CLINICAL SPECALITY I

OBSTETRIC AND GYNAECOLOGICAL NURSING

Placement: 1 st Year Hors o! Instrct"on
Theory : 150 Hours.
Practical : 650Hours
Total : 800 Hours

Corse Descr"#t"on
This course is design to assist students in developing expertise and in depth understanding in the
field of Ostetric and !ynecological "ursing. #t $ill help students to appreciate the client as a
holistic individual and develop s%ill to function as an independent &id$ifery practitioner. #t $ill
further enale the student to function as educator' &anager and researcher in the field of Ostetric
and !ynecological nursing
O$%ect"&es
(t the end of the course the students $ill e ale to:
1. (ppreciate the trends in the field of &id$ifery' ostetrics and gynaecology as a specialty
). *escrie the population dyna&ics and indicators of &aternal and child health
+. *escrie the concepts of iophysical' psychological and spiritual aspects of nor&al
pregnancy' laor and puerperiu&.
,. Provide co&prehensive nursing care to $o&en during reproductive period.
5. #ntegrate the concepts of fa&ily centered nursing care and nursing process approach in
ostetric and gynecological nursing.
6. #dentify and analy-e the deviations fro& nor&al irth process and refer appropriately.
.. *escrie the phar&acological agents' their effects during pregnancy' child irth' puerperiu&'
lactation and the role of nurse
8. /ounsel adolescents' $o&en and fa&ilies on issues pertaining to pregnancy' child irth and
lactation
0. *escrie the role of various types of co&ple&entary and alternative therapies in ostetric and
gynecological nursing
10. #ncorporate evidence ased nursing practice and identify the areas of research in the field of
ostetric and gynecological nursing
11. *escrie the recent advance&ent in contraceptive technology and irth control &easures.
1). (ppreciate the legal and ethical issues pertaining to ostetric and gynaecological nursing
Corse Content
SN UNIT TOPIC THEORY
PRACTICALS
1 # Intro'ct"on
Historical and conte&porary perspectives
1pide&iological aspects of &aternal and child health
2agnitude of &aternal and child prole&s
#ssues of &aternal and child health: (ge' !ender'
3exuality' psycho socio cultural factors
Preventive ostetrics
"ational Health and fa&ily $elfare progra&&es related to
&aternal and child health: health care delivery syste&
"ational 4ural health &ission' 4ole of "!O5s
Theories' &odels and (pproaches applied to &id$ifery
practice.
4ole and scope of &id$ifery practice: #ndependent "urse
&id$ifery practitioner
6egal and 1thical issues : /ode of 1thics and standards of
&id$ifery practice' standing orders
1vidence ased &id$ifery practice
4esearch priorities in ostetric and gynecological nursing
15
) ## Hman re#ro'ct"on
4evie$ of anato&y and physiology of hu&an
reproduction syste&: &ale and fe&ale
Hor&onal cycles
1&ryology
!enetics' teratology and counseling
/linical i&plications
)0
+ ### Pre(nanc)
1. 2aternal adaptation : Physiocological ' Psychosocial
(ssess&ent 7 2aternal and foetal &easures 2aternal
2easures: History ta%ing' exa&ination 8 !eneral'
physical and ostetrical &easure ' identification of high ris%
9oetal &easure 8 clinical para&eters' ioche&ical 8 hu&an
estriol' 2aternal 3eru& (lfa 9eto protein' (cetyl choline
esterase :(ch1;' Triple Test (&niocentesis' /ordocentesis'
chorionic villus sa&pling :/<3;
=iophysical 8 : >3 #2(!#"! ' 9oetal &ove&ent count'
>ltra 3onography' /ardiotocography' cardioto&ography' "on
3trss Test : "3T ;' contraction 3tress Test : /3T; '
a&nioscopy' foetoscopy
4adiological exa&ination
#nterpretation of diagnostic tests and nursing i&plications
"ursing &anage&ent of the pregnant $o&en' &inor
disorders of pregnancy and &anage&ent ' preparation for
child irth and parenthood' i&portance of institutional
delivery' choice of irth setting ' i&portance and &oili-ing
of transportation' prenatal counseling . role of nurse and crisis
intervention ' identification of high ris% pregnancy and refer
(lternative ? co&ple&entary therapies
)0 5
SN UNIT TOPIC THEORY
PRACTICALS
, #< Normal La$or an' Nrs"n( mana(ement :
1ssential factors of laour
3tages and onset
*"rst sta(e : P+)s"olo() o! normal la$or
>se of partograph : principles' use and critical
analysis' evidence ased studies
(nalgesia and anesthesia in laour
"ursing &anage&ent
Secon' Sta(e
Physiology' intrapartu& &onitoring
"ursing &anage&ent
4esuscitation' i&&ediate ne$orn care and initiate
reast feeding : guidelines of "ational neonatology
foru& of #ndia;
T+"r' sta(e
Physiology and nursing &anage&ent
*ort+ sta(e O$ser&at"on, cr"t"cal anal)s"s an' Nrs"n(
mana(ement-
<arious child irth practice: $ater irth' position
change etc
1vidence ased practice in relation to laour
intervention
Role o! nrse m"'."!er) #ract"t"oner
(lternative ? co&ple&entary therapies
)+ @) )
5 < Normal #er#er"m an' nrs"n( mana(ement
Physiology of puerperiu&
Physiology of lactation' lactation &anage&ent '
exclusive reast feeding ' =ay friendly hospital
intitative : =9H#;
(ssess&ent of postnatal $o&en
2inor disco&forts and co&plication of puerperiu&
2anage&ent of &others during puerperiu&: Postnatal
exercises 4oo&ing in' ounding' Aar& chain
1vidence ased studies
Role o! nrse m"'."!er) #ract"t"oner
(lternative ? co&ple&entary therapies
18 @ 1 )
6 <# Normal Ne.$orn
Physiology and characteristics of nor&al ne$orn
Physical and =ehavioral assess&ent of ne$orn
"eeds of "e$orn
1ssential ne$orn care: 1xclusive reast feeding '
#&&uni-ation' Hygiene &easures' ne$orn nutrition
Organi-ation of neonatal care' services: 6evels;'
Transport' neonatal intensive care unit ' organi-ation
and &anage&ent of nursing services in "#/>
Oservation and care of ne$orn Parenting process
18 )
SN UNIT TOPIC THEORY
PRACTICALS
. <## P+armoco ')nam"cs "n o$stetr"cs
*rugs used in pregnancy' laour' post partu& and
ne$orn
/alculation of drugs dose and ad&inistration
1ffects of drugs used
(nesthesia and analgesia in ostetrics
4oles and responsiilities of &id$ifery nurse
practitioner
3tanding orders and protocols and use of selected life saving
drugs and interventions of ostetric e&ergencies approved y
the 2OH9A
10
8 <### *am"l) .el!are ser&"ces
Population dyna&ics
*e&ography trends: vital statistics' calculation of
indicators especially &aternal and neonatal &ortality
rates and prole&s and other health prole&s
4ecent advance&ent in contraceptive technology 4ole
of nurses in fa&ily $elfare progra&&es in all setting
4ole of independent nurse &id$ifery practitioner
9a&ily life education
1vidence ased studies
#nfor&ation ' 1ducation and /o&&unication : #1/;
2anage&ent infor&ation and evaluation syste&
:2#13;
o Teaching and supervision of health tea& &e&ers
8 )
:<#3#T
TO #1/;
0 #B In!ert"l"t)
Pri&ary and secondary causes
*iagnostic procedures
/ounseling: ethical and legal aspects of assisted
reproductive technology :(4T;
4ecent advance&ent in infertility &anage&ent
(doption procedures
4ole of nurses in infertility &anage&ent
5
10 B /eno#ase
Physiological' psychological and social aspects
Hor&one 4eplace&ent Therapy
3urgical &enopause
/ounseling and guidance
4ole of &id$ifery nurse practitioner
5
11 B# ABORTION
Types' /auses
6egislations' /linical 4ights and Professional
responsiility (ortion Procedures
/o&plications
"ursing 2anage&ent
4ole of 2id$ifery "urse Practitioner
5
PRACTICAL
Total 0 123 Hors
1 .ee4 0 53 Hors
SN De##t- 6 Un"t No- o! 7ee4 Total Hors
01 (netenatal Aards C OP*s 0, 1)0
0) 6aour 4oo& 05 1,0
0+ Postnatal Aard 0+ 00
0, 9a&ily Planning /linics 0) 60
05 PH/?4ural &aternity settings 0, 1)0
06 !ynae 0) 60
0. 2aternity OT 0) 60
Total 88 .ee4s 123 Hors
Proce'res o$ser&e'
*iagnostic investigation : a&niotecentecis' chordocentecis' chorionic' villisa&pling
#nfertility &anage&ent: artificial reproduction: artificial inser&ination' invitro fertili-ation'
and related procedures.
Proce'res ass"ste'
2edical ter&ination of pregnancy
Proce'res #er!orme'
(ntenatal assess&ent 8)0
Postnatal assess&ent7)0
(ssess&ent during laour: use of partograph 8)0
Per <aginal exa&ination7)0
/onduct of nor&al delivery7)0
1pisioto&y and suturing710
3etting up of delivery areas
#nsertion of intra 8 uterine devices: copper T;
Ot+ers
#dentification of high ris% $o&en and referral
Health education to $o&en and their fa&ilies
2otivation of couples for planned parenthood
Proce'res #er!orme'
o Health education' counseling and &other craft classes
o (ntenatal i&&uni-ation
o (ssess&ent of intra uterine fetal $ell7eing
o >niversal precautions 8effective infection control &ethods
o <aginal exa&ination and interpretation :early pregnancy' laour' post partu&;
o >tili-ation of partograph' /ervicograph
o /onduction of safe delivery
o 1pisioto&ies suturing
o 2anual re&oval of placenta' placental exa&ination
o Postnatal assess&ent 8 )0
o 2anage&ent of reast engorge&ent' $hile leg
o Postnatal counseling
o =reast care' reast exa&' and drainage reast acess
o Postnatal exercise
o "e$orn assess&ent 84uling out congenital ano&alies
o "eonatal resuscitation
o (pgar score
o 2onitoring neonates
/linically
Aith &onitor
/apillary refill ti&e
(ssess&ent of Daundice
o !astric lavage
o !astric gavages
o /are of child in &ulti channel &onitor and ventilator
o /are of child in radiant' $ar&er and incuutator
o Eangaroo care
o (nthropo&etrics &easure&ent
o "eonatal reflexes
o =reast feeding
o Parental nutrition C fluid alance ?infusion pu&p
o 9eeding techniFue
o 2edication
Oral
#.*
#.2
#.<
o /apillary lood sa&ple collection
o Oxygen therapy
o Phototherpy
o /hest physiotherapy
/ETHODS O* TEACHING
/et+o' o! teac+"n(
6ecture cu& discussion
*e&onstration
3e&inar?Presentation
ProDect $or%
9ield visits
/et+o's o! e&alat"on
Aritten Tests
/lass roo& ?/linical teaching
Presentation
Aritten assign&ents
LIST O* BOO9S RECO//ENDED *OR OBSTETRICS AND GYNAECOLOGY :
NEONATOLOGY
1. =uc%ley Eathleen and Eul "ancy A' G high 4is% 2aternity "ursing 2anualH 1dn'
Aillia&s C Ail%in' 100+' Philadelphia.
). =ennet < 4uth C =ro$n E 6inda' G2yleH text =oo% for 2id$ives' 16=3' /hurchill
6ivingstone
+. /alander' 4 C ( 2iller' IOstetrics illustrated5 #< edn' /hurchill C 6ivigstone
"e$yor%'100+.
,. *a$n /.3' G Textoo% of Ostetrics and "eonatologyH' *a$n =oo%s' /alcutta.
5. *a$n /.3' G Textoo% of !ynaecologfy and contraceptionH' *a$n =oo%s' /alcutta.
6. *./ *utta' GText oo% of OstetricsH' <th edn' "e$ /entral (gency :p; /alcutta' )001.
.. *./ *utta' GText oo% of !ynaecologyH '<th edn' "e$ /entral (gency :p; /alcutta' )001.
8. *aftary 3hrish " 16 (6 ' G Holland and =re$s 2anual of OstetricsH' B<# edn' = #
/hurchill 6ivingstone P<T 6td' "e$ *elhi.
0. *ic%ason 1li-aeth Dean et al ' G 2aternal infant "ursing care' ## edn' 1008' 2osy ' 3T.
6ouis.
10. !oodner=renda' G /oncepts of Osterics "ursingH' # edn' 3%id&ore' 4oth Pulishing' #"/
'100,' Texas.
11. !orie Trula 2yers et alH '9oundations of &aternal "e$orn "ursingH' ## edn' A= 3aunders
/oy' Philadelphia' 1008.
1). Hollan and =re$sH' 2anual of OstetricsH' =# /hurchill 6ivingstone
1+. 6ade$ing Patricia Aieland et al ' G 1ssentials of 2aternal "e$orn "ursingH' ## edn'
(ddisol Aesley "ursing' "J' 1000.
1,. 2enon Erishna C Palaniappan' G/linical OstetricsH' #B 1*" Orient 6ong&an' 1000'
2adras.
15. 4ash&i Patil' G #nstru&ents' Operatuions' *rugs in Ostetrics and !ynaecologyH' <ors
2edical Pulications.
16. Philips /eleste 4 ' G 9a&ily centered 2aternity "e$orn careH' ### edn' 2osy "e$ year
=oo%' 3t 6ouis 1006.
1.. Tindall <4' Keffcoate5s Principles of !ynaecologyH' =utter$orth Heine&an.
18. Aonna *onna 6' Perry 3hannon et alH' 2aternal child "ursingH' 1008' #edn' /< 2osy coy'
st 6ouis' 6ondon.
LIST OF JOURNALS RECOMMENNDED
1. (&erican Kournal of "ursing
). Health and population
+. #ndian Kournal of "ursing and 2id$ifery
,. Kournal of Ostetrics and !ynaecology
5. Kournal of Pardiatrics
6. Kournal of 9a&ily Aelfare
.. "ursing Kournal of #ndia
8. "ursing Ti&es
0. Paediatrics today
10. Paediatric clinics of #ndia
11. Ostetric (nd !ynecology Today.
MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES
M Sc NURSING : CLINICAL SPECIALITY I - OBSTETRIC & GYNAECOLOGIC NURSING
FIRST YEAR
SCHEME OF INTERNAL ASSESSMENT
Internal Assessment
Theory
Sl- No- Tec+n";es Nm$er 7e"(+ta(e
1 Tests )
2idter& :50 &ar%s; 50
Prefinal :.5 &ar%s; .5
2 Other Assignment
3e&inar :100 &ar%s; 100
Journal Presentation (50 marks) 50
275
Total Internal Assessment 25
Total External Assessment 75
Practical E!"ri"#c" E$al%ati&#
'(
Care Plan - ATEATA!
" 50
)( IT#AATA! " 50
*( PO$TATA! " 50
+( Care Plan E%&O# " 50
,( C!IICA! P#E$ETATIO Antenatal
Postnatal
" 50
" 50
-( CA$E &OO' (JO)#A! " *0
.( C!IICA! E+A!)ATIO Antnatal, Postnatal 2 200 ("00x2)
/( P#ACTICE TEAC-I. (. E/) "
0( P#E0IA! E1A2IATIO " "00
'1( 2i3 term Pra4ti4al Examination " 50
''( Pre5inal Pra4ti4al Examination " "00
./1
UNI<ERSITY E=A/INATION
1-7RITTEN E=A/INATION >2 /AR9S
8- PRACTICAL E=A/INATION 133 /AR9S
/a+aras+tra Un"&ers"t) o! Healt+ Sc"ences, Nas+"4
/-Sc Nrs"n(
Cl"n"cal s#ec"alt) O$stetr"c an' G)naecolo() Nrs"n(
3uDect: 7777777777777777777777777777777777777777777777777 Topic: 777777777777777777777777777777777777
"a&e of the 3tudent: 7777777777777777777777777777777777
*ate ?Ti&e: 7777777777777777777777777777777777777777777777
"a&e of the 1valuator ?!uide: 77777777777777777777777
SN CRITERIA
/ar4s
allotte'
/ar4s
o$ta"ne'
1
AIMS AND OBJECTIVES
5
)
ORGANISATION OF CONTENT
!atest in5ormation
$im6le to 4om6lex
A66li4ation o5 ursing Theor7
15
+
PRESENTATION
#ntroduction
/ontent' relevancy
Teaching techniFue
50
,
AUDIOVISUAL AIDS
15
5
SPEA2ER3S 4UALITIES
(ppearance
/onfidence
/o&&unication s%ill
<oice &odulation
5
6
GROUP DISCUSSION
5
. REFERENCES 5
TOTAL
133
RE/AR9S
SIGNATURE O* STUDENT
SE/INAR E<ALUATION PRO*OR/A
EVALUATION CRITERIA
CASE RESENTATION TOTAL SCORE 23
#. (ssess&ent 10
History ta%ing C Physical assess&ent
##. *isease condition in detail 8(etiology' Pathophysiology 10
/linical features' investigations' 2edical &anage&ent
###. ODectives of care ,
#<. (pplication of "ursing theories 6
<. "ursing diagnosis 6
<#. "ursing 2anage&ent 10
<##. /onclusion ,
/a+aras+tra Un"&ers"t) o! Healt+ Sc"ences, Nas+"4
/-Sc Nrs"n(
Cl"n"cal s#ec"al"t) O$stetr"c an' G)naecolo() Nrs"n(
CLINICAL E<ALUATION PRO*OR/A
Name o! t+e St'ent : ?????????????????????????????????? DURATION:?????????????????????????
Cl"n"cal Area :????????????????????????????????????????????????
SN CRITERIA @ 5 8 1
1-
PERSONALITY & ATTITUDE
!roo&ing C turn out
8 (le to thin% logically C $ell infor&ed
5 (ttentive listener
@ /o&&unicate effectively
2 Trust$orthy C reliale
1 1nthusiastic' interested C ta%es initiatives $hen situation de&ands
> /ourteous' tactful C considerate in all her dealings $ith patient'
significant other tea& &e&ers.
A *isplays leadership Fualities
B 9ollo$s instructions C exhiits positive ehavioural changes
13 /o&plete assign&ents on ti&e $ith self &otivation C effort
11
KNOWLEDGE
Possess sound %no$ledge of principles of ostetric "ursing
18 Has understanding of the &odern trends C current issuses in ostetric
"ursing practices.
15 Has %no$ledge of physiological changes during pregnancy' laour C
puerperiu&.
1@ Has adeFuate %no$ledge of diet
12 *e&onstrate evidence of self learning y current literature C see%ing
help fro& experts in the field.
11
APPLICATION & SKILL
(le to aaurately elicit health history
1> (le to perfor& C assist in the exa&ination diagnostic procedures T
treat&ent &odalities.
1A *isplays s%ill in trolly setting C assisting in instru&ental deliveries C
other procedures.
1B /onfident C s%illful in conducting nor&al deliveries C rendering
antenatal and postnatal care of gynae patients.
83 2a%e relevant oservation C records C reports.
81 #dentifies ris% factors C &anages e&ergency situations effectively C
pro&ptly
88 Aor%s independently C &a%es pro&pt relevant decision in all situation.
85 3i&its assign&ents $ith self7&otivation C effiorts
8@ *e&onstrates sound %no$ledge of drugs used in Os. (nd gynae
practices
82 (pplies "ursing theories through "ursing process in the clinical field.
RE/AR9S:
SIGNATURE O* THE SUPER<ISOR
SIGNATURE O* THE STUDENT
KASTURBA NURSING COLLEGE, SEWAGRAM-WARDHA
E<ALUATION CRITERIA *OR NURSING CARE PLAN
C/aD"mm /ar4s 23E
"a&e of the 3tudent :
*ate : LLLLLLL 9ield place&ent :
SN CRITERIA
/AR9S
ALLOTTED
/AR9S
OBTAINED
TOTAL
1 1. History taking 6
)
2. Assessment of
needs & problems
10
+ 3. Nursing process 16
,
4. mplementation of
care
10
5 !. "ollo#$up care 4
6 6. %ibliograp&y 4
TOTAL 50
N-B- : One "ursing /are Plan : 50 2ar%s
4e&ar%s
S"(natre o! St'ents FFF S"(natre o! S#er&"sor FFF