STATE INSTITUTE OF NURSING AND PARAMEDICAL SCIENCES,BADAL
COURSE PLAN
Course- [Link] Nursing
[Link] Nursing VII th Semester
Subject-Obstetrical and Gynaecological Nursing
Subject-Obstetrical and Gynaecological Nursing
CLASS: [Link] Nursing VII SEMESTER
THEORY: 3 Credits (60 hours)
PRACTICUM: Skill Lab: 1 Credit (40 Hours) Clinical: 4 Credits (320 Hours)
COURSE DESCRIPTION:
This course is designed for students to develop knowledge and competencies on the concepts and principles of obstetric and gynecology
nursing. It helps them to acquire knowledge and skills in rendering respectful maternity care to high risk woman during antenatal, natal and
postnatal periods in hospitals and community settings and help to develop skills in initial management and referral of high risk neonates. It would
also help students to gain knowledge, attitude and skills in caring for women with gynecological disorders.
COMPETENCIES: On completion of the course, the students will be able to:
1. Describe the assessment, initial management, referral and respectful maternity care of women with high risk pregnancy.
2. Demonstrate competency in identifying deviation from normal pregnancy.
3. Describe the assessment, initial management, referral and nursing care of women with high risk labour.
4. Assist in the conduction of abnormal vaginal deliveries and caesarean section.
5. Describe the assessment, initial management, referral and nursing care of women with abnormal postnatal conditions.
6. Demonstrate competency in the initial management of complications during the postnatal period.
7. Demonstrate competency in providing care for high risk newborn.
8. Apply nursing process in caring for high risk women and their families.
9. Describe the assessment and management of women with gynecological disorders.
10. Demonstrate skills in performing and assisting in specific gynecological procedures.
11. Describe the drugs used in obstetrics and gynecology.
12. Counsel and care for couples with infertility.
13. Describe artificial reproductive technology.
Unit Course content Learning objectives Allotted Required Teaching Teaching Evaluation
hrs hrs learning Aids
activities
1 UNIT – 1 Recognition and 12 hrs 15 hrs
Management of problems
during Pregnancy
Assessment of high-risk To describe Lecture cum Black Describe Assessment
pregnancy Assessment of high-risk Discussion board of high-risk
pregnancy pregnancy?
Problems/Complications of
Pregnancy Demonstration
To Describe the
Hyper-emesis gravidarum, Describe the
assessment, initial
Video & films assessment, initial
Bleeding in early pregnancy – management, and
abortion, ectopic pregnancy, Scan reports management, and
referral of women with PPT
vesicular mole Case referral of women
problems during
discussion with problems during
Unintended or mistimed pregnancy.
pregnancy pregnancy?
Post abortion care &
Case
counseling Bleeding in late presentation
pregnancy placenta previa,
abruption placenta, trauma
Medical conditions
complicating pregnancy – Health talk
Anemia, PIH/Pre eclampsia, Chart and
Eclampsia, GDM, cardiac flash cards
disease, pulmonary disease,
thyrotoxicosis, STDs, HIV, Rh
incompatibility
Infections in pregnancy –
urinary tract infection, bacterial,
viral, protozoal, fungal, malaria
in pregnancy
Surgical conditions Role play
complicating pregnancy –
appendicitis, acute abdomen
COVID-19 & pregnancy and
children
Hydramnios
Multiple pregnancy
Abnormalities of placenta and WHO
cord midwifery
Intra uterine growth restriction toolkit Black
Intra uterine fetal death board
Gynaecological conditions
complicating pregnancy
Mental health issues during
pregnancy
Adolescent pregnancy
Elderly primi, grand GoI guideline
multiparity Management and – screening for
care of conditions as per the GoI hypothyroidism,
protocol Policy for the referral screening for
services syphilis,
Drugs used in management of deworming
high-risk pregnancies during
Maintenance of records and pregnancy,
reports diagnosis and
management of
GDM.
Lecture cum
2 UNIT -2 20 hrs 22 hrs Discussion Describe management
Recognition and management
Case Black of abnormal labour?
of abnormal labour To describe board
discussion/
Preterm labour – Prevention management of presentation
and management of preterm abnormal labour.
labour; (Use of antenatal To explain preterm
corticosteroids in preterm labour)
labour its prevention
Premature rupture of and management. Role play
membranes
Malposition‘s and abnormal Supervised
presentations (posterior position, clinical practice
breech, brow, face, shoulder)
Contracted Pelvis, Cephalo
Pelvic Disproportion (CPD)
Disorders of uterine action –
Prolonged labour, Precipitate
labour, Dysfunctional labour
Complications of third stage –
Retained placenta, Injuries to
birth canal, Postpartum
hemorrhage (bimanual
compression of the uterus, aortic
compression, uterine balloon
tamponade) WHO
Obstetric emergencies – Foetal midwifery
distress, Ruptured uterus, Cord toolkit GoI
prolapse, Shoulder dystocia, guidelines – use PPT
Uterine inversion, Vasa previa, of uterotonics
Obstetrical shock, Amniotic fluid during labour,
embolism antenatal
corticosteroids
Episiotomy and suturing
GoI guidance
Obstetric procedures – Forceps
note on
delivery, Vacuum delivery,
prevention and
Version
management of
Induction of labour – Medical PPH.
& surgical
Caesarean section –
indications and preparation
Nursing management of
women undergoing
Obstetric operations and
procedures
Drugs used in management of
abnormal labour
Anesthesia and analgesia in
obstetrics
UNIT -3 Describe the
Lecture cum Black
assessment, initial
Recognition and Management board
discussion
of postnatal problems TO Describe the 9 hrs 12 hrs management, referral
3 assessment, initial and nursing care of
management, referral women with abnormal
and nursing care of Demonstration postnatal conditions?
Physical examination, women with abnormal
identification of deviation from postnatal conditions.
normal
Case
Puerperal complications and its discussion/
management presentation
- Puerperal pyrexia
- Puerperal sepsis
-Urinary complications
Supervised
-Secondary Postpartum
clinical practice
-hemorrhage PPT
-Vulval hematoma
- Breast engorgement including
mastitis/breast abscess, feeding
problem
-Thrombophlebitis
- DVT
- Uterine sub involution
-Vesico vaginal fistula (VVF),
Recto vaginal fistula (RVF)
-Postpartum
depression/psychosis
Drugs used in abnormal
puerperium
Policy about referral
4. UNIT- 4 To Describe high risk 7 hrs 10 hrs Lecture Cum Describe high risk
Assessment and management of neonates and their discussion Black neonates and their
High risk newborn nursing management. board nursing management?
Models of newborn care in India
– NBCC; SNCUs Discussion
Demonstration
Screening of high-risk newborn
Simulation
Protocols, levels of neonatal care,
infection control
Prematurity, Post-maturity
Case Short answer
Low birth weight discussion/ PPT
Kangaroo Mother Care Objective type
presentation
Birth asphyxia/Hypoxic Assessment of skills
encephalopathy with check list
Neonatal sepsis Drug OSCE
Hypothermia presentation
Respiratory distress
Jaundice
Neonatal infections Supervised
Clinical practice
High fever
Convulsions
Neonatal tetanus
Congenital anomalies
Baby of HIV positive mothers
Baby of Rh negative mothers
Birth injuries
SIDS (Sudden Infant Death
Syndrome) prevention,
Compassionate care
Calculation of fluid requirements, Integrated
EBM/formula feeds/tube feeding Management of
Neonatal
Home based newborn care
Childhood
program community facility
Illnesses
integration in newborn care
(IMNC
Decision making about
management and referral
Bereavement counseling
Drugs used for high risk
newborns Maintenance of records
and reports
UNIT -5 12 hrs 14 hrs Describe the
5 Assessment and management of TO Describe the assessment and
women with gynecological assessment and Lecture cum Black management of women
disorders management of women discussion board with gynecological
Gynecological assessment – with gynecological disorders?
History and Physical assessment disorders.
Breast Self-Examination
Congenital abnormalities of Case
female reproductive system discussion/
Etiology, pathophysiology, presentation
clinical manifestations, diagnosis,
treatment modalities and
management of women with
-Menstrual abnormalities
-Abnormal uterine bleed Drug
- Pelvic inflammatory disease presentation
- Infections of the reproductive tract
- Uterine displacement Videos, films
- Endometriosis PPT
- Uterine and cervical fibroids and
polyps
-Tumors – uterine, cervical, ovarian, Simulated
vaginal, vulval practice
-Cysts – ovarian, vulval Supervised PPT
-Cystocele, urethrocele, rectocele Clinical practice
- Genitor-urinary fistulas o
-Breast disorders – infections,
deformities, cysts, tumors
-HPV vaccination
- Disorders of Puberty and
menopause o
-Hormonal replacement therapy
Assessment and management of Visit to
couples with infertility infertility clinic
- Infertility – definition, causes and ART
-Counseling the infertile couple centers
-Investigations – male and female
-Artificial reproductive technology
Surrogacy, sperm and ovum
donation, cryopreservation
