit test
 Risk approach discussion discussion
 History and physical examination
 Modalities of diagnosis
 Invasive and non invasive procedures
2hr
 Ultrasonics
 Cardiotomography
 Non stress test
 Contraction stress test

2hr  Diagnosis of pregnancy Lecture Lecture Black Unit test

 Duration of pregnancy discussion discussion board
 I TRIMESTER PPT
 Subjective symptoms
 Objective signs
 Uterine signs
  Immunological test for diagnosis
of pregnancy
 II TRIMESTER
 Symptoms
 General examinations
 Abdominal examinations
 Vaginal examination
 Investigations
 III TRIMESTER
 Symptoms
 Signs
 Differential diagnosis
 Sign of pregnancy
 Chronological appearance of
specific symptoms & signs of
pregnancy
 Signs of previous child birth
 Estimation of gestational age and
prediction of expected date of
delivery
 Estimation of fetal weight

Enumerate minor 2hr  Minor disorders of pregnancy Lecture Lecture Black Unit test
disorders of  Introduction discussion discussion board
pregnancy  GI problems
 Respiratory tract problems
 Genitor urinary problems
 Musculoskeletal system disorders
 Intugumentary systems
 Nervous system disorders
 Emotional problems
 Role of midwives
Prepare the family  Child birth & parenthood preparations
for the new 1hr  First meeting with the midwives
environment and  Parent education classes
arrival of the baby  Environment
 Motivation
 Source of information
 Parenthood preparation programmes
 Factor involved in this programmes
 Antenatal counseling
 Antenatal exercises
 Diet
 Substance use
1hr  Psychosocial and cultural aspects of
pregnancy
 Adjustment to pregnancy
 Unwed mother
 Single parent
 Teenage pregnancy
Create awareness 1hr  Institutional delivery Lecture Lecture Black Unit test
on institutional  Introduction discussion discussion board
delivery  Importance of institutional delivery PPT
 Periodical antenatal checkup
 Labour room & health personnel
orientation
 Parental counseling on new arrival
Describe on 2hr  Choice of birth settings
various birthing  Introduction
centers  Incidence
 Types
 LDR
 LDRP
  Birthing centers
 Water birth
 Choosing of birthing centers or hospitals
 Health care professional in birthing
centers
 Advantages
Develop skill to 1hr  Transportation Lecture Lecture Black Unit test
recognize the  Meaning discussion discussion board
importance of  List out the mothers needs for
transportation transportation
 Importance of mobilizing the risk
mother
Describe on 2hr  Prenatal counseling Lecture Lecture Black Unit test
prenatal  Introduction discussion discussion board
counseling  Indications PPT
 Importance & purpose of prenatal
counseling
 Explain genetic counseling
 Who can give counseling ?
 Genetic counseling services
 Techniques of genetic counseling
 Role of nurse in genetic counseling
 Follow up
 Emotional support
Develop skill to 1hr  High risk pregnancy Lecture Lecture Black Unit test
identify the high  Definition discussion discussion board
risk pregnancy  List out the high risk pregnancy PPT
 Level of high risk approaches
 Referral system in high risk approaches

Bibliography
1. Annamma Jacob, A comprehensive text book of midwifery, 1st edition, Jaypee company, 2005.
2. Daftery, chakravarti, manual of Obstetrics, 2nd edition, Elsevier company, 2003.
3. Reeder martin koniak , Maternal nursing 17th edition Lippincot company, 1992
4. Katharyan . A. may, Maternal and neonatal nursing, 3rd edition Lippincot company, 1994
5. Loudermilk, bobak, maternity nursing, 5th edition Mosby company
6. Maye’s Midwifery – A text book for midwives, 10th edition
7. Pilliteri Adelle, Maternal and child health nursing, 3rd edition, Lippincot company, 1999
8. Receder, Maternity nursing, 7th edition, Lippincot company, 1992