1. CLINICAL
TEACHING
PLAN

2. Area of Exposure: Obstetric ward
Date of Exposure: February 14, 2013
Grading System:
• RLE Performance ----------- 40%
• Exposure Test ----------- 25%
• Health Assesment ------------ 15%
• Concept Map ------------ 10%
• Readings ----------- 10%
_____________
100%

3. OBJECTIVES OF THE
CONCEPT
RLE
OBJECTIVES
LEARNERS FACILITATORS EVALUATION
A. Knowledge to
acquire:
1. Physical set up,
personnel, routine,
preference of the
different consultants
and key terms in
relation to obstetric
ward
Identify the
physical set up
personnel
concerns and
routine on
obstetric Ward at
CEH.
Receive
orientation by
listening
attentively and
taking down
notes regarding
routines,
physical set-up
and personnel
in the area.
Give orientation
about the area
routines and
necessary
equipment found in
obstetric Ward and
meets the head
nurse and introduce
the students to the
personnel involved.
Quiz after
discussion
1. Integration of the 11
key area of
responsibility of
nursing practice
physical
assessment.
Determine the
general principle
of maternal care.
Listen
attentively and
comprehend in
order to
participate in
the topic being
discussed and
learn to
determine the
integration of 11
key areas of
responsibilities
in nursing
practice.
Discuss the general
principle of maternal
care and determine
the 11 key area of
responsibility in the
practice of nursing.
Graded oral
recitation.

4. 1. Uterine Atony Determine the
Uterine Atony
Respond to
question
regarding
Uterine Atony
Discuss what is
Uterine Atony using
Audio Visual
Graded Oral
recitation.
1. Risk factors of Uterine
Atony
Enumerate the
different risk
factors of Uterine
Atony
Participate in the
discussion
actively by
enumerating the
causes of Uterine
Atony
Discuss the risk
factors of Pregnancy
induced hypertension
with the use of audio
visual
Quiz and Oral
recitation
1. Signs and symptoms
of Pregnancy induced
hypertension
Describe the sign
and symptoms of
Uterine Atony
Receive handout
describing sign
and symptoms of
Uterine Atony
Discuss about the
signs and symptoms
one by one.
Quiz
1. Diagnosis of Uterine
Atony
Familiarize the
different diagnosis
of Uterine Atony
Respond to
questions
regarding
Diagnosis of
Uterine Atony
Discuss the different
diagnosis of Uterine
Atony
Quiz and oral
recitation.
1. Treatment and Nursing
interventions of
Uterine Atony
Enumerate
treatment and
Nursing
interventions of
Uterine Atony
Participate in the
discussion
actively by
enumerating the
treatment and
nursing
interventions of
Uterine Atony
when asked by
the instructor.
Discuss about the
treatment and nursing
interventions of
Uterine Atony
Quiz and oral
recitation.

5. A. Skills to develop:
1. Demonstration of
Nursing
interventions of
Uterine Atony
Perform
nursing
interventions
of Uterine
Atony
Receive
handout
describing the
list of nursing
interventions
of Uterine
Atony
Discuss the
nursing
interventions of
Uterine Atony
Quiz
1. Assessment of
Uterine Atony
Assess the sign
and symptoms
of Uterine Atony
Receive a
handout
describing
assessment of
Uterine Atony
Demonstrate the
assessment of
Uterine Atony
Quiz
A. Attitude to develop:
1. Value the
experience at
obstetric Ward
1. Gain self-confidence
in handling clients
with diagnosis of
Uterine Atony
Value the
experiences
obtained at
obstetric Ward
Appreciate the
value of
experience in
clinical
exposure in
application to
their concept
discussed in
the class room.
Encourage the
student to
participate, to ask
question to relate
topic and verbalize
their learning
regarding the
clinical exposure at
obstetric Ward.
Oral recitation.

7. LESSON PLAN
NCM 203(Care of the Mother, Child,
Family and Population Group at Risk
or with Problems)
Second Semester AY 2012 – 2013

8. •
Objectives
General Objective:
At the end of 3 hours of lecture and discussion, the students will be able to acquire
necessary knowledge, skills and appropriate attitude in the care of the High Risk Complications During
Labor and Delivery.
– Describe the usual assessments, and diagnostic examinations done during labor and
delivery.
– Discuss the obstetric conditions that could affect the outcome of delivery, specifically:
• Anomalies of the Placenta
• Anomalies of the Cord
– Exhibit ability to formulate an individualized plan of care for the pregnant clients who are at-
risk or with problems during labor and delivery.
– Perform nursing care to pregnant clients who are at-risk or with problems during labor and
delivery.
– Identify the medical and/or surgical management for pregnant clients who are at-risk or with
problems during labor and delivery.

9. Subject Matter
Nursing Care of the High Risk Pregnant Client during Labor and Delivery
– Placental Disorders
• Placenta Previa
• Abruptio Placenta
• Placenta Accreta
• Placenta Succenturiata
• Placenta Circumvallata
• Battledore Placenta
• Velamentous Insertion of the cord
• Vasa Previa
– Abnormalities of the Cord
• Two-vessel cord
• Unusual Cord Length

10. Reference:
Pilliteri A. (2010). Maternal and Child Health Nursing: Care of the Child Bearing
and Child Rearing Family. Volume I. 5th Edition. Lippincott Williams and Wilkins.
Teaching Tools
– Devices
» Multimedia PowerPoint presentation,
illustrations/photographs of various obstetric/medical
conditions.
– Methods
» Lecture-discussion, case analysis, Report/Presentation
Assignment and Quizzes
Assignment:
Review the Anatomy of the Normal Placenta and the umbilical cord. And its
crucial role during pregnancy.

11. Evaluation
• Oral Recitation:
• Questions during class discussions.
• Practice Drills/Quizzes:
10 – 15 items of identification, enumeration and modified true or
false questions with the addition of at-least 5 – 10 multiple
choice questions covering the topics discussed
• Post-Test:
20-30 items multiple choice and identification questions
composed of concepts discussed.

13. • Lesson: Proper Hand washing
Objective:
• To teach students that hand washing is the
proven method of asepsis which effectively
minimizes the spread of infection and reduce the
number of microorganisms.
• To demonstrate proper hand washing skills and
teach students when to wash their hands.
Materials:
• Liquid Soap, running water and paper towels
• Crayons, colored markers or pencils
• Stop watch (optional)

14. Procedure:
1:00-1:45  Discuss to the class what is hand washing and its importance and
the other related terms. Show the pictures of the sequence in hand washing.
• Hand washing: is the proven method of asepsis which effectively minimizes
the spread of infection. It is a brief vigorous rubbing of hands surface
lathered with soap followed by a thorough rinsing under a continuous
stream of water.
• Importance: Hand washing helps you stay healthy. It gets rid of the germs
that make you ill and minimizes the spread of disease.
• Germs: a group of tiny invaders that can make our bodies sick. Germs are
found all over the world, in all kinds of places.
• Bacteria: They are found everywhere – in air, water, soil, animals, people
and food. They are very small ling things. It can only be seen through
microscope. Bacteria are tiny, one-cell creatures that get nutrients from their
environments in order to live. In some cases that environment is a human
body. Bacteria can reproduce outside of the body or within the body as they
cause infections.

15. Viruses: Viruses need to be inside living cells to grow and reproduce. Most
viruses can't survive very long if they're not inside a living thing like a plant,
animal, or person. Whatever a virus lives in is called its host. When viruses get
inside people's bodies, they can spread and make people sick.
When we forget to wash our hands, or don't wash them properly, we can spread
germs to other people, or give them to ourselves by touching our eyes,
mouths, noses or cuts on our bodies.
Wash your hands every time you cough or sneeze, before you eat or prepare
foods, after you use the bathroom, after you touch animals and pets, after you
play outside, and after you visit a sick relative or friend.

16. 1:45- 2:00  Demonstrate the Proper Hand Washing Technique to
your class.
2:00-2:30  When washing your hands it should be wash for 10-15
seconds. As a classroom activity you can have the children sing the
Happy Birthday while practicing how techniques on air.
2:30-3:00  Have the children take turns exhibiting washing and
drying their hands using liquid soap and paper towels..

17. Homework: Give each student a copy of
when to wash. One column is labeled WASH
BEFORE, the other column WASH AFTER.
Used as a coloring activity, they can draw
pictures of the appropriate activities or they
can list them by writing them out.