95
College of Nursing, Christian University of ThailandTeaching
Plan (Theory)Semester 2 Academic Year 2557
Course code: INUR 3315 Course Title: Midwifery IITeaching Topic:
Nursing care management women at risk with complications throughout
the course of normal deliveriesName of Instructor: Ms. Gladys U.
DesmanosDay/Month/Year: 13/01/ 2015 Time: 9:00-11:00 Venue:
Christian University Room 405Year 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 -- NoneCourse Title/ Learning Outcome Ethics
and MoralKnowledgeCognitive SkillsInterpersonal Skills and
ResponsibilityNumerical Analysis, Communication and Information
technology SkillsProfessional skills
1. Understanding 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.2. Be able to differentiate right, goodness
and badness.3. Respect the value and dignity of humanity4. Be
responsible for 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 and professional
nursing practice.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 their own
rights which are violated.
1.Holding knowledge and understanding of basic life science,
basic health science which cover sciences, humanities, social
sciences, laws and democratic governance 2.Holding knowledge and
understanding of Nursing care for Midwifery and health system and
factors influencing social changes and health system 3. Holding
knowledge and understanding of nursing process and application in
nursing therapeutics.4. Holding knowledge and understanding
essential contents of knowledge searching process, knowledge
management, research process, management process and nursing
organizational management .5.Holding knowledge and understanding of
nursing informatics and Minimum Nursing Data System (MNDS).
1.Be aware of once potentials and weaknesses of self in order to
have self-development enhancingcapability leading to nursing
practice, teaching, efficient knowledge searching and strong
nursing leadership.2. Be able to search and analyze data from
various sources.3. Be able to use data and evidence-based in
reference and critically solve problems.4. Be able to have
analytical system thinking by using professional knowledge and
related knowledge including using experience-based for safety and
quality nursing services.5.Be able to use scientific process,
conducting research and appropriate nursing innovation in solving
health and nursing problem.6. Be able to develop problem solving
techniques related to health and efficient nursing ad relevant to
changing health situation and contents.
1. Be able to adjust professionally and interact creatively with
clients, colleagues and superiors.2. Be able to work as a team,
leader and member of nursing health team and community team in
public health service system on all levels of public health system
in different contexts or situations.3.Be able to express leadership
skill in driving appropriate changes in nursing organization in
various situations and immediate situations4. Can work as a team
leader and follower of the various roles in healthcare services at
all levels and in different. situations.
1. Be able to apply logic, mathematics and statistics in
nursing.2. Be able to transform nursing data into quality
information and able to analyze reading and transfer nursing
information to others with comprehension.3. Be able to effectively
communicate in English language including speaking, listening,
reading, writing and presenting, as well as being able to read
journal and textbook with understanding.4. Be able to use essential
basic computer programs.5. Be able to choose and use various
approaches in presenting information communication and technology
effectively and appropriately.
1. Be able to practice holistic nursing skills in physical,
mental, social, cultures and spiritual dimensions by using nursing
process, evidence-based and therapeutic communication to
individuals, families, groups and community.2. Be able to practice
in health promotion, disease prevention, nursing therapeutics and
symptoms management and health rehabilitation for clients in all
health status and all ages including midwifery in all levels of
health care setting according to Nursing and Midwifery Acts (
B.E.2528 ) and the revise of Nursing and Midwifery Acts ( 2nd ed.,
B.E.2540 ) 3. Be able to practice nursing with mercy, kindness and
caring nursing practice abiding by morality, ethics, laws and
patient rights.4. Be able to practice nursing in consideration of
individuality and transcultural aspects.5. Express leadership
skills in professional nursing practice, ability to manage nursing
team, multidisciplinary team working in the community health care
setting.
INUR 3315 Midwifery II1234567812345612345612341234512345
Behavioral Objectives of each teaching topicContent of Each
Teaching Topic (in brief)Teaching and Learning ActivitiesTeaching
AidesEvaluation MethodsEvaluation results
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 manifestations 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.1.Labor
dysfunctionsAlso 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 powerUterine dystocia or dysfunctional uterine
contraction..1.1.1 Ineffective uterine contractionsAre the most
common reason for slow progress of labour in a primigravida
1.1.2 Hypotonic contractionsThe 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 contractionsMost often occur
in first-time mothers, Primigravidas. Contractions are ineffectual,
erratic, uncoordinated, and of poor quality that involve only a
portion of the uterusIncrease 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 gestationMultiple 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.
1.2.4 MacrosomiaMacrosomia, 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 dystociaShoulder 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.
LectureDiscussionPowerPoint presentationQuizExamination Midterm
and Final
Reference:1. Adele Pilliteri (2014). Maternal and Child Health
Nursing 7th ed. Philadelphia2. Olds. S.B. al (2008). Maternal
Newborn Nursing Womens Health Care. 8th ed. New Jersey :
Pearson.Overview Assessment
College of Nursing, Christian University of ThailandTeaching
Plan (Theory)Semester 2 Academic Year 2557
Course code: INUR 3315 Course Title: Midwifery IITeaching Topic:
Nursing care management women at risk with complications throughout
the course of normal deliveriesName of Instructor: Ms. Gladys U.
DesmanosDay/Month/Year: 13/01/ 2015 Time: 9:00-11:00 Venue:
Christian University Room 405Year 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 -- NoneCourse Title/ Learning Outcome Ethics
and MoralKnowledgeCognitive SkillsInterpersonal Skills and
ResponsibilityNumerical Analysis, Communication and Information
technology SkillsProfessional skills
1. Understanding 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.2. Be able to differentiate right, goodness
and badness.3. Respect the value and dignity of humanity4. Be
responsible for 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 and professional
nursing practice.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 their own
rights which are violated.
1.Holding knowledge and understanding of basic life science,
basic health science which cover sciences, humanities, social
sciences, laws and democratic governance 2.Holding knowledge and
understanding of Nursing care for Midwifery and health system and
factors influencing social changes and health system 3. Holding
knowledge and understanding of nursing process and application in
nursing therapeutics.4. Holding knowledge and understanding
essential contents of knowledge searching process, knowledge
management, research process, management process and nursing
organizational management .5.Holding knowledge and understanding of
nursing informatics and Minimum Nursing Data System (MNDS).
1.Be aware of once potentials and weaknesses of self in order to
have self-development enhancingcapability leading to nursing
practice, teaching, efficient knowledge searching and strong
nursing leadership.2. Be able to search and analyze data from
various sources.3. Be able to use data and evidence-based in
reference and critically solve problems.4. Be able to have
analytical system thinking by using professional knowledge and
related knowledge including using experience-based for safety and
quality nursing services.5.Be able to use scientific process,
conducting research and appropriate nursing innovation in solving
health and nursing problem.6. Be able to develop problem solving
techniques related to health and efficient nursing ad relevant to
changing health situation and contents.
1. Be able to adjust professionally and interact creatively with
clients, colleagues and superiors.2. Be able to work as a team,
leader and member of nursing health team and community team in
public health service system on all levels of public health system
in different contexts or situations.3.Be able to express leadership
skill in driving appropriate changes in nursing organization in
various situations and immediate situations4. Can work as a team
leader and follower of the various roles in healthcare services at
all levels and in different. situations.
1. Be able to apply logic, mathematics and statistics in
nursing.2. Be able to transform nursing data into quality
information and able to analyze reading and transfer nursing
information to others with comprehension.3. Be able to effectively
communicate in English language including speaking, listening,
reading, writing and presenting, as well as being able to read
journal and textbook with understanding.4. Be able to use essential
basic computer programs.5. Be able to choose and use various
approaches in presenting information communication and technology
effectively and appropriately.
1. Be able to practice holistic nursing skills in physical,
mental, social, cultures and spiritual dimensions by using nursing
process, evidence-based and therapeutic communication to
individuals, families, groups and community.2. Be able to practice
in health promotion, disease prevention, nursing therapeutics and
symptoms management and health rehabilitation for clients in all
health status and all ages including midwifery in all levels of
health care setting according to Nursing and Midwifery Acts (
B.E.2528 ) and the revise of Nursing and Midwifery Acts ( 2nd ed.,
B.E.2540 ) 3. Be able to practice nursing with mercy, kindness and
caring nursing practice abiding by morality, ethics, laws and
patient rights.4. Be able to practice nursing in consideration of
individuality and transcultural aspects.5. Express leadership
skills in professional nursing practice, ability to manage nursing
team, multidisciplinary team working in the community health care
setting.
INUR 3315 Midwifery II1234567812345612345612341234512345
Behavioral Objectives of each teaching topicContent of Each
Teaching Topic (in brief)Teaching and Learning ActivitiesTeaching
AidesEvaluation MethodsEvaluation results
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 manifestations 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.1.3
Problems of the passage 1.3.1 Cephalopelvic
disproportionCephalo-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
proposed as a predictive method1.4 Psychological Problems1.4.1
Postpartum bluesThe 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 depressionPostpartum
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
symptoms postpartum, postpartum depression should be suspected when
symptoms are severe and have lasted over two weeks.1.4.3 Postpartum
psychosisPostpartum 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
LectureDiscussionPowerPoint presentationQuizExamination Midterm
and Final
Reference:1. Adele Pilliteri (2014). Maternal and Child Health
Nursing 7th ed. Philadelphia2. Olds. S.B. al (2008). Maternal
Newborn Nursing Womens Health Care. 8th ed. New Jersey :
Pearson.Overview Assessment
Teaching Plan (Theory)Semester 2 Academic Year 2557
Course code: INUR 3315 Course Title: Midwifery IITeaching
Topic:High risk complications during the entire stages of
labor:High risk complications during 1st and 2nd stages of
laborName of Instructor: Ms. Gladys U. DesmanosDay/Month/Year:
27/01/ 2015 Time: 9:00-11:00 Venue: Christian University Room
405Year 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 -- NoneCourse Title/ Learning Outcome Ethics
and MoralKnowledgeCognitive SkillsInterpersonal Skills and
ResponsibilityNumerical Analysis, Communication and Information
technology SkillsProfessional skills
1. Understanding 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.2. Be able to differentiate right, goodness
and badness.3. Respect the value and dignity of humanity4. Be
responsible for 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 and professional
nursing practice.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 their own
rights which are violated.
1.Holding knowledge and understanding of basic life science,
basic health science which cover sciences, humanities, social
sciences, laws and democratic governance 2.Holding knowledge and
understanding of Nursing care for Midwifery and health system and
factors influencing social changes and health system 3. Holding
knowledge and understanding of nursing process and application in
nursing therapeutics.4. Holding knowledge and understanding
essential contents of knowledge searching process, knowledge
management, research process, management process and nursing
organizational management .5.Holding knowledge and understanding of
nursing informatics and Minimum Nursing Data System (MNDS).
1.Be aware of once potentials and weaknesses of self in order to
have self-development enhancingcapability leading to nursing
practice, teaching, efficient knowledge searching and strong
nursing leadership.2. Be able to search and analyze data from
various sources.3. Be able to use data and evidence-based in
reference and critically solve problems.4. Be able to have
analytical system thinking by using professional knowledge and
related knowledge including using experience-based for safety and
quality nursing services.5.Be able to use scientific process,
conducting research and appropriate nursing innovation in solving
health and nursing problem.6. Be able to develop problem solving
techniques related to health and efficient nursing ad relevant to
changing health situation and contents.
1. Be able to adjust professionally and interact creatively with
clients, colleagues and superiors.2. Be able to work as a team,
leader and member of nursing health team and community team in
public health service system on all levels of public health system
in different contexts or situations.3.Be able to express leadership
skill in driving appropriate changes in nursing organization in
various situations and immediate situations4. Can work as a team
leader and follower of the various roles in healthcare services at
all levels and in different. situations.
1. Be able to apply logic, mathematics and statistics in
nursing.2. Be able to transform nursing data into quality
information and able to analyze reading and transfer nursing
information to others with comprehension.3. Be able to effectively
communicate in English language including speaking, listening,
reading, writing and presenting, as well as being able to read
journal and textbook with understanding.4. Be able to use essential
basic computer programs.5. Be able to choose and use various
approaches in presenting information communication and technology
effectively and appropriately.
1. Be able to practice holistic nursing skills in physical,
mental, social, cultures and spiritual dimensions by using nursing
process, evidence-based and therapeutic communication to
individuals, families, groups and community.2. Be able to practice
in health promotion, disease prevention, nursing therapeutics and
symptoms management and health rehabilitation for clients in all
health status and all ages including midwifery in all levels of
health care setting according to Nursing and Midwifery Acts (
B.E.2528 ) and the revise of Nursing and Midwifery Acts ( 2nd ed.,
B.E.2540 ) 3. Be able to practice nursing with mercy, kindness and
caring nursing practice abiding by morality, ethics, laws and
patient rights.4. Be able to practice nursing in consideration of
individuality and transcultural aspects.5. Express leadership
skills in professional nursing practice, ability to manage nursing
team, multidisciplinary team working in the community health care
setting.
INUR 3315 Midwifery II1234567812345612345612341234512345
Behavioral Objectives of each teaching topicContent of Each
Teaching Topic (in brief)Teaching and Learning ActivitiesTeaching
AidesEvaluation MethodsEvaluation results
1. Differentiate between preterm and low birth weight2. Identify
risk factors for preterm birth.3. Discuss current interventions to
prevent preterm birth.4. Discuss the use of tocolytics in preterm
birth5. Define PROM.6. Describe the nursing management 7. Define
Post term8. Identify the risk factors leading to post term birth.9.
Discuss the complications 10. Describe the care of a woman
experiencing post term pregnancy.1. High risk complications during
1st and 2nd stages of labor1.1. Preterm 1.1.1 Preterm labor and
birthPreterm birth (Latin: partus praetemporaneus or partus
praematurus) is the birth of a baby of less than 37 weeks
gestational age; such a 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 development1.2PROMPremature 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 labor typically
starts soon after.1.3 Post termPostmaturity 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 post-dates 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.
LectureDiscussionPowerPoint presentationQuizExamination Midterm
and Final
Reference:1. Adele Pilliteri (2014). Maternal and Child Health
Nursing 7th ed. Philadelphia2. Olds. S.B. al (2008). Maternal
Newborn Nursing Womens Health Care. 8th ed. New Jersey :
Pearson.Overview Assessment
Teaching Plan (Theory)Semester 2 Academic Year 2557
Course code: INUR 3315 Course Title: Midwifery IITeaching
Topic:High risk complications during the entire stages of
labor:High risk complications during 1st and 2nd stages of
labor(cont.)Name of Instructor: Ms. Ruffel Joy C.
ManaloDay/Month/Year: 27/01/ 2015 Time: 9:00-11:00 Venue: Christian
University Room 405Year 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 -- NoneCourse Title/ Learning Outcome Ethics
and MoralKnowledgeCognitive SkillsInterpersonal Skills and
ResponsibilityNumerical Analysis, Communication and Information
technology SkillsProfessional skills
1. Understanding 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.2. Be able to differentiate right, goodness
and badness.3. Respect the value and dignity of humanity4. Be
responsible for 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 and professional
nursing practice.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 their own
rights which are violated.
1.Holding knowledge and understanding of basic life science,
basic health science which cover sciences, humanities, social
sciences, laws and democratic governance 2.Holding knowledge and
understanding of Nursing care for Midwifery and health system and
factors influencing social changes and health system 3. Holding
knowledge and understanding of nursing process and application in
nursing therapeutics.4. Holding knowledge and understanding
essential contents of knowledge searching process, knowledge
management, research process, management process and nursing
organizational management .5.Holding knowledge and understanding of
nursing informatics and Minimum Nursing Data System (MNDS).
1.Be aware of once potentials and weaknesses of self in order to
have self-development enhancingcapability leading to nursing
practice, teaching, efficient knowledge searching and strong
nursing leadership.2. Be able to search and analyze data from
various sources.3. Be able to use data and evidence-based in
reference and critically solve problems.4. Be able to have
analytical system thinking by using professional knowledge and
related knowledge including using experience-based for safety and
quality nursing services.5.Be able to use scientific process,
conducting research and appropriate nursing innovation in solving
health and nursing problem.6. Be able to develop problem solving
techniques related to health and efficient nursing ad relevant to
changing health situation and contents.
1. Be able to adjust professionally and interact creatively with
clients, colleagues and superiors.2. Be able to work as a team,
leader and member of nursing health team and community team in
public health service system on all levels of public health system
in different contexts or situations.3.Be able to express leadership
skill in driving appropriate changes in nursing organization in
various situations and immediate situations4. Can work as a team
leader and follower of the various roles in healthcare services at
all levels and in different. situations.
1. Be able to apply logic, mathematics and statistics in
nursing.2. Be able to transform nursing data into quality
information and able to analyze reading and transfer nursing
information to others with comprehension.3. Be able to effectively
communicate in English language including speaking, listening,
reading, writing and presenting, as well as being able to read
journal and textbook with understanding.4. Be able to use essential
basic computer programs.5. Be able to choose and use various
approaches in presenting information communication and technology
effectively and appropriately.
1. Be able to practice holistic nursing skills in physical,
mental, social, cultures and spiritual dimensions by using nursing
process, evidence-based and therapeutic communication to
individuals, families, groups and community.2. Be able to practice
in health promotion, disease prevention, nursing therapeutics and
symptoms management and health rehabilitation for clients in all
health status and all ages including midwifery in all levels of
health care setting according to Nursing and Midwifery Acts (
B.E.2528 ) and the revise of Nursing and Midwifery Acts ( 2nd ed.,
B.E.2540 ) 3. Be able to practice nursing with mercy, kindness and
caring nursing practice abiding by morality, ethics, laws and
patient rights.4. Be able to practice nursing in consideration of
individuality and transcultural aspects.5. Express leadership
skills in professional nursing practice, ability to manage nursing
team, multidisciplinary team working in the community health care
setting.
INUR 3315 Midwifery II1234567812345612345612341234512345
Behavioral Objectives of each teaching topicContent of Each
Teaching Topic (in brief)Teaching and Learning ActivitiesTeaching
AidesEvaluation MethodsEvaluation results
1. Define obstructed labor.2. Identify risk factors for
obstructed labor.3. Discuss current interventions to prevent
obstructed labor4. Discuss the care management for obstructed
labor5. Define uterine rupture.6. Identify the risk factors of
uterine rupture.7. Explain the pathophysiology of uterine
rupture.8. Describe the clinical features.9. Discuss the nursing
diagnosis10. Discuss the nursing management for uterine rupture.11.
Define amniotic fluid embolism.12. Identify the risk factors
leading to amniotic fluid embolism13. Discuss the complications 14.
Describe the care of a woman experiencing amniotic fluid
embolism.2. High risk complications during 1st and 2nd stages of
labor 1.4.Obstructed laborObstructed 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. 1.4.1 Shoulder dystociaShoulder 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
DefinitionUterine 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 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 DefinitionAmniotic 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.
LectureDiscussionPowerpoint presentationQuizExamination Midterm
and Final
Reference:1. Adele Pilliteri (2014). Maternal and Child Health
Nursing 7th ed. Philadelphia2. Olds. S.B. al (2008). Maternal
Newborn Nursing Womens Health Care. 8th ed. New Jersey :
Pearson.Overview Assessment
Teaching Plan (Theory)Semester 2 Academic Year 2557
Course code: INUR 3315 Course Title: Midwifery IITeaching
Topic:High risk complications during the entire stages of
labor:High risk complications during 1st and 2nd stages of
labor(cont.)Name of Instructor: Ms. Ruffel Joy C.
ManaloDay/Month/Year: 27/01/ 2015 Time: 9:00-11:00 Venue: Christian
University Room 405Year 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 -- NoneCourse Title/ Learning Outcome Ethics
and MoralKnowledgeCognitive SkillsInterpersonal Skills and
ResponsibilityNumerical Analysis, Communication and Information
technology SkillsProfessional skills
1. Understanding 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.2. Be able to differentiate right, goodness
and badness.3. Respect the value and dignity of humanity4. Be
responsible for 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 and professional
nursing practice.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 their own
rights which are violated.
1.Holding knowledge and understanding of basic life science,
basic health science which cover sciences, humanities, social
sciences, laws and democratic governance 2.Holding knowledge and
understanding of Nursing care for Midwifery and health system and
factors influencing social changes and health system 3. Holding
knowledge and understanding of nursing process and application in
nursing therapeutics.4. Holding knowledge and understanding
essential contents of knowledge searching process, knowledge
management, research process, management process and nursing
organizational management .5.Holding knowledge and understanding of
nursing informatics and Minimum Nursing Data System (MNDS).
1.Be aware of once potentials and weaknesses of self in order to
have self-development enhancingcapability leading to nursing
practice, teaching, efficient knowledge searching and strong
nursing leadership.2. Be able to search and analyze data from
various sources.3. Be able to use data and evidence-based in
reference and critically solve problems.4. Be able to have
analytical system thinking by using professional knowledge and
related knowledge including using experience-based for safety and
quality nursing services.5.Be able to use scientific process,
conducting research and appropriate nursing innovation in solving
health and nursing problem.6. Be able to develop problem solving
techniques related to health and efficient nursing ad relevant to
changing health situation and contents.
1. Be able to adjust professionally and interact creatively with
clients, colleagues and superiors.2. Be able to work as a team,
leader and member of nursing health team and community team in
public health service system on all levels of public health system
in different contexts or situations.3.Be able to express leadership
skill in driving appropriate changes in nursing organization in
various situations and immediate situations4. Can work as a team
leader and follower of the various roles in healthcare services at
all levels and in different. situations.
1. Be able to apply logic, mathematics and statistics in
nursing.2. Be able to transform nursing data into quality
information and able to analyze reading and transfer nursing
information to others with comprehension.3. Be able to effectively
communicate in English language including speaking, listening,
reading, writing and presenting, as well as being able to read
journal and textbook with understanding.4. Be able to use essential
basic computer programs.5. Be able to choose and use various
approaches in presenting information communication and technology
effectively and appropriately.
1. Be able to practice holistic nursing skills in physical,
mental, social, cultures and spiritual dimensions by using nursing
process, evidence-based and therapeutic communication to
individuals, families, groups and community.2. Be able to practice
in health promotion, disease prevention, nursing therapeutics and
symptoms management and health rehabilitation for clients in all
health status and all ages including midwifery in all levels of
health care setting according to Nursing and Midwifery Acts (
B.E.2528 ) and the revise of Nursing and Midwifery Acts ( 2nd ed.,
B.E.2540 ) 3. Be able to practice nursing with mercy, kindness and
caring nursing practice abiding by morality, ethics, laws and
patient rights.4. Be able to practice nursing in consideration of
individuality and transcultural aspects.5. Express leadership
skills in professional nursing practice, ability to manage nursing
team, multidisciplinary team working in the community health care
setting.
INUR 3315 Midwifery II1234567812345612345612341234512345
Behavioral Objectives of each teaching topicContent of Each
Teaching Topic (in brief)Teaching and Learning ActivitiesTeaching
AidesEvaluation MethodsEvaluation results
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.21. Describe the clinical features.22. Discuss the nursing
management for shock.3. High risk complications during 1st and 2nd
stages of labor 1.7. Uterine inversion 1.7.1 DefinitionUterine
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
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 management1.7
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