SUBJECT: OBSTETRIC & GYNEC NURSING

TOPIC : FIRST STAGE OF LABOUR:

NURSING MANAGEMENT

LESSON PLAN
Name of the Teacher : Mrs.Hem Kumari

Subject : Obstretrics and gynaecology

Topic : Antepartum Haemorrhage
Venue ; Classroom
Group : A.N.M and G.N.M students
Total no. of student ; 60
Method : Lecture
Date & time :
Language : English
A.V. Aids : LCD, BLACK BOARD, OHP,CHART,FLIP CHART
Previous knowledge- Student has some knowledge about the antepartum haemorrhage.
GENERALOBJECTIVES:
After the completion of this teaching the students will be able to understand about antepartum hemorrhage.

SPECIFIC OBJECTIVES: After the completion of this teaching the students will be able to:

 Define antepartum hemorrhage?

 Explain types of anteparum haemorrhage?
 Enlist the factors causing antepartum haemorrhage?
 Discuss the pathophysiology of antepartum haemorrhage?
 Enlist the clinical manifestation of antepartum haemorrhage?
 Explain the management of antepartum haemorrhage?
Sno. Time Objectives Content Teaching Learning A.V Aids Evaluation
activities

1. 2min Self introduction I am Mrs. Hem Kumari Ist year is going to teach you about the Nursing Teacher’s Student’s LCD
and topic management of First stage of Labour. activity activity
introduction.
Lecture Students will
be listening
2. 2min Define first stage  The first stage of labour begins with the onset of true contractions Lecture Students will LCD What is first
of labour and ends with complete dilatation and effacement of the cervix. be listening stage of
labour?

3. 5min Enumerate the  The Latent phase is prior to active first stage of labour and may Lecture Students will LCD What are the
phases of first last 6 – 8 hours in first time mothers when the cervix dilates from be listening phases of first
stage of labour. 0 cm to 3 – 4 cm dilated and the cervical canal shortens from 3cm stage of
long to less than 0.5 cm long. labour?
 The active first stage is the time when the cervix undergoes more
rapid dilatation. This begins when the cervix is 3 – 4 cm dilated
and in the presence of rhythmic contractions, is complete when the
cervix is fully dilated (10 cm).
 The transitional phase is the stage of labour when the cervix is
from around 8cm dilated until it is fully dilated.
4. 5min Describe the  Review of records Lecture Students will LCD Describe the
assessment in  Review of laboratory test be listening assessment in
first stage of  Initial interview first stage of
labour.  Psychosocial assessment labour?
 Physical assessment
 Assessment of fetal status
5. 3min Enlist the o Reaction to Labour Lecture Students will LCD Enlist the
observations. o Pulse Rate be listening observations?
o Temperature
o Blood Pressure
o Urinalysis
o Fluid balance
o Abdominal Examination
o Vaginal examination and progress of labour
6. 3min Enumerate the  The nurse must identify and prioritize the diagnoses and initiate Lecture Students will LCD Enumerate
Nursing the appropriate nursing interventions. be listening the Nursing
diagnoses diagnoses?
Sno. Time Objectives Content Teaching Learning A.V Aids Evaluation
activities

Teacher’s Student’s
activity activity

7. 5min List down the  Anxiety related to fear of the unknown, situational crisis. Lecture Students will LCD What are the
possible nursing  Fear related to previous negative experiences and knowledge be listening nursing
diagnoses during deficit. diagnoses
the first stage of  Risk for infection related to prolonged rupture of membranes and during 1st
labour. repeated vaginal examination. stage ?
 Altered nutrition related to restricted dietary intake during labour.
8. 3min Explain the - Vital signs Lecture Students will LCD Explain the
implementations - Fetal heart rate be listening implementati
during first stage - Status of the fetal membranes ons during
of labour. - Contractions first stage of
- Nutrition and fluids labour?
- Elimination
- Coping, stress
- Sleep, rest
- Comfort
9. 2min Describe the Expected outcome Students will LCD Describe the
expected The woman will: be listening expected
outcome during  Verbalize that she understands what to expect as labour Lecture outcome
first stage of progresses. during first
labour.  Maintain appropriate fluid balance. stage of
 Remain free of signs of infection. labour?
 Report a reasonable level of comfort.
 Demonstrate use of relaxation techniques that promote comfort.
 Verbalize ability to cope with the stressors of labour.
10. 1min Conclusion  The nurse must identify and prioritize the diagnoses and initiate
the appropriate nursing interventions.
11. 1min Assignment  Write down few nursing diagnoses and interventions of first stage
of labour.
BIBLIOGRAPHY

1. Dutta Parul (2007). Pediatric Nursing. (First Edition) New Delhi: Jaypee brothers medical publishers pvt ltd.

2. Guidelines for antenatal care and skilled attendance at birth by ANMs and LHVs.

3. Fracer, Diane M & Cooper, Margaret A. (2005). Myle’s Text book for Midwives. (14th edition). Churchill
Livingstone: Elsevier Ltd.

INTERNET

1. www.naturaltransition.com

2. www.naturaltransition.com/natural-childbirth-...

3. www.cgmh.org.tw/intr/intr5/c6700/N%20teaching

4. www.babycenter.com/subTopic/videos.htm?cType

5. www.boc-india.com/.../medical_gas/products.htm

6. www.timesofmalta.com/lifestyle/view/20071208/...

7. www.babycenter.com

8. www.examiner.com

9. www.inmagine.com