Teaching Plan INUR 3315

College of Nursing, Christian University of Thailand
Teaching Plan (Theory)

Semester 2 Academic Year 2557
Course code: INUR 3315 Course Title: Midwifery II
Teaching Topic: Nursing care management women at risk with complications throughout the course of normal deliveries
Name of Instructor: Ms. Gladys U. Desmanos
Day/Month/Year: 13/01/ 2015 Time: 9:00-11:00
Venue: Christian University Room 405
Year of Students: Third Year
Learning Outcome : LO
The Responsible Distribution Map of Student Leaning Outcome from Curriculum to Courses (Curriculum Mapping)
Major Responsibility
Minor Responsibility
-- None
Course Title/
Learning
Outcome
Ethics and Moral
1.
Understanding
of principle of
religions, ethics
and codes of
ethics including
human rights,
Knowledge
Cognitive Skills
1.Holding
1.Be aware of
understanding of
and weaknesses
knowledge and
basic life science,
basic health
science which
once potentials
of self in order
to have selfdevelopment
children rights,
cover
enhancing
patient rights
humanities, social
leading to
democratic
practice,
consumer rights, sciences,
capability
and professional sciences, laws and nursing

nursing rights
Interpersonal Skills
and Responsibility
Numerical
Analysis,
Communication
and Information
technology
Skills
1. Be able to
1. Be able
1. Be able to
logic,
nursing skills in
and
social, cultures
nursing.
dimensions by
adjust
professionally
and interact
creatively with
clients,
to apply
practice holistic
mathematics physical, mental,
colleagues and
statistics in
2. Be able to
2. Be able
superiors.
Professional skills
and spiritual
using nursing
work as a team, to transform process,

leader and
member of
nursing health
nursing data evidence-based

into quality
and therapeutic
which are
important to
nursing
therapeutics.
2. Be able to
differentiate
right, goodness
and badness.
3. Respect the
value and
dignity of
humanity
4. Be
responsible for
governance
teaching,
knowledge and
knowledge
2.Holding
understanding of
searching and
Nursing care for
strong nursing
health system and
2. Be able to
influencing social
analyze data
health system
sources.
Midwifery and
factors
changes and
3. Holding
knowledge and
self-doing.
understanding of
discipline and
and application in
5.Holding
efficient
nursing process
leadership.
search and
from various
3. Be able to
use data and
evidence-based
in reference
and critically
team and
information
communication
analyze
families, groups
levels of public
transfer
2. Be able to
different
information
health
with
disease
ion.
nursing
appropriate
to
symptoms
nursing
communicat health
community
team in public
health service
system on all
and able to
reading and and community.
health system in nursing

contexts or
situations.
3.Be able to
express
leadership skill
in driving
changes in
organization in
various
to individuals,
to others
practice in
promotion,
comprehens prevention,
3. Be able
effectively
therapeutics and
management and
e in English rehabilitation for
honesty.
6.Practice
according to
nursing code of
ethics and
holding ability
to manage
ethical problems
in daily living
and
professional
nursing
solve problems. situations and
4. Holding
have analytical
therapeutics.
knowledge and
understanding
essential contents
by using
professional
knowledge and
knowledge
knowledge
searching process, related

management,
including using
experience-
based for safety
immediate
situations
4. Can work as
a team leader
and follower of
the various
roles in
healthcare
services at all
levels and in
different.
situations.
clients in all
speaking,
all ages
reading,
midwifery in all
and
care setting
as well as
Nursing and
to read
( B.E.2528 )
including
listening,
writing
presenting,
being able
journal and
health status and

including
levels of health
according to
Midwifery Acts
and the revise
process and
and quality
textbook
of
organizational
services.
understandi
Acts ( 2nd ed.,
others in daily
nursing
professional
management .
living and
system thinking
of knowledge
nursing practice. research process,

management
7. Be a good
role model to
4. Be able to
language
nursing
5.Be able to
with
ng.
Nursing
and Midwifery
B.E.2540 )
nursing practice. 5.Holding
use scientific
4. Be able
3. Be able to
patients/clients
understanding of
conducting
essential
with mercy,
informatics and
appropriate
computer
caring nursing
Data System
innovation in
5. Be able
by morality,
and nursing
and use
patient rights.
8. Advocate for
in obtaining
understanding
own rights in
order to protect
their own rights

which are
violated.
knowledge and
nursing
process,
research and
Minimum Nursing nursing
(MNDS).
solving
health
problem.
6. Be able to
to use
basic
programs.
to choose
various approaches
in presenting
information
develop
communication and
problem solving
effectively and
techniques
related to
health and
technology
appropriately.
practice nursing
kindness and
practice abiding
ethics, laws and
4. Be able to
practice nursing
in consideration
of individuality
and transcultural
aspects.
5. Express
efficient nursing
leadership skills
changing health
nursing practice,
contents.
manage nursing
ad relevant to
situation and
in professional
ability to
team,
multidisciplinary
team working in
the community
health care
setting.
INUR
3315
Midwifer
y II
1 2 3 4 5 6 7 8 1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 1 2 3 4 5 1 2 3 4 5

Behavioral
Objectives of each
teaching topic
1. Explain and
describe the
labor
dysfunctions.
2. Describe the
common
deviations in
the power and
passenger that
can cause
complications
during labor
or birth.
3. Identify the
different
clinical
manifestation
s of a woman
in labor and
Content of Each Teaching Topic (in brief)

1.Labor dysfunctions
Also known as labour dystocia, is when, even
though the uterus is contracting normally, the
baby does not exit the pelvis during childbirth
due to being physically blocked.
Complications for the baby include not getting
enough oxygen which may result in death. It
increases the risk of the mother getting an
infection, having uterine rupture, or having
post-partum bleeding. Long term
complications for the mother include
obstetrical fistula. Obstructed labour is said to
result in prolonged labour, when the active
phase of labour is longer than twelve hours.
1.1. Problems of the power
Uterine dystocia or dysfunctional uterine
contraction..
1.1.1 Ineffective uterine contractions
Are the most common reason for slow
Teaching and
Learning
Activities
Lecture
Discussion
Teaching
Aides
PowerPoint
presentation
Evaluation
Methods
Quiz
Examination
Midterm and
Final
Evaluation
results
during birth
for the
deviations of
the usual
labor process.
4. Identify the
nursing
interventions
or nursing
care of the
labor
dysfunctions.
progress of labour in a primigravida

1.1.2 Hypotonic contractions
The second and more common type of uterine
dysfunction is hypotonic uterine dysfunction,
or secondary uterine inertia. The woman, who
may be in her first or a subsequent pregnancy,
initially makes normal progress into the active
stage of labor; then the contractions become
weak and inefficient or stop altogether. The
uterus is easily indented, even at the peak of
contractions. Intrauterine pressure during the
contraction (usually less than 25 mm Hg) is
insufficient for progress of cervical effacement
and dilation (Gilbert & Harmon, 1998).
Cephalopelvic disproportion and malpositions
are common causes of this type of uterine
dysfunction.
1.1.3 Hypertonic contractions
Most often occur in first-time mothers,
Primigravidas. Contractions are ineffectual,
erratic, uncoordinated, and of poor quality that
involve only a portion of the uterus
Increase in frequency of contractions, but
intensity is decreased, do not bring about
dilation and effacement of the cervix.
1.2.Problems of the passenger
1.2.1Prolapse of the umbilical cord
Umbilical cord prolapse occurs when the

umbilical cord comes out of the uterus with or
before the presenting part of the fetus. It is a
relatively rare condition and occurs in fewer
than 1% of pregnancies. Cord prolapse is more
common in women who have had rupture of
their amniotic sac. Other risk factors include
maternal or fetal factors that prevent the fetus
from occupying a normal position in the
maternal pelvis, such as abnormal fetal lie, too
much amniotic fluid, or a premature or small
fetus.
1.2.2 Multiple gestation
Multiple gestations are high risk pregnancies
which may be complicated by prematurity, low
birthweight, pre-eclampsia, anaemia,
postpartum haemorrhage, intrauterine growth
restriction, neonatal morbidity and high
neonatal and infant mortality.
1.2.3 Problems with fetal position,
presentation or size.
Malpositions are abnormal positions of the
vertex of the fetal head (with the occiput as the
reference point) relative to the maternal pelvis.
Malpresentations are all presentations of the
fetus other than vertex.
The fetus is in an abnormal position or
presentation that may result in prolonged or
obstructed labour.
10
1.2.4 Macrosomia
Macrosomia, which literally means "big body,"
is sometimes confused with LGA. Some
experts consider a baby to be big when it
weighs more than 8 pounds 13 ounces (4,000
g) at birth, and others say a baby is big if it
weighs more than 9 pounds 15 ounces (4,500
g). A baby is also called large for gestational
age if its weight is greater than the 90th
percentile at birth.[
1.2.5 Shoulder dystocia
Shoulder dystocia is a specific case of
obstructed labour whereby after the delivery of
the head, the anterior shoulder of the infant
cannot pass below, or requires significant
manipulation to pass below, the pubic
symphysis. It is diagnosed when the shoulders
fail to deliver shortly after the fetal head.
Shoulder dystocia is an obstetric emergency,
and fetal demise can occur if the infant is not
delivered, due to compression of the umbilical
cord within the birth canal.
Reference:
1. Adele Pilliteri (2014). Maternal and Child Health Nursing 7th ed. Philadelphia
2. Olds. S.B. al (2008). Maternal Newborn Nursing Womens Health Care. 8th ed. New Jersey : Pearson.
Overview Assessment
11
College of Nursing, Christian University of Thailand

Teaching Topic: Nursing care management women at risk with complications throughout the course of normal deliveries
12
-- None
Course Title/
Learning
Outcome
Ethics and Moral
1.
Understanding
of principle of
religions, ethics
and codes of
ethics including
human rights,
Knowledge
Cognitive Skills
1.Holding
1.Be aware of
understanding of
and weaknesses
knowledge and
basic life science,
basic health
science which
once potentials
of self in order
and Responsibility
Numerical
Analysis,
Communication
and Information
technology
Skills
1. Be able to
1. Be able
1. Be able to
logic,
nursing skills in
and
social, cultures
adjust
professionally
and interact
creatively with
clients,
colleagues and
to apply
Professional skills
practice holistic

statistics in
and spiritual
13
children rights,
cover
enhancing
humanities, social
leading to

patient rights
capability
superiors.
2. Be able to
work as a team,
nursing.
2. Be able
leader and
governance
team and
information
team in public
analyze
which are
important to
nursing
therapeutics.
2. Be able to
differentiate
right, goodness
and badness.
3. Respect the
democratic
teaching,
2.Holding
efficient
understanding of
searching and
Midwifery and
leadership.
knowledge and
Nursing care for
health system and

factors
value and
influencing social
humanity
health system
dignity of
practice,
changes and
knowledge
strong nursing
2. Be able to
search and
analyze data
from various
sources.
nursing health
community
health service
system on all
using nursing
to transform process,

nursing rights
member of
dimensions by

into quality
and therapeutic
and able to
to individuals,
communication
families, groups

transfer
2. Be able to
nursing
practice in
contexts or
to others
promotion,
3.Be able to
levels of public
health system in
different
situations.
express
leadership skill
information
with
ion.
health
disease
nursing
14
4. Be
responsible for
self-doing.
5.Holding
discipline and
honesty.
6.Practice
according to
nursing code of
ethics and
holding ability
to manage
3. Holding
3. Be able to
understanding of
evidence-based
knowledge and
nursing process
and
professional
in reference
and application in
and critically
therapeutics.
4. Be able to
nursing
4. Holding
appropriate
changes in
nursing
organization in

knowledge
knowledge
management,
including using
experience-
communicat health
immediate
including
health status and
listening,
including
situations
professional
knowledge and
management and
symptoms
clients in all
essential contents
by using
effectively
to
language
system thinking 4. Can work as
understanding
therapeutics and

have analytical
3. Be able
various
knowledge and
ethical problems of knowledge

in daily living
use data and
in driving
a team leader
and follower of
the various
roles in
speaking,
reading,
writing
and
all ages
midwifery in all
levels of health
care setting
healthcare
presenting,
according to
levels and in
being able
Midwifery Acts
services at all
different.
situations.
as well as
to read
Nursing and
( B.E.2528 )
15
7. Be a good
role model to
others in daily
living and
professional
nursing practice.
8. Advocate for
patients/clients
in obtaining
understanding
own rights in
order to protect
management
based for safety
journal and
and the revise
nursing
nursing
with
and Midwifery
management .
5.Be able to
ng.
B.E.2540 )
knowledge and
process,
to use
practice nursing
nursing
research and
basic
kindness and
programs.
practice abiding
to choose
ethics, laws and
various approaches
4. Be able to
process and
organizational
5.Holding
understanding of
informatics and
violated.
services.
(MNDS).
use scientific
conducting
appropriate
innovation in
solving
health
and nursing
problem.
textbook
understandi
their own rights Data System

which are
and quality
6. Be able to
4. Be able
essential
computer
5. Be able
and use
in presenting
information
communication and
of
Nursing
Acts ( 2nd ed.,

3. Be able to
with mercy,
caring nursing
by morality,
patient rights.
practice nursing
16
develop
problem solving
technology
effectively and
appropriately.
in consideration
of individuality
techniques
and transcultural
health and
5. Express
ad relevant to
in professional
situation and
ability to
related to
efficient nursing
changing health
contents.
aspects.
leadership skills
nursing practice,
manage nursing
team,
multidisciplinary
team working in
the community
health care
setting.
17
INUR
3315
Midwifer
y II
1 2 3 4 5 6 7 8 1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 1 2 3 4 5 1 2 3 4 5

Behavioral
Objectives of each
teaching topic
1. Explain and
describe the
labor
dysfunctions.
2. Describe the
common
deviations in
the power and
passenger that
can cause
complications
during labor

1.3Problems of the passage
1.3.1 Cephalopelvic disproportion
Cephalo-pelvic disproportion exists when the
capacity of the pelvis is inadequate to allow
the fetus to negotiate the birth canal. This may
be due to a small pelvis, a nongynecoid pelvic
formation, a large fetus, an unfavorable
orientation of the fetus, or a combination of
these factors. Certain medical conditions may
distort pelvic bones, such as rickets or a pelvic
fracture, and lead to CPD.
Transverse diagonal measurement has been
Teaching and
Learning
Activities
Lecture
Discussion
Teaching
Aides
PowerPoint
presentation
Evaluation
Methods
Quiz
Examination
Midterm and
Final
Evaluation
results
18
or birth.
3. Identify the
different
clinical
manifestation
s of a woman
in labor and
during birth
for the
deviations of
the usual
labor process.
4. Identify the
nursing
interventions
or nursing
care of the
labor
dysfunctions.
proposed as a predictive method

1.4Psychological Problems
1.4.1 Postpartum blues
The postpartum blues, maternity blues, or baby
blues is a transient condition that 75-80% of
mothers could experience shortly after
childbirth with a wide variety of symptoms
which generally involve mood lability,
tearfulness, and some mild anxiety and
depressive symptoms. After the placenta is
delivered, the placental "hormone factory"
shuts down causing radical changes in
hormone levels, and the woman can suffer
symptoms due to withdrawal from the high
pregnancy levels of estrogen, progesterone and
endorphins. Combined with this shift in
hormone levels is the physical, mental and
emotional exhaustion - as well as sleep
deprivation typical of parenting a newborn. All
of these factors contribute to the condition.
1.4.2 Postpartum depression
Postpartum depression (PPD), also called
postnatal depression, is a type of clinical
depression which can affect women after
childbirth. Symptoms may include sadness,
low energy, changes in sleeping and eating
patterns, reduced desire for sex, crying
episodes, anxiety, and irritability. While many
women experience self-limited, mild
19
symptoms postpartum, postpartum depression

should be suspected when symptoms are
severe and have lasted over two weeks.
1.4.3 Postpartum psychosis
Postpartum psychosis (or puerperal psychosis)
is a term that covers a group of mental
illnesses with the sudden onset of psychotic
symptoms following childbirth.
A typical example is for a woman to become
irritable, have extreme mood swings and
hallucinations, and possibly need psychiatric
hospitalization. Often, out of fear of stigma or
misunderstanding, women hide their condition
Reference:
Overview Assessment
20

Teaching Topic:High risk complications during the entire stages of labor:High risk complications during 1st and 2nd stages of labor
21
-- None
Course Title/
Learning
Outcome
Ethics and Moral
1.
Understanding
of principle of
religions, ethics
Knowledge
Cognitive Skills
1.Holding
1.Be aware of
understanding of
and weaknesses
knowledge and
once potentials
and Responsibility
Numerical
Analysis,
Communication
and Information
technology
Skills
1. Be able to
1. Be able
1. Be able to
logic,
nursing skills in
adjust
professionally
and interact
to apply
Professional skills
practice holistic
22
and codes of
ethics including
human rights,
children rights,
consumer rights,
patient rights
and professional
nursing rights
which are
important to
nursing
therapeutics.
2. Be able to
differentiate
basic life science,
of self in order
science which
development
basic health
cover
sciences,
humanities, social
enhancing
capability
leading to
sciences, laws and nursing

democratic
practice,
governance
teaching,
knowledge and
knowledge
2.Holding
understanding of
efficient
searching and
Nursing care for
strong nursing
health system and
2. Be able to
right, goodness
Midwifery and
3. Respect the
factors
and badness.
to have self-
leadership.
search and
creatively with
clients,
colleagues and
superiors.
2. Be able to
work as a team,

and
social, cultures
statistics in
and spiritual
2. Be able
using nursing
nursing.
dimensions by
leader and
nursing health
into quality
and therapeutic
information
communication
analyze
families, groups
levels of public
transfer
2. Be able to
different
information
health
member of
team and
community
team in public
health service
system on all
and able to

contexts or
situations.
to individuals,
to others
practice in
promotion,
23
value and
dignity of
humanity
4. Be
responsible for
self-doing.
5.Holding
discipline and
honesty.
6.Practice
according to
nursing code of
influencing social
analyze data
health system
sources.
changes and
3. Holding
knowledge and
understanding of
from various
3. Be able to
use data and
evidence-based
express
leadership skill
in driving
appropriate
changes in
4. Holding
have analytical
4. Be able to
knowledge and
to manage
essential contents
in daily living
understanding
organization in
immediate
situations
4. Can work as
system thinking a team leader

by using
and follower of
professional
knowledge and
nursing
to
symptoms
3. Be able
therapeutics and
therapeutics.
ion.
various
nursing
and critically
disease
effectively
in reference
and application in
with
nursing
nursing process
ethics and
holding ability
3.Be able to
the various
roles in
healthcare
services at all
management and
communicat health
language
clients in all
speaking,
all ages
reading,
midwifery in all
and
care setting
including
listening,
writing
presenting,
health status and

including
levels of health
according to
24
and
professional
knowledge
management,

7. Be a good
management
role model to
others in daily
living and
professional
nursing practice.
8. Advocate for
patients/clients
in obtaining
knowledge
including using
experience-
based for safety
situations.
Nursing and
to read
( B.E.2528 )
being able
journal and
Midwifery Acts
and the revise
and quality
textbook
of
organizational
services.
understandi
Acts ( 2nd ed.,
5.Holding
use scientific
4. Be able
3. Be able to
understanding of
conducting
essential
with mercy,
informatics and
appropriate
computer
caring nursing
innovation in
5. Be able
by morality,
nursing
management .
knowledge and
nursing
5.Be able to
process,
nursing
order to protect

which are
different.
as well as
process and
understanding
own rights in
levels and in
(MNDS).
research and
solving
health
with
ng.
to use
basic
programs.
to choose
Nursing
and Midwifery
B.E.2540 )
practice nursing
kindness and
practice abiding
ethics, laws and
25
violated.
and nursing
problem.
6. Be able to
and use
various approaches
in presenting
information
develop
communication and
problem solving
effectively and
techniques
technology
appropriately.
patient rights.
4. Be able to
practice nursing
in consideration
of individuality
and transcultural
related to
aspects.
efficient nursing
leadership skills
changing health
nursing practice,
contents.
manage nursing
health and
ad relevant to
situation and
5. Express
in professional
ability to
team,
multidisciplinary
team working in
26
the community
health care
setting.
INUR
3315
Midwifer
y II
1 2 3 4 5 6 7 8 1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 1 2 3 4 5 1 2 3 4 5

Behavioral
Objectives of each
teaching topic
1. Differentiate
between
preterm and
low birth
weight
2. Identify risk
factors for

1. High risk complications during 1st and
2nd stages of labor
1.1. Preterm
1.1.1 Preterm labor and birth
Preterm birth (Latin: partus praetemporaneus
or partus praematurus) is the birth of a baby of
less than 37 weeks gestational age; such a
Teaching and
Learning
Activities
Lecture
Discussion
Teaching
Aides
PowerPoint
presentation
Evaluation
Methods
Quiz
Examination
Midterm and
Final
Evaluation
results
27
preterm birth.
3. Discuss
current
interventions
to prevent
preterm birth.
4. Discuss the
use of
tocolytics in
preterm birth
5. Define
PROM.
6. Describe the
nursing
management
7. Define Post
term
8. Identify the
risk factors
leading to
post term
birth.
9. Discuss the
complications
10.Describe the
care of a
woman
experiencing
post term
baby is sometimes referred to as a "preemie"

or "premmie", depending on local
pronunciation. The cause of preterm birth is in
many situations elusive and unknown; many
factors appear to be associated with the
development of preterm birth, making the
reduction of preterm birth a challenging
proposition. Premature infants are at greater
risk for short and long term complications,
including disabilities and impediments in
growth and mental development
1.2PROM
Premature rupture of membranes (PROM), or
pre-labor rupture of membranes, is a condition
that occurs in pregnancy. It is defined as
rupture, or breakage, of the amniotic sac more
than one hour before the onset of labor.[1] The
sac, or "membranes" contain amniotic fluid
which surrounds and protects the fetus in the
womb. After rupture, the amniotic fluid leaks
out of the uterus through the vagina. This is
informally known as one's "water breaking".
Women with PROM usually experience a
painless gush of fluid leaking out from the
vagina, but sometimes a slow steady leakage
occurs instead.
When premature rupture of membranes occurs
at or after 37 weeks completed gestational age
(at term), there is minimal risk to the fetus and
28
pregnancy.
labor typically starts soon after.

1.3 Post term
Postmaturity is the condition of a baby that has
not yet been born after 42 weeks of gestation,
two weeks beyond the normal 40 Post-term,
postmaturity, prolonged pregnancy, and postdates pregnancy all refer to postmature birth.
Post-mature births can carry risks for both the
mother and the infant, including fetal
malnutrition. After the 42nd week of gestation,
the placenta, which supplies the baby with
nutrients and oxygen from the mother, starts
aging and will eventually fail. If the fetus
passes fecal matter, which is not typical until
after birth, and the child breathes it in, then the
baby could become sick with Meconium
aspiration syndrome. Postterm pregnancy may
be a reason to induce labor.
Reference:
Overview Assessment
29

Teaching Topic:High risk complications during the entire stages of labor:High risk complications during 1st and 2nd stages of
labor(cont.)
30
Name of Instructor: Ms. Ruffel Joy C. Manalo

-- None
Course Title/
Learning
Outcome
Ethics and Moral
Knowledge
Cognitive Skills
and Responsibility
Numerical
Analysis,
Communication
and Information
technology
Professional skills
31
Skills
1.
Understanding
of principle of
religions, ethics
and codes of
ethics including
human rights,
1.Holding
1.Be aware of
understanding of
and weaknesses
knowledge and
basic life science,
basic health
science which
once potentials
of self in order
children rights,
cover
enhancing
patient rights
humanities, social
leading to
democratic
practice,
capability

nursing rights
which are
important to
nursing
therapeutics.
2. Be able to
governance
2.Holding
knowledge and
understanding of
Nursing care for
teaching,
efficient
knowledge
searching and
strong nursing
1. Be able to
adjust
professionally
and interact
creatively with
clients,
1. Be able
1. Be able to
logic,
nursing skills in
and
social, cultures
nursing.
dimensions by
to apply
colleagues and
statistics in
2. Be able to
2. Be able
superiors.
practice holistic
and spiritual
using nursing

leader and
member of

into quality
and therapeutic
community
and able to
to individuals,
health service
nursing health
team and
team in public
system on all
information
analyze
transfer
communication
families, groups
2. Be able to
32
differentiate
right, goodness
and badness.
3. Respect the
value and
dignity of
humanity
4. Be
responsible for
self-doing.
5.Holding
discipline and
Midwifery and
leadership.
factors
search and
health system and

influencing social
changes and
health system
from various
sources.
3. Be able to
understanding of
evidence-based
and application in
and critically
knowledge and
nursing process
nursing
according to
4. Holding
ethics and
understanding
nursing code of
analyze data
3. Holding
honesty.
6.Practice
2. Be able to
therapeutics.
knowledge and
use data and

in reference
levels of public
contexts or
situations.
3.Be able to
to others
promotion,
with
health
disease
express
ion.
nursing
in driving
3. Be able
to
therapeutics and
effectively
management and
leadership skill
appropriate
changes in
nursing
organization in
immediate
system thinking situations

by using
practice in
health system in information

different
solve problems. various

4. Be able to
situations and
have analytical
nursing
4. Can work as
a team leader
symptoms
communicat health

language
clients in all
including
health status and
listening,
including
speaking,
reading,
all ages
midwifery in all
33
holding ability
to manage
essential contents
of knowledge
ethical problems searching process,

in daily living
knowledge
and
professional
nursing practice.
management,
research process,
professional
knowledge and
related
knowledge
including using
experience-
and follower of
the various
roles in
healthcare
services at all
levels and in
different.
writing
and
levels of health
care setting
presenting,
according to
being able
Midwifery Acts
as well as
to read
Nursing and
( B.E.2528 )
management
based for safety situations.
journal and
and the revise
nursing
nursing
with
and Midwifery
professional
management .
5.Be able to
ng.
B.E.2540 )
8. Advocate for
knowledge and
process,
to use
practice nursing
nursing
research and
basic
kindness and
7. Be a good
role model to
others in daily
living and
process and
organizational

patients/clients
understanding of
understanding
informatics and
in obtaining
and quality
services.
use scientific
conducting
appropriate
textbook
understandi
4. Be able
essential
computer
of
Nursing
Acts ( 2nd ed.,

3. Be able to
with mercy,
caring nursing
34
own rights in
order to protect
their own rights
which are
violated.

Data System
(MNDS).
innovation in
solving
health
and nursing
problem.
6. Be able to
develop
problem solving
techniques
related to
programs.
practice abiding
to choose
ethics, laws and
various approaches
4. Be able to
5. Be able
and use
in presenting
information
communication and
technology
effectively and
appropriately.
by morality,
patient rights.
practice nursing
in consideration
of individuality
and transcultural
aspects.
health and
5. Express
ad relevant to
in professional
situation and
ability to
efficient nursing
changing health
contents.
leadership skills
nursing practice,
manage nursing
35
team,
multidisciplinary
team working in
the community
health care
setting.
INUR
3315
Midwifer
y II
1 2 3 4 5 6 7 8 1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 1 2 3 4 5 1 2 3 4 5

Behavioral
Objectives of each
Teaching and
Learning
Teaching
Aides
Evaluation
Methods
Evaluation
results
36
teaching topic
1. Define
obstructed
labor.
2. Identify risk
factors for
obstructed
labor.
3. Discuss current
interventions to
prevent
obstructed labor
4. Discuss the care
management for
obstructed labor
5. Define uterine
rupture.
6. Identify the risk
factors of
uterine rupture.
7. Explain the
pathophysiolog
y of uterine
rupture.
8. Describe the
clinical features.
9. Discuss the
nursing
diagnosis
Activities
2. High risk complications during 1st and Lecture
Discussion
2nd stages of labor
1.4.Obstructed labor
Obstructed labour, also known as labour
dystocia, is when, even though the uterus is
contracting normally, the baby does not exit
the pelvis during childbirth due to being
physically blocked.Complications for the
baby include not getting enough oxygen
which may result in death. It increases the
risk of the mother getting an infection, having
uterine rupture, or having post-partum
bleeding. Long term complications for the
mother include obstetrical fistula.
The main causes of obstructed labour
include: a large or abnormally positioned
baby, a small pelvis, and problems with the
birth canal. Abnormal positioning includes
shoulder dystocia were the anterior shoulder
does not pass easily below the pubic
bone.Risk factors for a small pelvis include
malnutrition and a lack of exposure to
sunlight causing vitamin D deficiency. It is
also more common in adolescence as the
pelvis may not have finished growing.
Problems with the birth canal include a
narrow vagina and perineum which may be
due to female genital mutilation or tumors.
Powerpoint
presentation
Quiz
Examination
Midterm and
Final
37
10.Discuss the
nursing
management for
uterine rupture.
11. Define
amniotic fluid
embolism.
12.Identify the risk
factors leading
to amniotic
fluid embolism
13.Discuss the
complications
14.Describe the
care of a woman
experiencing
amniotic fluid
embolism.
1.4.1 Shoulder dystocia

Shoulder dystocia is a specific case of
obstructed labour whereby after the delivery
of the head, the anterior shoulder of the infant
cannot pass below, or requires significant
manipulation to pass below, the pubic
symphysis. It is diagnosed when the
shoulders fail to deliver shortly after the fetal
head. Shoulder dystocia is an obstetric
emergency, and fetal demise can occur if the
infant is not delivered, due to compression of
the umbilical cord within the birth canal.
One characteristic of a minority of shoulder
dystocia deliveries is the turtle sign, which
involves the appearance and retraction of the
fetal head (analogous to a turtle withdrawing
into its shell), and the erythematous (red),
puffy face indicative of facial flushing. This
occurs when the baby's shoulder is obstructed
by the maternal pelvis.
1.5 Uterine rupture
1.5.1 Definition
Uterine rupture is a potentially catastrophic
event during childbirth by which the integrity
of the myometrial wall is breached. In an
incomplete rupture the peritoneum is still
intact. With a complete rupture the contents
of the uterus may spill into the peritoneal
cavity or the broad ligament. A uterine
38
rupture is a life-threatening event for mother

and baby.
A uterine rupture typically occurs during
active labor, but may already develop during
late pregnancy.
Uterine dehiscence is a similar condition, but
involves fewer layers, less bleeding, and less
risk.
1.6 Amniotic fluid embolism
1.6.1 Definition
Amniotic fluid embolism (AFE) is a rare and
incompletely understood obstetric emergency
in which amniotic fluid, fetal cells, hair, or
other debris enters the mother's blood stream
via the placental bed of the uterus and trigger
an allergic reaction. This reaction then results
in cardiorespiratory (heart and lung) collapse
and coagulopathy. It was first formally
characterized in 1941. While it is estimated to
be the fifth most common cause of maternal
mortality in the world, there has been
discrepancy with respect to the incidence and
mortality of amniotic fluid embolism.
Reference:
39
Overview Assessment

40

Teaching Topic:High risk complications during the entire stages of labor:High risk complications during 1st and 2nd stages of
labor(cont.)
41
Course Title/
Learning
Outcome
Ethics and Moral
1.
Understanding
of principle of
religions, ethics
and codes of
ethics including
human rights,
Knowledge
Cognitive Skills
1.Holding
1.Be aware of
understanding of
and weaknesses
knowledge and
basic life science,
basic health
science which
once potentials
of self in order
children rights,
cover
enhancing
patient rights
humanities, social
leading to
democratic
practice,
capability

nursing rights
which are
important to
governance
2.Holding
teaching,
efficient
-- None
and Responsibility
Numerical
Analysis,
Communication
and Information
technology
Skills
1. Be able to
1. Be able
1. Be able to
logic,
nursing skills in
and
social, cultures
nursing.
dimensions by
adjust
professionally
and interact
creatively with
clients,
to apply
practice holistic
colleagues and
statistics in
2. Be able to
2. Be able
superiors.
Professional skills
and spiritual
using nursing

leader and
member of
nursing health
team and
community

into quality
and therapeutic
and able to
to individuals,
information
communication
42
nursing
therapeutics.
2. Be able to
differentiate
right, goodness
and badness.
3. Respect the
value and
dignity of
humanity
4. Be
responsible for
self-doing.
5.Holding
knowledge and
knowledge
Nursing care for
strong nursing
understanding of
Midwifery and
health system and

factors
leadership.
2. Be able to
search and
influencing social
analyze data
health system
sources.
knowledge and
use data and
changes and
3. Holding
understanding of
nursing process
discipline and
and application in
6.Practice
therapeutics.
honesty.
searching and
nursing
from various
3. Be able to
evidence-based
in reference
and critically
team in public
health service
system on all
levels of public
health system in
different
families, groups
transfer
2. Be able to
information
health
with
disease
ion.
nursing
to
symptoms

nursing
practice in
contexts or
to others
3.Be able to
situations.
express
leadership skill
in driving
appropriate
changes in
nursing
organization in

4. Be able to
analyze
situations and
immediate
3. Be able
effectively
promotion,
therapeutics and
management and
communicat health

language
including
clients in all
health status and
43
according to
nursing code of
ethics and
holding ability
to manage
ethical problems
in daily living
and
professional
nursing practice.
7. Be a good
role model to
4. Holding
have analytical
understanding
by using
knowledge and
essential contents
of knowledge

professional
knowledge and
a team leader
and follower of
the various
roles in
speaking,
all ages
reading,
midwifery in all
and
care setting
as well as
Nursing and
to read
( B.E.2528 )
listening,
writing
healthcare
presenting,
levels and in
being able
including
levels of health
according to
knowledge
knowledge
research process,
experience-
process and
and quality
textbook
of
organizational
services.
understandi
Acts ( 2nd ed.,
use scientific
4. Be able
3. Be able to
management,
management
others in daily
nursing
professional
management .
8. Advocate for
knowledge and
living and
situations
including using
based for safety
nursing
5.Be able to
process,
services at all
different.
situations.
journal and
with
ng.
to use
Midwifery Acts
and the revise
Nursing
and Midwifery
B.E.2540 )
practice nursing
44
patients/clients
in obtaining
understanding
own rights in
order to protect
their own rights

which are
violated.
understanding of
conducting
essential
with mercy,
informatics and
appropriate
computer
caring nursing
Data System
innovation in
5. Be able
by morality,
and nursing
and use
patient rights.
nursing
research and
(MNDS).
solving
health
problem.
6. Be able to
basic
programs.
to choose
various approaches
in presenting
information
develop
communication and
problem solving
effectively and
techniques
technology
appropriately.
kindness and
practice abiding
ethics, laws and
4. Be able to
practice nursing
in consideration
of individuality
and transcultural
related to
aspects.
efficient nursing
leadership skills
health and
ad relevant to
5. Express
in professional
45
changing health
nursing practice,
contents.
manage nursing
situation and
ability to
team,
multidisciplinary
team working in
the community
health care
setting.
INUR
3315
Midwifer
y II
1 2 3 4 5 6 7 8 1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 1 2 3 4 5 1 2 3 4 5

46
Behavioral Objectives
of each teaching topic
15.Define uterine
inversion.
16.Identify the
different types of
uterine
inversion.
17.Discuss the two
components of
uterine inversion
management.
18.Discuss the
types of shock.
19.Identify the
etiological
factors of shock
20.Explain the
pathophysiology.
Of shock.
3. High risk complications during 1st

and 2nd stages of labor
1.7. Uterine inversion
1.7.1 Definition
Uterine inversion is a potentially fatal
childbirth complication with a maternal
survival rate of about 85%. It occurs when
the placenta fails to detach from the uterus as
it exits, pulls on the inside surface, and turns
the organ inside out. It is very rare.
1.7.2 Types of uterine inversion
It has been classified on the basis of its
duration and degrees
Acute inversion :Occurs immediately after
delivery and before the cervix constricts
(most common >95%) occurs within 24
hours
Subacute inversion: Occurs after the cervix
Teaching and
Learning
Activities
Teaching
Aides
Lecture
Discussion
Powerpoint
presentation
Evaluation
Methods
Quiz
Examination
Midterm and
Final
Evaluation
results
47
21.Describe the
clinical features.
22.Discuss the
nursing
management for
shock.
constricts after 24 hours but before 4 weeks ,

Chronic inversion: Inversion noted 4 weeks
after delivery; rare incidence 1:2000
deliveries
1.7.3 Two components of uterine
Immediate treatment of Shock
Replacement/Repositioning of the uterus
inversion management
1.7 Shock in obstetrics
A state of circulatory impairment
characterized by defective tissue perfusion
resulting in abnormal cellular function and
metabolism. This leads to a clinical
syndrome of signs of decreased perfusion of
vital organs, with possible alterations in the
mental status (somnolence) and oliguria
(urine output <30 ml/Hr.)
1.8.1 Types of shock and etiology
There are several types of shock: septic
shock caused by bacteria, anaphylactic shock
caused by hypersensitivity or allergic
reaction, cardiogenic shock from heart
damage, hypovolemic shock from blood or
fluid loss, and neurogenic shock from spinal
cord trauma.
1.8.2 Clinical features
Hypotension ( a BP decrease of 50-60 mmHg
or BP <100 mmHg) & subnormal
48
temperature.Tachypnia & tachycardia (weak

rapid -thready- pulse).Pallor, cyanosis of
fingers and cold clammy sweat.Dimness of
vision and mental confusion.Oliguria.
1.8.3 Remote complications
Renal failure (due to cortical necrosis).
Postpartum anterior pituitary necrosis
(Sheehan syndrome).
1.8.4 Compensatory mechanism
Arterioles: they control capillary blood flow
in various organs. Theyre resistance vessels
controlled by the CNS.
Venules: they contain 70% of the total blood
volume. Theyre passive resistance vessels
controlled by humoral factors.
Catecholamine release during hemorrhage
causes increased venular tone resulting in
autotransfusion from this capacitance
reservoir.
There is compensatory increase in heart rate,
systemic and pulmonary vascular resistance,
and myocardial contractility.
There is redistribution of cardiac output &
blood volume by selective centrally mediated
arteriolar constriction resulting in decreased
blood flow to kidneys, splanchnic bed, uterus
and skin with relative maintenance of blood
flow to the heart, brain & adrenal glands
(organs that autoregulate their own flow).
49
1.8.5 Decompensation
When blood volume deficit exceeds 25%.
Rapid clinical deterioration results from
maldistribution of blood flow that causes
local tissue hypoxia & metabolic acidosis,
producing a vicious circle of
vasoconstriction, organ ischemia and cellular
death.
Loss of capillary membrane integrity.
Increased platelet aggregation resulting in
small vessel occlusion.
Electrolyte shifts: Na+ & H2O enter skeletal
muscles and cellular K+ is lost to the
extracelluar space.
1.8.6 Treatment
Fluid replacement.Vasopressor and inotropic
agents.Dealing with the cause.
Reference:
Overview Assessment
50

Teaching Topic:High risk complications during the entire stages of labor:High risk complications during 3 rd and 4th stages of
labor(cont.)
51
-- None
Course Title/
Learning
Outcome
Ethics and Moral
1.
Understanding
of principle of
religions, ethics
and codes of
ethics including
human rights,
children rights,
Knowledge
Cognitive Skills
1.Holding
1.Be aware of
understanding of
and weaknesses
knowledge and
basic life science,
basic health
science which
cover
once potentials
of self in order
enhancing
capability
and Responsibility
Numerical
Analysis,
Communication
and Information
technology
Skills
1. Be able to
1. Be able
1. Be able to
logic,
nursing skills in
and
social, cultures
nursing.
dimensions by
adjust
professionally
and interact
creatively with
clients,
to apply
statistics in
2. Be able to
2. Be able
work as a team,
practice holistic
colleagues and
superiors.
Professional skills
and spiritual
using nursing
52
patient rights
humanities, social
leading to
democratic
practice,

nursing rights
which are
important to
nursing
therapeutics.
2. Be able to
differentiate
right, goodness
and badness.
3. Respect the
value and
dignity of
governance
2.Holding
knowledge and
efficient
knowledge
understanding of
searching and
Midwifery and
leadership.
factors
search and
Nursing care for
health system and

influencing social
changes and
humanity
health system
responsible for
knowledge and
4. Be
teaching,
3. Holding
strong nursing
2. Be able to
analyze data
from various
sources.
3. Be able to
use data and
leader and
member of
nursing health
team and
community
team in public

into quality
and therapeutic
and able to
to individuals,
information
health service
analyze
levels of public
transfer
system on all
situations.
3.Be able to
families, groups

different
contexts or
communication
information
to others
with
2. Be able to
practice in
health
promotion,
disease
express
in driving
ion.
nursing
3. Be able
therapeutics and
leadership skill
appropriate
changes in
to
symptoms
53
self-doing.
5.Holding
discipline and
honesty.
6.Practice
according to
nursing code of
ethics and
holding ability
to manage
ethical problems
in daily living
understanding of
evidence-based
and application in
and critically
nursing process
nursing
therapeutics.
4. Holding
in reference
solve problems.
4. Be able to
have analytical
various
situations and
immediate
situations
of knowledge
knowledge and
professional
management,
including using
7. Be a good
management
process and
experience-
based for safety

and quality

language
clients in all
including
health status and
listening,
including
and follower of
reading,
professional
by using
the various
roles in
healthcare
services at all
levels and in
different.
situations.
management and
communicat health
speaking,
essential contents
understanding
effectively
4. Can work as
knowledge
role model to
organization in
knowledge and
knowledge
and
nursing
writing
and
all ages
midwifery in all
levels of health
care setting
presenting,
according to
being able
Midwifery Acts
journal and
and the revise
as well as
to read
textbook
Nursing and
( B.E.2528 )
of
Nursing
54
others in daily
living and
professional
nursing
nursing
with
and Midwifery
management .
5.Be able to
ng.
B.E.2540 )
knowledge and
process,
to use
practice nursing
nursing
research and
basic
kindness and
programs.
practice abiding
to choose
ethics, laws and
various approaches
4. Be able to
organizational

8. Advocate for
patients/clients
in obtaining
understanding
own rights in
order to protect
their own rights
which are
violated.
understanding of
informatics and
services.
understandi
use scientific
conducting
appropriate

Data System
(MNDS).
innovation in
solving
health
and nursing
problem.
6. Be able to
develop
problem solving
4. Be able
essential
computer
5. Be able
and use
in presenting
information
communication and
technology
effectively and
appropriately.
Acts ( 2nd ed.,

3. Be able to
with mercy,
caring nursing
by morality,
patient rights.
practice nursing
in consideration
of individuality
55
techniques
and transcultural
health and
5. Express
ad relevant to
in professional
situation and
ability to
related to
efficient nursing
changing health
contents.
aspects.
leadership skills
nursing practice,
manage nursing
team,
multidisciplinary
team working in
the community
health care
setting.
56
INUR
3315
Midwifer
y II
1 2 3 4 5 6 7 8 1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 1 2 3 4 5 1 2 3 4 5

Behavioral
Objectives of each
teaching topic
23.Define PPH.
24.Identify the
different types
of PPH.
25.Discuss the risk
factors of PPH.
26.Discuss the
preventive
measures and
management of
PPH.
27.Identify the
types of
placental
abnormalities.
28.Explain the
Teaching and
Learning
Activities
Lecture
4. High risk complications during 3rd
Discussion
and 4th stages of labor
1.9. PPH
1.9.1 Definition
Postpartum bleeding or postpartum
hemorrhage (PPH) is often defined as the loss
of more than 500 ml or 1,000 ml of blood
within the first 24 hours following childbirth.
Some have added the requirement that there
also be signs or symptoms of low blood
volume for the condition to exist. Signs and
symptoms may initially include: an increased
heart rate, feeling faint upon standing, and an
increased breath rate. As more blood is lost
the women may feel cold, their blood
pressure may drop, and they may become
Teaching
Aides
Powerpoint
presentation
Evaluation
Methods
Quiz
Examination
Midterm and
Final
Evaluation
results
57
pathophysiolog
y of placental
abnormalities.
29.Describe the
clinical features
of the placental
abnormalities.
30.Discuss the
nursing
management for
placental
abnormalities.
restless or unconscious. The condition can

occur up to six weeks following delivery.
1.9.2 Types of PPH
Primary PPH blood loss of 500ml or more
within 24hours of delivery.
Secondary PPH significant blood loss
between 24 hours and 6 weeks after birth.
1.9.3 Prevention
Be aware of risk factors may present
antenatally or intrapartum
Treat anaemia antenatally
Active management of the 3rd stage
Prophylactic oxytocics reduce the risk of
PPH by 60% (oxytocin or oxytocin &
ergometrine)
5IU IM for vaginal delivery
5IU IV for LSCS
Consider oxytocin infusions
1.9.4 Management
Intravenous oxytocin is the drug of choice for
postpartum hemorrhage. Ergotamine may
also be used.
Tranexamic acid, a medication to promote
blood clotting, may also be used, however
evidence is not yet strong.
The World Health Organization started
recommending the use of a device called the
nonpneumatic anti-shock garment (NASG) in
58
2012 for use in delivery activities outside of a

hospital setting, the aim being to reverse
shock in a mother suffering from obstetrical
hemorrhage long enough to reach a hospital
1.10. Placental Abnormalities
1.10.1 Placenta previa
1.10.2 Abruptio placenta
1.10.3 Placenta Accreta
Reference:
Overview Assessment
59

Teaching Topic: Medications used o labor and pharmacologic pain management
Name of Instructor: Mr. Brian S. Laforteza
60
-- None
Course Title/
Learning
Outcome
Ethics and Moral
1.
Understanding
of principle of
religions, ethics
and codes of
ethics including
human rights,
children rights,
Knowledge
Cognitive Skills
1.Holding
1.Be aware of
understanding of
and weaknesses
knowledge and
basic life science,
basic health
science which
cover
once potentials
of self in order
enhancing
and Responsibility
Numerical
Analysis,
Communication
and Information
technology
Skills
1. Be able to
1. Be able
1. Be able to
logic,
nursing skills in
and
social, cultures
nursing.
dimensions by
adjust
professionally
and interact
creatively with
clients,
colleagues and
superiors.
to apply
Professional skills
practice holistic

statistics in
and spiritual
61

patient rights
humanities, social
capability
leading to

nursing rights
democratic
practice,
which are
important to
nursing
therapeutics.
2. Be able to
differentiate
right, goodness
and badness.
3. Respect the
value and
governance
2.Holding
efficient
knowledge and
knowledge
Nursing care for
strong nursing
health system and
2. Be able to
understanding of
Midwifery and
factors
influencing social
dignity of
changes and
4. Be
3. Holding
humanity
teaching,
health system
searching and
leadership.
search and
analyze data
from various
sources.
3. Be able to
2. Be able to
2. Be able
using nursing

leader and
member of

into quality
and therapeutic
information
communication
analyze
families, groups
transfer
2. Be able to
information
health
situations.
with
disease
express
ion.
nursing
nursing health
team and
community
and able to
health service
team in public
system on all
levels of public
health system in
different
contexts or
3.Be able to
leadership skill
in driving
nursing
to others
to individuals,
practice in
promotion,
3. Be able
therapeutics and
62
responsible for
self-doing.
5.Holding
discipline and
honesty.
6.Practice
according to
nursing code of
ethics and
holding ability
to manage
knowledge and
use data and
nursing process
in reference
understanding of
and application in
nursing
therapeutics.
4. Holding
knowledge and
understanding
essential contents
evidence-based
and critically
knowledge
professional
management,
7. Be a good
management
changes in
nursing
organization in
various
to
effectively
symptoms
management and
communicat health

4. Be able to
immediate
language
clients in all
speaking,
listening,
all ages
reading,
midwifery in all
and
care setting
services at all
as well as
Nursing and
different.
to read
( B.E.2528 )
have analytical
situations
by using
a team leader
professional
knowledge and
in daily living
and
appropriate
knowledge
including using
experience-
and follower of
the various
roles in
healthcare
levels and in
based for safety situations.
including
writing
presenting,
being able
journal and
health status and

including
levels of health
according to
Midwifery Acts
and the revise
63
role model to
others in daily
living and
professional
nursing practice.
8. Advocate for
patients/clients
in obtaining
understanding
own rights in
order to protect
process and
and quality
textbook
of
organizational
services.
understandi
Acts ( 2nd ed.,
5.Holding
use scientific
4. Be able
3. Be able to
understanding of
conducting
essential
with mercy,
informatics and
appropriate
computer
caring nursing
innovation in
5. Be able
by morality,
and nursing
and use
patient rights.
nursing
management .
knowledge and
nursing
violated.
5.Be able to
process,
research and

which are
nursing
(MNDS).
solving
health
problem.
6. Be able to
develop
with
ng.
to use
basic
programs.
to choose
various approaches
in presenting
information
communication and
technology
effectively and
Nursing
and Midwifery
B.E.2540 )
practice nursing
kindness and
practice abiding
ethics, laws and
4. Be able to
practice nursing
in consideration
64
problem solving
techniques
appropriately.
of individuality
and transcultural
related to
aspects.
efficient nursing
leadership skills
changing health
nursing practice,
contents.
manage nursing
health and
ad relevant to
situation and
5. Express
in professional
ability to
team,
multidisciplinary
team working in
the community
health care
setting.
65
INUR
3315
Midwifer
y II
1 2 3 4 5 6 7 8 1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 1 2 3 4 5 1 2 3 4 5

Behavioral
Objectives of each
teaching topic
1. Define
tocolytics
2. Discuss the
drug
administration
3. Identify the
different types
of tocolytics
and its

1. Tocolytics
(also called anti-contraction medications or
labor repressants) are medications used to
suppress premature labor (from the Greek
tokos, childbirth, and lytic, capable of
dissolving). They are given when delivery
would result in premature birth. The
therapy also buys time for the
administration of betamethasone, a
Teaching and
Learning
Activities
Teaching
Aides
Lecture
Discussion
Powerpoint
presentation
Evaluation
Methods
Quiz
Examination
Midterm and
Final
Evaluation
results
66
mechanism of
action
4. Explain the
goals of
pharmacologi
c management
of pain.
5. Discuss the
preparation on
administering
the pain
medications
6. Identify the
different types
of pain
medication
and there
mechanism of
action
glucocorticoid drug which greatly

accelerates fetal lung maturity, but takes
one to two days to work.
1.1 Drug administration
The administration of pharmaceutical agents
that suppress uterine activity, has been since
the late 1970s. Once uterine contractions are
suppressed, maintenance therapy may be
implemented in an attempt to continue the
suppression or tocolytic treatment can be
discontinued and resume only if uterine
contractions begin again.
1.2 Types of tocolytics
Ritodrine, Terbutaline, Magnesium sulfate,
Nifedipine, Indomethacin
1.3 Nursing considerations
Explain the purpose and side effects of
tocolytic therapy to woman and family.
Position the woman on her side to enhance
placental perfusion and reduce pressure on
cervix. Monitor maternal vital signs and signs
of fetal and maternal adverse reactions.
2. Pain management
2.1 Goals of pharmacologic
management of pain
Pharmacologic measures for pain management
should be implemented before pain becomes
so severe that catecholamines increase and
labor is prolonged.
67
2.2 Types of pain medications

Opioid analgesics, sedatives, analgesia,
systemic analgesis, opioid agonist analgesics,
opioid agonist-antagonist analgesics, opioid
antagonists, ataractics, nerve block analgesia
and anesthesia.
1.3Technique for administration
Pharmacologic measures can be implemented
as labor becomes more active and discomfort
and pain intensity.
1.4Nursing considerations
The nurse reviews the methods of pain relief
available to the woman and clarifies
information as necessary. The procedure and
what will be asked of the woman must be
explained.
Reference:
Overview Assessment
68

Teaching Topic: Nursing care management for deliveries assisted with different instruments
Name of Instructor: Asso. Prof. Areena Phanusopone
69
-- None
Course Title/
Learning
Outcome
Ethics and Moral
1.
Understanding
Knowledge
1.Holding
knowledge and
Cognitive Skills
1.Be aware of
once potentials
and Responsibility
Numerical
Analysis,
Communication
and Information
technology
Skills
1. Be able to
1. Be able
adjust
to apply
Professional skills
1. Be able to
practice holistic
70
of principle of
religions, ethics
and codes of
ethics including
human rights,
children rights,
consumer rights,
patient rights
and professional
nursing rights
which are
important to
nursing
therapeutics.
understanding of
and weaknesses professionally
basic health
to have self-
basic life science,

science which
cover
sciences,
development
enhancing
capability
humanities, social
leading to
democratic
practice,
2.Holding
efficient

governance
knowledge and
understanding of
2. Be able to
Nursing care for
right, goodness
health system and
differentiate
of self in order
Midwifery and
teaching,
knowledge
searching and
strong nursing
leadership.
2. Be able to
and interact
creatively with
clients,
colleagues and
superiors.
logic,
nursing skills in
and
social, cultures
nursing.
dimensions by

statistics in
and spiritual
2. Be able to
2. Be able
using nursing
leader and

member of
nursing health
team and
community
team in public
into quality
and therapeutic
and able to
to individuals,
information
analyze
communication
families, groups
health service
levels of public
transfer
2. Be able to
nursing
practice in
system on all
health system in information

different
health
71
and badness.
3. Respect the
value and
dignity of
humanity
4. Be
responsible for
self-doing.
5.Holding
discipline and
honesty.
6.Practice
factors
search and
changes and
from various
influencing social
health system
3. Holding
knowledge and
3. Be able to
use data and
evidence-based
and application in
and critically
therapeutics.
4. Be able to
nursing process
nursing
4. Holding
ethics and
understanding
to manage
of knowledge
holding ability
sources.
understanding of
according to
nursing code of
analyze data
knowledge and
essential contents
in reference
solve problems.
have analytical
contexts or
situations.
3.Be able to
express
leadership skill
in driving
professional
knowledge and
with
promotion,
disease
ion.
nursing
3. Be able
therapeutics and
effectively
management and
appropriate
to
nursing
communicat health
changes in
organization in
various
situations and
immediate
language
clients in all
including
health status and
listening,
including
speaking,
a team leader
reading,
and follower of
the various
roles in
symptoms
situations

by using
to others
writing
and
all ages
midwifery in all
levels of health
care setting
72
ethical problems searching process,
related
and
including using
in daily living
professional
nursing practice.
7. Be a good
role model to
others in daily
living and
professional
nursing practice.
8. Advocate for
knowledge
management,
research process,
levels and in
different.
situations.
according to
being able
Midwifery Acts
journal and
and the revise
as well as
to read
Nursing and
( B.E.2528 )
based for safety
nursing
nursing
with
and Midwifery
management .
5.Be able to
ng.
B.E.2540 )
knowledge and
process,
to use
practice nursing
nursing
research and
basic
kindness and
programs.
practice abiding
process and
organizational
5.Holding
understanding of
understanding
informatics and
order to protect
Data System
own rights in
experience-
services at all
presenting,
management
patients/clients
in obtaining
knowledge
healthcare
and quality
services.
use scientific
conducting
appropriate
innovation in
textbook
understandi
4. Be able
essential
computer
5. Be able
of
Nursing
Acts ( 2nd ed.,

3. Be able to
with mercy,
caring nursing
by morality,
73
their own rights (MNDS).
solving
violated.
problem.
which are
health
and nursing
6. Be able to
develop
problem solving
techniques
related to
to choose
ethics, laws and
various approaches
4. Be able to
and use
in presenting
information
communication and
technology
effectively and
appropriately.
patient rights.
practice nursing
in consideration
of individuality
and transcultural
aspects.
health and
5. Express
ad relevant to
in professional
situation and
ability to
efficient nursing
changing health
contents.
leadership skills
nursing practice,
manage nursing
team,
multidisciplinary
74
team working in
the community
health care
setting.
INUR
3315
Midwifer
y II
1 2 3 4 5 6 7 8 1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 1 2 3 4 5 1 2 3 4 5

Behavioral
Objectives of each
teaching topic
Teaching and
Learning
Activities
Teaching
Aides
Evaluation
Methods
Evaluation
results
75
1. Define
induction of
labor
2. Discuss the
different
methods of
augmenting
the labor.
3. Define
forceps
extractions
and describe
the method.
4. Discuss the
etiological
factors
leading to
forceps
extractions.
5. Discuss and
describe the
nursing care
of a woman
experiencing
forceps
extraction.
6. Define and
describe the
method of
1. Induction of labor
Labor induction is artificially stimulating
childbirth.
1.1 Types of induction/ augmenting of
labor
Methods of inducing labor include both
pharmacological medication and mechanical
or physical approaches.
Mechanical and physical approaches can
include artificial rupture of membranes or
membrane sweeping. The use of intrauterine
catheters are also indicated. These work by
compressing the cervix mechanically to
generate release on prostaglandins in local
tissues. There is no direct effect on the uterus.
Pharmacological methods are mainly using
either dinoprostone (prostaglandin E2) or
misoprostol (a prostaglandin E1 analogue)
2. Forceps extractions
2.1 Definition
Forceps are a surgical instrument that
resembles a pair of tongs and can be used in
surgery for grabbing, maneuvering, or
removing various things within or from the
body. They can be used to assist the delivery of
a baby as an alternative to the ventouse
(vacuum extraction) method.
Lecture
Discussion
Powerpoint
presentation
Quiz
Examination
Midterm and
Final
76
vacuum
extractions.
7. Discuss the
etiological
factors
leading to
vacuum
extractions.
8. Discuss and
describe the
nursing care
of a woman
experiencing
vacuum
extractions.
2.2 Risks factors for forceps extractions

Maternal factors: Maternal exhaustion,
Prolonged second stage, Maternal illness; such
as heart disease, hypertension, glaucoma,
aneurysm, or other things which make pushing
difficult or dangerous, Haemorrhage,
Analgesic drug-related inhibition of maternal
effort (especially with epidural/spinal
anaesthesia)
Fetal Factors: Non-reassuring fetal heart
tracing, after-coming head in breech delivery
2.3 Nursing care
Preventive measures to decrease need for
forceps Patient teaching
After assessment of newborn and assessment
of womans perineum.
3. Vacuum extractions
3.1 Definition
Also known as vacuum-assisted vaginal
delivery or vacuum extraction (VE), is a
method to assist delivery of a baby using a
vacuum device. It is used in the second stage
of labour if it has not progressed adequately. It
may be an alternative to a forceps delivery and
caesarean section.
3.2 Risks factors for vacuum extractions
Cephalohematoma or caput succedaneum
3.3 Nursing care
Keep woman and partner informed during the
77
procedure and After assess newborn
Reference:
Overview Assessment

78

Teaching Topic: Nursing care management for deliveries assisted with different instruments (cont.)
79
Course Title/
Learning
Outcome
Ethics and Moral
1.
Understanding
of principle of
religions, ethics
and codes of
ethics including
human rights,
Knowledge
Cognitive Skills
1.Holding
1.Be aware of
understanding of
and weaknesses
knowledge and
basic life science,
basic health
science which
once potentials
of self in order
children rights,
cover
enhancing
patient rights
humanities, social
leading to
democratic
practice,
capability

nursing rights
which are
important to
governance
2.Holding
teaching,
efficient
-- None
and Responsibility
Numerical
Analysis,
Communication
and Information
technology
Skills
1. Be able to
1. Be able
1. Be able to
logic,
nursing skills in
and
social, cultures
nursing.
dimensions by
adjust
professionally
and interact
creatively with
clients,
to apply
practice holistic
colleagues and
statistics in
2. Be able to
2. Be able
superiors.
Professional skills
and spiritual
using nursing

leader and
member of
nursing health
team and
community

into quality
and therapeutic
and able to
to individuals,
information
communication
80
nursing
therapeutics.
2. Be able to
differentiate
right, goodness
and badness.
3. Respect the
value and
dignity of
humanity
4. Be
responsible for
self-doing.
5.Holding
knowledge and
knowledge
Nursing care for
strong nursing
understanding of
Midwifery and
health system and

factors
leadership.
2. Be able to
search and
influencing social
analyze data
health system
sources.
knowledge and
use data and
changes and
3. Holding
understanding of
nursing process
discipline and
and application in
6.Practice
therapeutics.
honesty.
searching and
nursing
from various
3. Be able to
evidence-based
in reference
and critically
team in public
health service
system on all
levels of public
health system in
different
families, groups
transfer
2. Be able to
information
health
with
disease
ion.
nursing
to
symptoms

nursing
practice in
contexts or
to others
3.Be able to
situations.
express
leadership skill
in driving
appropriate
changes in
nursing
organization in

4. Be able to
analyze
situations and
immediate
3. Be able
effectively
promotion,
therapeutics and
management and
communicat health

language
including
clients in all
health status and
81
according to
nursing code of
ethics and
holding ability
to manage
ethical problems
in daily living
and
professional
nursing practice.
7. Be a good
role model to
4. Holding
have analytical
understanding
by using
knowledge and
essential contents
of knowledge

professional
knowledge and
a team leader
and follower of
the various
roles in
speaking,
all ages
reading,
midwifery in all
and
care setting
as well as
Nursing and
to read
( B.E.2528 )
listening,
writing
healthcare
presenting,
levels and in
being able
including
levels of health
according to
knowledge
knowledge
research process,
experience-
process and
and quality
textbook
of
organizational
services.
understandi
Acts ( 2nd ed.,
use scientific
4. Be able
3. Be able to
management,
management
others in daily
nursing
professional
management .
8. Advocate for
knowledge and
living and
situations
including using
based for safety
nursing
5.Be able to
process,
services at all
different.
situations.
journal and
with
ng.
to use
Midwifery Acts
and the revise
Nursing
and Midwifery
B.E.2540 )
practice nursing
82
patients/clients
in obtaining
understanding
own rights in
order to protect
their own rights

which are
violated.
understanding of
conducting
essential
with mercy,
informatics and
appropriate
computer
caring nursing
Data System
innovation in
5. Be able
by morality,
and nursing
and use
patient rights.
nursing
research and
(MNDS).
solving
health
problem.
6. Be able to
basic
programs.
to choose
various approaches
in presenting
information
develop
communication and
problem solving
effectively and
techniques
technology
appropriately.
kindness and
practice abiding
ethics, laws and
4. Be able to
practice nursing
in consideration
of individuality
and transcultural
related to
aspects.
efficient nursing
leadership skills
health and
ad relevant to
5. Express
in professional
83
changing health
nursing practice,
contents.
manage nursing
situation and
ability to
team,
multidisciplinary
team working in
the community
health care
setting.
INUR
3315
Midwifer
y II
1 2 3 4 5 6 7 8 1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 1 2 3 4 5 1 2 3 4 5

84
Behavioral
Objectives of each
teaching topic
1. Define
cesarean
section.
2. Discuss the
different types
of cesarean
section.
3. Identify the
risk factors of
cesarean
section.
4. Explain and
describe the
nursing care
for a woman
undergoing
cesarean
section.
5. Define
external
version and
Teaching and
Learning
Activities
Lecture
4. Cesarean section
Discussion
A Caesarean section (often C-section, also
other spellings) is a surgical procedure in
which one or more incisions are made through
a mother's abdomen (laparotomy) and uterus
(hysterotomy) to deliver one or more babies.
The first modern Caesarean section was
performed by German gynecologist Ferdinand
Adolf Kehrer in 1881.
4.1 Types of cesarean birth
Conventionally, caesarean sections are
classified as being either an elective surgery or
an emergency surgery. Classification is used to
note a strategy for using anesthesia, as in
emergencies general anesthesia must be used
but when time is available, it is preferable to
use regional anesthesia
4.2 Nursing care
Assess the condition of output / dischart out;
number, color, and odor from the operation
wound.Tell the client the importance of wound
Teaching
Aides
Powerpoint
presentation
Evaluation
Methods
Quiz
Examination
Midterm and
Final
Evaluation
results
85
describe the
method.
6. Identify the
types of
version.
7. Define breech
delivery and
the method.
8. Discuss the
types of
breech.
care during the postoperative period.

R / Infection can arise from lack of cleanliness
of the wound, perform wound care.
5. External Version
5.1 Definition
A version is a procedure used to change the
position of the fetal presentation by abdominal
manipulation.
5.2 Types of version
External cephalic version is used to attempt to
turn the fetus from breech or shoulder
presentation to a vertex presentation for birth.
Internal version the fetus is turned by the
physician who inserts a hand into the uterus
and changes the presentation to cephalic or
podalic.
6. Breech delivery
6.1 Definition
A breech birth is the birth of a baby from a
breech presentation, in which the baby exits
the pelvis with the buttocks or feet first as
opposed to the normal head-first presentation.
In breech presentation, fetal heart sounds are
heard just above the umbilicus.
6.2 Different types of breech
Frank breech (50-70%) - Hips flexed, knees
extended (pike position)
Complete breech (5-10%) - Hips flexed, knees
flexed (cannonball position)
86
Footling or incomplete (10-30%) - One or both

hips extended, foot presenting
Reference:
Overview Assessment
87

Teaching Topic: Nursing care management for deliveries assisted with different instruments (cont.)
88
-- None
Course Title/
Learning
Outcome
Ethics and Moral
1.
Understanding
of principle of
religions, ethics
and codes of
ethics including
human rights,
children rights,
Knowledge
Cognitive Skills
1.Holding
1.Be aware of
understanding of
and weaknesses
knowledge and
basic life science,
basic health
science which
cover
once potentials
of self in order
enhancing
capability
and Responsibility
Numerical
Analysis,
Communication
and Information
technology
Skills
1. Be able to
1. Be able
1. Be able to
logic,
nursing skills in
and
social, cultures
nursing.
dimensions by
adjust
professionally
and interact
creatively with
clients,
to apply
statistics in
2. Be able to
2. Be able
work as a team,
practice holistic
colleagues and
superiors.
Professional skills
and spiritual
using nursing
89
patient rights
humanities, social
leading to
democratic
practice,

nursing rights
which are
important to
nursing
therapeutics.
2. Be able to
differentiate
right, goodness
and badness.
3. Respect the
value and
dignity of
governance
2.Holding
knowledge and
efficient
knowledge
understanding of
searching and
Midwifery and
leadership.
factors
search and
Nursing care for
health system and

influencing social
changes and
humanity
health system
responsible for
knowledge and
4. Be
teaching,
3. Holding
strong nursing
2. Be able to
analyze data
from various
sources.
3. Be able to
use data and
leader and
member of
nursing health
team and
community
team in public

into quality
and therapeutic
and able to
to individuals,
information
health service
analyze
levels of public
transfer
system on all
situations.
3.Be able to
families, groups

different
contexts or
communication
information
to others
with
2. Be able to
practice in
health
promotion,
disease
express
in driving
ion.
nursing
3. Be able
therapeutics and
leadership skill
appropriate
changes in
to
symptoms
90
self-doing.
5.Holding
discipline and
honesty.
6.Practice
according to
nursing code of
ethics and
holding ability
to manage
ethical problems
in daily living
understanding of
evidence-based
and application in
and critically
nursing process
nursing
therapeutics.
4. Holding
in reference
solve problems.
4. Be able to
have analytical
various
situations and
immediate
situations
of knowledge
knowledge and
professional
management,
including using
7. Be a good
management
process and
experience-
based for safety

and quality

language
clients in all
including
health status and
listening,
including
and follower of
reading,
professional
by using
the various
roles in
healthcare
services at all
levels and in
different.
situations.
management and
communicat health
speaking,
essential contents
understanding
effectively
4. Can work as
knowledge
role model to
organization in
knowledge and
knowledge
and
nursing
writing
and
all ages
midwifery in all
levels of health
care setting
presenting,
according to
being able
Midwifery Acts
journal and
and the revise
as well as
to read
textbook
Nursing and
( B.E.2528 )
of
Nursing
91
others in daily
living and
professional
nursing
nursing
with
and Midwifery
management .
5.Be able to
ng.
B.E.2540 )
knowledge and
process,
to use
practice nursing
nursing
research and
basic
kindness and
programs.
practice abiding
to choose
ethics, laws and
various approaches
4. Be able to
organizational

8. Advocate for
patients/clients
in obtaining
understanding
own rights in
order to protect
their own rights
which are
violated.
understanding of
informatics and
services.
understandi
use scientific
conducting
appropriate

Data System
(MNDS).
innovation in
solving
health
and nursing
problem.
6. Be able to
develop
problem solving
4. Be able
essential
computer
5. Be able
and use
in presenting
information
communication and
technology
effectively and
appropriately.
Acts ( 2nd ed.,

3. Be able to
with mercy,
caring nursing
by morality,
patient rights.
practice nursing
in consideration
of individuality
92
techniques
and transcultural
health and
5. Express
ad relevant to
in professional
situation and
ability to
related to
efficient nursing
changing health
contents.
aspects.
leadership skills
nursing practice,
manage nursing
team,
multidisciplinary
team working in
the community
health care
setting.
93
INUR
3315
Midwifer
y II
1 2 3 4 5 6 7 8 1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 1 2 3 4 5 1 2 3 4 5

Behavioral
Objectives of each
teaching topic
1. Define
unplanned
emergency
deliveries.
2. Discuss the
predisposing
factors
leading to
unplanned
emergency
deliveries.
3. Identify the
maternal and

9. Unplanned emergency deliveries
10.1 Definition
Precipitate Delivery. This refers to a delivery
which results after an unusually rapid labor
(less than three hours) and culminates in the
rapid, spontaneous expulsion of the infant.
Delivery often occurs without the benefit of
asepsis.
Emergency Delivery. This refers to an
unplanned, non-delivery room, non-hospital
birth which occurs as a result of precipitous
labor, geographical distance from the hospital,
or other cause for the unexpected delivery.
Teaching and
Learning
Activities
Teaching
Aides
Lecture
Discussion
Powerpoint
presentation
Evaluation
Methods
Quiz
Examination
Midterm and
Final
Evaluation
results
94
4.
5.
6.
7.
fetal danger
of unplanned
emergency
deliveries.
Explain and
describe the
nursing care
of a woman
having
unplanned
emergency
deliveries.
Define
placental
expulsion.
Discuss the
active
management
for placental
expulsion.
Explain
placental
fragments.
10.2 Predisposing factors

There are common factors which may cause a
woman to deliver rapidly. These factors
include:
a. A multipara with relaxed pelvic or perineal
floor muscles may have an extremely short
period of expulsion.
b. A multipara with unusually strong, forceful
contractions. Two to three powerful
contractions may cause the baby to appear
with considerable rapidity.
c. Inadequate warning of imminent birth due to
absence of painful sensations during labor.
10.3 Danger of emergency delivery
There are several misfortunes associated with
precipitate delivery for both the mother and the
infant. They are classified as maternal and
neonatal.
Maternal: May cause lacerations of the
cervix, vagina, and/or perineum. Rapid descent
and delivery of an infant does not allow
maternal tissues adequate time to stretch and
accommodate the passage of the infant.
Neonatal: May cause intracranial hemorrhage
resulting from a sudden change in pressure on
the fetal head during rapid expulsion.
10.4 Nursing care
Assess Patient for an Impending Precipitous
95
Delivery Situation.
(1) Patient has previous obstetric history of
rapid labor/delivery.
(2) Patient complains of a sudden, intense urge
to push.
(3) Notable increase in bloody show.
(4) Sudden bulging of the perineum.
(5) Sudden crowning of the presenting part.
b. Call for Help. Do not leave the patient
unattended.
11.Placental expulsion
11.1 Definition
Placental expulsion (also called afterbirth)
occurs when the placenta comes out of the
birth canal after childbirth. The period from
just after the baby is expelled until just after
the placenta is expelled is called the third stage
of labor.
11.2 Active management
Active management routinely involves
clamping of the umbilical cord, often within
seconds or minutes of birth.
Uterine contraction assists in delivering the
placenta, and can be induced with medication,
usually oxytocin via intramuscular injection.
The use of ergometrine, on the other hand, is
associated with nausea or vomiting and
hypertension.
96
Controlled cord traction (CCT) consists of

pulling on the umbilical cord while applying
counter pressure to help deliver the placenta.
Manual placenta removal is the evacuation of
the placenta from the uterus by hand.
11.3 Retained placentas
A retained placenta is a placenta that doesn't
undergo expulsion within a normal time limit.
Risks of retained placenta include hemorrhage
and infection.
Reference:
Overview Assessment
97

Teaching Topic: Nursing care management of high risk post-partum patients with complications
Name of Instructor: Asso.Prof. Areena Phanusopone
98
-- None
Course Title/
Learning
Outcome
Ethics and Moral
1.
Understanding
of principle of
religions, ethics
and codes of
ethics including
Knowledge
Cognitive Skills
1.Holding
1.Be aware of
understanding of
and weaknesses
knowledge and
basic life science,
basic health
once potentials
of self in order
to have self-
and Responsibility
Numerical
Analysis,
Communication
and Information
technology
Skills
1. Be able to
1. Be able
1. Be able to
logic,
nursing skills in
and
social, cultures
adjust
professionally
and interact
creatively with
clients,
to apply
Professional skills
practice holistic
99
human rights,
children rights,
science which
cover

patient rights
humanities, social
and professional
nursing rights
which are
important to
nursing
therapeutics.
2. Be able to
differentiate
right, goodness
and badness.
enhancing
capability
leading to

democratic
practice,
governance
teaching,
knowledge and
knowledge
Nursing care for
strong nursing
2.Holding
understanding of
Midwifery and
health system and
3. Respect the
factors
dignity of
changes and
value and
development
influencing social
efficient
searching and
leadership.
2. Be able to
search and
analyze data
from various
colleagues and
superiors.
2. Be able to
work as a team,
leader and
member of
statistics in
and spiritual
2. Be able
using nursing
nursing.
dimensions by
nursing health
into quality
and therapeutic
community
information
and able to
communication
analyze
families, groups
transfer
2. Be able to
different
information
health
situations.
with
disease
team and
team in public
health service
system on all
levels of public
health system in
contexts or
3.Be able to
express
to individuals,

nursing
to others
practice in
promotion,
100
humanity
4. Be
responsible for
self-doing.
5.Holding
discipline and
honesty.
6.Practice
according to
nursing code of
ethics and
holding ability
to manage
health system
sources.
knowledge and
use data and
3. Holding
understanding of
nursing process
and application in
3. Be able to
evidence-based
in reference
and critically
in driving
appropriate
changes in
nursing
organization in
understanding
by using
essential contents
system thinking
professional
knowledge and
in daily living
professional
management,
knowledge
knowledge
including using
symptoms
effectively
therapeutics and
management and
communicat health
including
have analytical
knowledge and
to
3. Be able
immediate
4. Holding
4. Be able to
nursing
therapeutics.
ion.
various
nursing

and
leadership skill
language
clients in all
speaking,
all ages
reading,
midwifery in all
roles in
and
care setting
services at all
as well as
Nursing and
situations
4. Can work as
a team leader
and follower of
the various
healthcare
levels and in
different.
listening,
writing
presenting,
being able
health status and

including
levels of health
according to
Midwifery Acts
101
experience-
role model to
process and
7. Be a good
others in daily
living and
professional
nursing practice.
8. Advocate for
patients/clients
in obtaining
understanding
own rights in
order to protect
to read
( B.E.2528 )
and quality
textbook
of
organizational
services.
understandi
Acts ( 2nd ed.,
5.Holding
use scientific
4. Be able
3. Be able to
understanding of
conducting
essential
with mercy,
informatics and
appropriate
computer
caring nursing
innovation in
5. Be able
by morality,
and nursing
and use
patient rights.
management
nursing
management .
knowledge and
nursing
violated.
based for safety

nursing
5.Be able to
process,
research and

which are
situations.
(MNDS).
solving
problem.
health
journal and
with
ng.
to use
basic
programs.
to choose
various approaches
in presenting
and the revise

Nursing
and Midwifery
B.E.2540 )
practice nursing
kindness and
practice abiding
ethics, laws and
4. Be able to
102
6. Be able to
develop
problem solving
techniques
information
communication and
technology
effectively and
appropriately.
practice nursing
in consideration
of individuality
and transcultural
related to
aspects.
efficient nursing
leadership skills
changing health
nursing practice,
contents.
manage nursing
health and
ad relevant to
situation and
5. Express
in professional
ability to
team,
multidisciplinary
team working in
the community
health care
103
setting.
INUR
3315
Midwifer
y II
1 2 3 4 5 6 7 8 1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 1 2 3 4 5 1 2 3 4 5

Behavioral
Objectives of each
teaching topic
1. Define
hematoma.
2. Discuss the
assessment for
hematoma.
3. Explain and
describe the

1. Hematoma
1.1 Definition
Injury to the vagina and the perineum during
delivery may cause swelling, bruising, or a
collection of blood under the skin called a
hematoma.
1.2 Assessment
Teaching and
Learning
Activities
Teaching
Aides
Lecture
Discussion
Powerpoint
presentation
Evaluation
Methods
Quiz
Examination
Midterm and
Final
Evaluation
results
104
therapeutic
management for
hematoma.
4. Define
Sheehans
syndrome.
5. Identify the
etiological
factors of
sheehans
syndrome
6. Explain the
pathophysiolog
y of sheehans
syndrome.
7. Identify the
signs and
symptoms of
sheehans
syndrome.
8. Explain the
management of
a woman
experiencing
sheehans
syndrome.
9. Define breast
abscess.
10.Identify and
Small hematomas usually go away without

treatment. Painful, large hematomas may
need drainage of the blood that collects in
them. If a lot of tissue swelling occurs around
the urethra, urinating may be difficult.
1.3 Therapeutic management
Ice packs may be applied. If the hematoma is
large it may require evacuation of blood and
ligation of the bleeding vessel, analgesics and
antibiotics may be ordered by the physician.
2. Subinvolution
2.1 Definition
When the involution is impaired or retarded it
is called subinvolution. The uterus is the most
common organ affected by subinvolution. As
it is the most accessible organ to be measured
per abdomen, the uterine involution is
considered clinically as an index to assess
subinvolution.
2.2 Assessment
The condition may be asymptomatic. The
predominant symptoms are:
Abnormal lochial discharge either excessive
or prolonged, Irregular or at times excessive
uterine bleeding, Irregular cramp like pain is
cases of retained products or rise of
temperature in sepsis.
2.3 Therapeutic management
Antibiotics in endometritis
105
discuss the
types of breast
abscess.
11.Identify the
etiological
factors of breast
abscess.
12.Identify the
signs and
symptoms
13.Explain and
describe the
nursing care of
a woman
experiencing
breast abscess.
Exploration of the uterus in retained products

Ergometrine so often prescribed to enhance
the involution process by reducing the blood
flow of the uterus is of no value in
prophylaxis.
3. Sheehans syndrome
3.1 Definition
Sheehan syndrome, also known as Simmond
syndrome, postpartum hypopituitarism or
postpartum pituitary gland necrosis, is
hypopituitarism (decreased functioning of the
pituitary gland), caused by ischemic necrosis
due to blood loss and hypovolemic shock
during and after childbirth.
3.2 Etiological factors
It is a rare complication of pregnancy, usually
occurring after excessive blood loss. The
presence of disseminated intravascular
coagulation (i.e., in amniotic fluid embolism
or HELLP syndrome) also appears to be a
factor in its development.
3.3 Pathophysiology
Hypertrophy and hyperplasia of lactotrophs
during pregnancy results in the enlargement
of the anterior pituitary, without a
corresponding increase in blood supply.
Secondly, the anterior pituitary is supplied by
a low pressure portal venous system.
106
These vulnerabilities, when affected by major

hemorrhage or hypotension during the
peripartum period, can result in ischaemia of
the affected pituitary regions leading to
necrosis.
3.4 Signs and symptoms
Most common initial symptoms of Sheehan's
syndrome are agalactorrhea (absence of
lactation) and/or difficulties with
lactation.Many women also report
amenorrhea or oligomenorrhea after
delivery.In some cases, a woman with
Sheehan syndrome might be relatively
asymptomatic, and the diagnosis is not made
until years later, with features of
hypopituitarism.
3.5 Management
Treatment involves estrogen and progesterone
hormone replacement therapy. These
hormones must be taken at least until the
normal age of menopause. Thyroid and
adrenal hormones must also be taken. These
will be needed for the rest of your life.
4. Breast abscess
4.1 Definition
A breast abscess is a collection of pus that
develops into the breast.
4.2 Types of breast abscess
It is called puerperal mastitis (or lactation
107
mastitis or lactational mastitis) when it occurs

in lactating mothers and non-puerperal (or
nonlactational) otherwise. Mastitis can, in
rare cases, occur in men. Inflammatory breast
cancer has symptoms very similar to mastitis
and must be ruled out.
The symptoms are similar for puerperal and
nonpuerperal mastitis but predisposing
factors and treatment can be very different.
4.3 Etiological factors
Women who are breastfeeding are at risk for
developing mastitis especially if they have
sore or cracked nipples or have had mastitis
before while breastfeeding another baby.
Also, the chances of getting mastitis increases
if women use only one position to breastfeed
or wear a tight-fitting bra, which may restrict
milk flow. Women with diabetes, chronic
illness, AIDS, or an impaired immune system
may be more susceptible to the development
of mastitis
Breast tenderness or warmth to the touch
General malaise or feeling ill
Swelling of the breast
Pain or a burning sensation continuously or
while breast-feeding
Skin redness, often in a wedge-shaped pattern
Fever of 101 F (38.3 C) or greater.
108
The affected breast can then start to appear

lumpy and red.
4.5 Nursing care
Antibiotics are prescribed. Lactation can be
maintained by emptying the breasts every 2 to
4 hours by breastfeeding, manual expression
or breast lump.
Reference:
Overview Assessment

Teaching Topic: Nursing care management of high risk post-partum patients with complications (cont.)
109
Name of Instructor: Mr. Brian S. Laforteza

-- None
Course Title/
Learning
Outcome
Ethics and Moral
Knowledge
Cognitive Skills
and Responsibility
Numerical
Analysis,
Communication
and Information
technology
Skills
Professional skills
110
1.
Understanding
of principle of
religions, ethics
and codes of
ethics including
human rights,
1.Holding
1.Be aware of
understanding of
and weaknesses
knowledge and
basic life science,
basic health
science which
once potentials
of self in order
children rights,
cover
enhancing
patient rights
humanities, social
leading to
democratic
practice,
capability

nursing rights
which are
important to
nursing
therapeutics.
2. Be able to
differentiate
governance
2.Holding
knowledge and
understanding of
Nursing care for
teaching,
efficient
knowledge
searching and
strong nursing
1. Be able to
adjust
professionally
and interact
creatively with
clients,
1. Be able
1. Be able to
logic,
nursing skills in
and
social, cultures
nursing.
dimensions by
to apply
colleagues and
statistics in
2. Be able to
2. Be able
superiors.
practice holistic
and spiritual
using nursing

leader and
member of

into quality
and therapeutic
community
and able to
to individuals,
health service
nursing health
team and
team in public
system on all
levels of public
information
analyze
transfer
communication
families, groups
2. Be able to
111
right, goodness
and badness.
3. Respect the
value and
dignity of
humanity
4. Be
responsible for
self-doing.
5.Holding
discipline and
honesty.
Midwifery and
leadership.
factors
search and
health system and

influencing social
changes and
health system
from various
sources.
3. Be able to
understanding of
evidence-based
and application in
and critically
knowledge and
nursing process
nursing
nursing code of
4. Holding
holding ability
understanding
ethics and
analyze data
3. Holding
6.Practice
according to
2. Be able to
therapeutics.
knowledge and
use data and

in reference

different
contexts or
situations.
3.Be able to
express
with
promotion,
disease
ion.
nursing
appropriate
3. Be able
to
therapeutics and
effectively
management and
in driving
changes in
nursing
organization in
various
situations

by using
to others
health
leadership skill

4. Be able to
immediate
have analytical
information
practice in
a team leader
and follower of
symptoms
communicat health

language
clients in all
including
health status and
listening,
including
speaking,
reading,
all ages
midwifery in all
112
to manage
essential contents

in daily living
and
professional
nursing practice.
7. Be a good
role model to
others in daily
living and
professional
knowledge
knowledge
management,
including using
research process,
experience-
the various
roles in
healthcare
services at all
levels and in
different.
situations.
writing
and
levels of health
care setting
presenting,
according to
being able
Midwifery Acts
journal and
and the revise
as well as
to read
Nursing and
( B.E.2528 )
management
based for safety
nursing
nursing
with
and Midwifery
5.Be able to
ng.
B.E.2540 )
knowledge and
process,
to use
practice nursing
nursing
research and
basic
kindness and
process and
organizational
8. Advocate for
5.Holding
in obtaining
understanding of
own rights in
informatics and
understanding
knowledge and
nursing practice. management .

patients/clients
professional
and quality
services.
use scientific
conducting
appropriate
textbook
understandi
4. Be able
essential
computer
of
Nursing
Acts ( 2nd ed.,

3. Be able to
with mercy,
caring nursing
113
order to protect

which are
violated.
(MNDS).
innovation in
solving
health
and nursing
problem.
6. Be able to
develop
problem solving
techniques
related to
programs.
practice abiding
to choose
ethics, laws and
various approaches
4. Be able to
5. Be able
and use
in presenting
information
communication and
technology
effectively and
appropriately.
by morality,
patient rights.
practice nursing
in consideration
of individuality
and transcultural
aspects.
health and
5. Express
ad relevant to
in professional
situation and
ability to
efficient nursing
changing health
contents.
leadership skills
nursing practice,
manage nursing
114
team,
multidisciplinary
team working in
the community
health care
setting.
INUR
3315
Midwifer
y II
1 2 3 4 5 6 7 8 1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 1 2 3 4 5 1 2 3 4 5

Behavioral
Teaching and
Teaching
Evaluation
Evaluation
115
Objectives of each
teaching topic
1. Define
postpartum
infection.
2. Identify the
etiological
factors of
postpartum
infection.
3. Identify the
signs and
symptoms of
postpartum
infection.
4. Identify and
discuss the
diagnostic
procedures for
postpartum
infection.
5. Explain and
describe the
nursing care
of a woman
experiencing
postpartum
infection.
6. Define
Learning
Activities
Lecture
5. Postpartum Infection
Discussion
5.1 Definition
Also known as puerperal sepsis or childhood
fever is any clinical infection of the genital
canal that occurs within 28 days after
miscarriage, induced abortion or childbirth.
5.2 Etiology
Causes include endometritis, urinary tract
infection, pneumonia\atelectasis, wound
infection, and septic pelvic thrombophlebitis.
Septic risk factors for each etiologic condition
are listed in order of the postpartum day (PPD)
on which the condition generally occurs.
Signs and symptoms usually include a fever
greater than 38.0 C (100.4 F), chills, low
abdominal pain, and possibly bad smelling
vaginal discharge.
5.4 Diagnosis
Puerperal fever is diagnosed when:
A temperature rise above 100.4 F (38 C)
maintained over 24 hours or recurring during
the period from the end of the first to the end
of the 10th day after childbirth or abortion.
(ICD-10).Oral temperature of 100.4 F (38 C)
or more on any two of the first ten days
postpartum
Aides
Powerpoint
presentation
Methods
Quiz
Examination
Midterm and
Final
results
116
phlebitis.
7. Identify the
etiological
factors of
phlebitis.
8. Identify the
signs and
symptoms of
phlebitis.
9. Explain and
describe the
nursing care
of a woman
experiencing
phlebitis.
10.Define
postpartum
psychosis.
11.Identify the
etiological
factors of
postpartum
psychosis.
12.Identify the
signs and
symptoms
postpartum
psychosis.
13.Identify and
5.5 Nursing care

The most important aspect of prehospital care
in a postpartum patient with a suspected
infection is to ensure adequate fluid volume
and to prevent sepsis and shock.
6. Phlebitis
6.1 Definition
Phlebitis is the inflammation of a vein, usually
in the legs. It most commonly occurs in
superficial veins. Phlebitis often occurs in
conjunction with thrombosis and is then called
"thrombophlebitis" or "superficial
thrombophlebitis".
6.2 Etiology
Phlebitis is typically caused by local trauma to
a vein, usually from the insertion of an
intravenous catheter. However, phlebitis can
also occur due to a complication of connective
tissue disorders such as lupus, or of pancreatic,
breast, or ovarian cancers.
Localized redness and swelling, pain or
burning along the length of the vein,
Vein being hard and cord-like
6.4 Nursing care
Use proper venipuncture technique. If
necessary, dilute drugs correctly. Monitor
117
discuss the
medical
treatment for
postpartum
psychosis.
administration rates. Observe the I.V. site

frequently. Change the infusion site regularly
according to your facility's policy.
7. Postpartum psychosis
7.1 Definition
Psychosis (or puerperal psychosis) is a term
that covers a group of mental illnesses with the
sudden onset of psychotic symptoms following
childbirth.
7.2 Etiology
Postpartum psychosis has a world-wide
prevalence. Its incidence is less than 1 in 1000
deliveries. It is more common in first time
mothers. The French psychiatrist Louis-Victor
Marc (1862), suggested that the link to
menstruation, and especially menstrual
psychosis, is important. Molecular genetic
studies suggest that there is a specific heritable
factor. There is evidence of linkage to
chromosome 16.
Some women have typical manic symptoms,
such as euphoria, overactivity, decreased sleep
requirement, loquaciousness, flight of ideas,
increased sociability, disinhibition, irritability,
violence and delusions, which are usually
grandiose or religious in content.
118
7.4 Treatment
Without treatment, these psychoses can last
many months; but with modern therapy they
usually resolve within a few weeks. Severe
overactivity and delusions may require rapid
tranquilization by neuroleptic (antipsychotic)
drugs.
Reference:
Overview Assessment

119

Teaching Topic: Nursing care management of newborn at risk for complications
Name of Instructor: Ms. Gladys Desmanos
120
-- None
Course Title/
Learning
Outcome
Ethics and Moral
1.
Understanding
of principle of
religions, ethics
and codes of
ethics including
human rights,
Knowledge
Cognitive Skills
1.Holding
1.Be aware of
understanding of
and weaknesses
knowledge and
basic life science,
basic health
science which
once potentials
of self in order
children rights,
cover
enhancing
patient rights
humanities, social
leading to
democratic
practice,
capability

nursing rights
which are
important to
governance
teaching,
and Responsibility
Numerical
Analysis,
Communication
and Information
technology
Skills
1. Be able to
1. Be able
1. Be able to
logic,
nursing skills in
and
social, cultures
nursing.
dimensions by
adjust
professionally
and interact
creatively with
clients,
to apply
practice holistic
colleagues and
statistics in
2. Be able to
2. Be able
superiors.
Professional skills
and spiritual
using nursing

leader and
member of
nursing health
team and

into quality
information
and therapeutic
communication
121
nursing
therapeutics.
2. Be able to
differentiate
right, goodness
and badness.
3. Respect the
value and
dignity of
humanity
4. Be
responsible for
self-doing.
5.Holding
2.Holding
efficient
understanding of
searching and
knowledge and
Nursing care for
Midwifery and
health system and
strong nursing
leadership.
2. Be able to
factors
search and
changes and
from various
3. Holding
3. Be able to
influencing social
health system
knowledge and
understanding of
discipline and
nursing process
6.Practice
nursing
honesty.
knowledge
and application in
analyze data
sources.
use data and
evidence-based
in reference
and critically
community
team in public
health service
system on all
levels of public
health system in
and able to
analyze
transfer
2. Be able to
nursing
practice in
to others
promotion,
information
situations.
with
3.Be able to
express
families, groups
different
contexts or
to individuals,
health
disease
ion.
nursing
3. Be able
therapeutics and
changes in
effectively
management and
organization in
leadership skill
in driving
appropriate
nursing
situations and
to
symptoms
communicat health
language
clients in all
122
according to
nursing code of
ethics and
holding ability
to manage
ethical problems
in daily living
and
professional
nursing practice.
7. Be a good
role model to
therapeutics.
4. Be able to
knowledge and
system thinking
4. Holding
understanding
essential contents
of knowledge
by using
professional
knowledge and
situations
4. Can work as
a team leader
and follower of
the various
including
health status and
listening,
including
speaking,
reading,
writing
roles in
and
services at all
as well as
healthcare
all ages
midwifery in all
levels of health
care setting
presenting,
according to
being able
Midwifery Acts
journal and
and the revise
knowledge
knowledge
management,
including using
management
based for safety
nursing
nursing
with
and Midwifery
5.Be able to
ng.
B.E.2540 )
research process,
others in daily
process and
professional
organizational
8. Advocate for
5.Holding
living and
have analytical
immediate
nursing practice. management .
experienceand quality
services.
use scientific
levels and in
different.
situations.
to read
textbook
understandi
4. Be able
Nursing and
( B.E.2528 )
of
Nursing
Acts ( 2nd ed.,

3. Be able to
123
patients/clients
in obtaining
understanding
own rights in
order to protect
their own rights

which are
violated.
knowledge and
process,
to use
practice nursing
nursing
research and
basic
kindness and
programs.
practice abiding
to choose
ethics, laws and
various approaches
4. Be able to
understanding of
informatics and
conducting
appropriate

Data System
(MNDS).
innovation in
solving
health
and nursing
problem.
6. Be able to
develop
problem solving
techniques
related to
health and
efficient nursing
essential
computer
5. Be able
and use
in presenting
information
communication and
technology
effectively and
appropriately.
with mercy,
caring nursing
by morality,
patient rights.
practice nursing
in consideration
of individuality
and transcultural
aspects.
5. Express
leadership skills
124
ad relevant to
in professional
situation and
ability to
changing health
contents.
nursing practice,
manage nursing
team,
multidisciplinary
team working in
the community
health care
setting.
INUR
3315
Midwifer
y II
1 2 3 4 5 6 7 8 1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 1 2 3 4 5 1 2 3 4 5

125
Behavioral
Objectives of each
teaching topic
1. Define the
common
classifications
of high risk
infants and
describe
common
illnesses in
these
classification
of newborns.
2. Identify the
predisposing
factors of
infants having
respiratory
difficulty.
3. Identify the
signs and
Teaching and
Learning
Activities
Lecture
1. Birth Asphyxia
Discussion
a. Definition
Perinatal asphyxia, neonatal asphyxia, or birth
asphyxia is the medical condition resulting
from deprivation of oxygen to a newborn
infant that lasts long enough during the birth
process to cause physical harm, usually to the
brain.
b. Etiology
Inadequate oxygenation of maternal blood due
to hypoventilation during anesthesia, heart
diseases, pneumonia, respiratory failure
Low maternal blood pressure due to
hypotension e.g. compression of vena cava and
aorta, excess anaesthesia
Inadequate relaxation of uterus due to excess
oxytocin. Premature separation of placenta
Placental insufficiency. Knotting of umbilical
cord around the neck of infant.
Teaching
Aides
Powerpoint
presentation
Evaluation
Methods
Quiz
Examination
Midterm and
Final
Evaluation
results
126
symptoms of
infants having
respiratory
difficulty.
4. Discuss the
treatment for
infants having
respiratory
difficulty.
c. Treatment
A= Establish open airway: Suctioning, if
necessary endotracheal intubation
B= Breathing: Through tactile stimulation,
PPV, bag and mask, or through endotracheal
tube
C= Circulation: Through chest compressions
and medications if needed
Reference:
Overview Assessment
127

Teaching Topic: Nursing care management of newborn at risk for complications (cont.)
Name of Instructor: Ms. Gladys Desmanos
128
-- None
Course Title/
Learning
Outcome
Ethics and Moral
1.
Understanding
of principle of
religions, ethics
and codes of
ethics including
human rights,
children rights,
Knowledge
Cognitive Skills
1.Holding
1.Be aware of
understanding of
and weaknesses
knowledge and
basic life science,
basic health
science which
cover
once potentials
of self in order
enhancing
capability
and Responsibility
Numerical
Analysis,
Communication
and Information
technology
Skills
1. Be able to
1. Be able
1. Be able to
logic,
nursing skills in
and
social, cultures
nursing.
dimensions by
adjust
professionally
and interact
creatively with
clients,
to apply
statistics in
2. Be able to
2. Be able
work as a team,
practice holistic
colleagues and
superiors.
Professional skills
and spiritual
using nursing
129
patient rights
humanities, social
leading to
democratic
practice,

nursing rights
which are
important to
nursing
therapeutics.
2. Be able to
differentiate
right, goodness
and badness.
3. Respect the
value and
dignity of
governance
2.Holding
knowledge and
efficient
knowledge
understanding of
searching and
Midwifery and
leadership.
factors
search and
Nursing care for
health system and

influencing social
changes and
humanity
health system
responsible for
knowledge and
4. Be
teaching,
3. Holding
strong nursing
2. Be able to
analyze data
from various
sources.
3. Be able to
use data and
leader and
member of
nursing health
team and
community
team in public

into quality
and therapeutic
and able to
to individuals,
information
health service
analyze
levels of public
transfer
system on all
situations.
3.Be able to
families, groups

different
contexts or
communication
information
to others
with
2. Be able to
practice in
health
promotion,
disease
express
in driving
ion.
nursing
3. Be able
therapeutics and
leadership skill
appropriate
changes in
to
symptoms
130
self-doing.
5.Holding
discipline and
honesty.
6.Practice
according to
nursing code of
ethics and
holding ability
to manage
ethical problems
in daily living
understanding of
evidence-based
and application in
and critically
nursing process
nursing
therapeutics.
4. Holding
in reference
solve problems.
4. Be able to
have analytical
various
situations and
immediate
situations
of knowledge
knowledge and
professional
management,
including using
7. Be a good
management
process and
experience-
based for safety

and quality

language
clients in all
including
health status and
listening,
including
and follower of
reading,
professional
by using
the various
roles in
healthcare
services at all
levels and in
different.
situations.
management and
communicat health
speaking,
essential contents
understanding
effectively
4. Can work as
knowledge
role model to
organization in
knowledge and
knowledge
and
nursing
writing
and
all ages
midwifery in all
levels of health
care setting
presenting,
according to
being able
Midwifery Acts
journal and
and the revise
as well as
to read
textbook
Nursing and
( B.E.2528 )
of
Nursing
131
others in daily
living and
professional
nursing
nursing
with
and Midwifery
management .
5.Be able to
ng.
B.E.2540 )
knowledge and
process,
to use
practice nursing
nursing
research and
basic
kindness and
programs.
practice abiding
to choose
ethics, laws and
various approaches
4. Be able to
organizational

8. Advocate for
patients/clients
in obtaining
understanding
own rights in
order to protect
their own rights
which are
violated.
understanding of
informatics and
services.
understandi
use scientific
conducting
appropriate

Data System
(MNDS).
innovation in
solving
health
and nursing
problem.
6. Be able to
develop
problem solving
4. Be able
essential
computer
5. Be able
and use
in presenting
information
communication and
technology
effectively and
appropriately.
Acts ( 2nd ed.,

3. Be able to
with mercy,
caring nursing
by morality,
patient rights.
practice nursing
in consideration
of individuality
132
techniques
and transcultural
health and
5. Express
ad relevant to
in professional
situation and
ability to
related to
efficient nursing
changing health
contents.
aspects.
leadership skills
nursing practice,
manage nursing
team,
multidisciplinary
team working in
the community
health care
setting.
133
INUR
3315
Midwifer
y II
1 2 3 4 5 6 7 8 1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 1 2 3 4 5 1 2 3 4 5

Behavioral
Objectives of each
teaching topic
1. Define
congenital
anomalies.
2. Describe
common
physical and
developmenta
l disorders
that occur in
newborns
3. Identify the
predisposing
Teaching and
Learning
Activities
Lecture
1.Congenital anomalies
Discussion
1.1Definition
A congenital disorder, or congenital disease, is
a condition existing at birth and often before
birth, or that develops during the first month of
life (neonatal disease), regardless of causation.
1.2 Types of congenital anomalies
Much of the language used for describing
congenital conditions predates genomic
mapping, and structural conditions are often
considered separately from other congenital
conditions. It is now known that many
Teaching
Aides
Powerpoint
presentation
Evaluation
Methods
Quiz
Examination
Midterm and
Final
Evaluation
results
134
factors of
infants having
respiratory
difficulty.
4. Discuss the
treatment for
infants having
respiratory
difficulty.
metabolic conditions may have subtle

structural expression, and structural conditions
often have genetic links. Still, congenital
conditions are often classified in a structural
basis, organized when possible by primary
organ system affected.
1.3 Etiology
Feta alcohol exposure, toxic substances,
medicaments, environmental toxical
substances, paternal smoking, infections, lack
of nutrients, physical restraints, genetic causes,
socioeconomic status, role of radiation,
paternal age, multifactorial.
1.4 Treatment
In countries with well-established health
services, many structural birth defects can be
corrected with paediatric surgery and early
treatment can be administered to children with
functional problems such as thalassaemia
(inherited recessive blood disorders), sickle
cell disorders and congenital hypothyroidism.
Reference:
Overview Assessment
135

Teaching Plan INUR 3315

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College of Nursing, Christian University of Thailand

Teaching Plan (Theory)

Ethics and Moral

consumer rights, sciences,

and professional sciences, laws and nursing

mathematics physical, mental,

work as a team, to transform process,

nursing data evidence-based

Nursing care for

health system and

reading and and community.

health system in nursing

e in English rehabilitation for

solve problems. situations and

searching process, related

based for safety

health status and

Acts ( 2nd ed.,

nursing practice. research process,

nursing practice. 5.Holding

their own rights

Minimum Nursing nursing

Content of Each Teaching Topic (in brief)

progress of labour in a primigravida

Umbilical cord prolapse occurs when the

College of Nursing, Christian University of Thailand

Ethics and Moral

mathematics physical, mental,

consumer rights, sciences,

health system and

and professional sciences, laws and nursing

nursing data evidence-based

reading and and community.

searching process, related

nursing practice. research process,

health status and

system thinking 4. Can work as

e in English rehabilitation for

solve problems. situations and

ethical problems of knowledge

use data and

based for safety

and the revise

ethics, laws and

Minimum Nursing nursing

their own rights Data System

Acts ( 2nd ed.,

Content of Each Teaching Topic (in brief)

proposed as a predictive method

symptoms postpartum, postpartum depression

Teaching Plan (Theory)

Ethics and Moral

basic life science,

sciences, laws and nursing

Nursing care for

health system and

mathematics physical, mental,

nursing data evidence-based

reading and and community.

health system in nursing

searching process, related

ethical problems of knowledge

system thinking a team leader