CLINICAL SPECIALITY-I

OBSTETRIC AND GYNAECOLOGICAL NURSING

Placement : 1st year
Theory : 150 Hours.
Practical : 650 Hours.
Total : 800 Hours.

Course Description
This course is designed to assist students in developing expertise and in depth understanding in the field of Obstetric and
Gynaecological Nursing. It will help students to appreciate the client as a holistic individual and develop skill to function as an
independent midwifery practitioner. It will further enable the student to function as educator, manager, and researcher in the field of
Obstetric and Gynaecological nursing.

Objectives
At the end of the course the students will be able to:
1. Appreciate the trends in the field of midwifery, obstetrics and gynaecology as a speciality.
2. Describe the population dynamics and indicators of maternal and child health
3. Describe the concepts of biophysical, psychological and spiritual aspects of normal pregnancy, labor and puerperium.
4. Provide comprehensive nursing care to women during reproductive period and newborns.
5. Integrate the concepts of family centered nursing care and nursing process approach in obstetric and gynaecological nursing.
6. Identify and analyze the deviations from normal birth process and refer appropriately.
7. Describe the pharmacological agents, their effects during pregnancy, child birth, puerperium, lactation and the role of nurse
8. Counsel adolescents, women and families on issues pertaining to pregnancy, child birth and lactation
9. Describe the role of various types of complementary and alternative therapies in obstetric and gynaecological nursing.
10. Incorporate evidence based nursing practice and identify the areas of research in the field of obstetric and gynaecological nursing.
11. Describe the recent advancement in contraceptive technology and birth control measures
12. Appreciate the legal and ethical issues pertaining to obstetric and gynaecological nursing
 Time (Hrs) Teaching Learning Assessment method
Unit Content Activities
Theory Practical
I 10 Introduction • Lecture-cum-discussion • Essay Type
􀂉 Historical and contemporary perspectives • Short Answers
􀂉 Epidemiological aspects of maternal and child health • Seminar/Presentations
􀂉 Magnitude of maternal and child health problems • Class room exercises
􀂉 Issues of maternal and child health : Age, Gender, Sexuality,
psycho Socio cultural factors
􀂉 Preventive obstetrics
􀂉 National health and family welfare programmes related to
maternal and child health: health care delivery system-
National Rural health mission, Role of NGO’s
􀂉 Theories, models and approaches applied to midwifery practice
􀂉 Role and scope of midwifery practice: Independent Nurse
midwifery practitioner
􀂉 Legal and Ethical issues: Code of ethics and standards of
midwifery practice, standing orders
􀂉 Evidence based midwifery practice
􀂉 Research priorities in obstetric and gynaecological nursing.
II 15 Human reproduction • Lecture-cum-discussion • Essay Type
􀂉 Review of anatomy and physiology of human reproductive • Short Answers
system: male and female • Seminar/Presentations
􀂉 Hormonal cycles • Class room exercises
􀂉 Embryology
􀂉 Genetics, teratology and counseling
􀂉 Clinical implications
III 25 Pregnancy • Lecture-cum-discussion • Essay Type
􀂉 Maternal adaptation : Physiological, psychosocial • Short Answers
• Assessment – Maternal and foetal measures Maternal measures: • Seminar/Presentations
History taking , exmanination-General, physical and obstetrical • Class room exercises
measure, identification of high risk,
• Foetal measure- clinical parameters, biochemical- human estriol,
Maternal Serum Alfa Feto Protein, Acetyl Choline esterase (AchE),
 Triple Test Aminocentesis, Cordocentesis, chorionic villus
sampling (CVS)),
• Biophysical- (US IMAGING, Foetal movement count, Ultra
Sonography, Cardiotocography, cardiotomography, Non Stress Test
(NST), Contraction stress test(CST), amnioscopy, foetoscopy,
• Radiological examination,
􀂉 Interpretation of diagnostic tests and nursing implications
􀂉 Nursing management of the pregnant women, minor disorders
of pregnancy and management, preparation for child birth and
parenthood, importance of institutional delivery , choice of birth
setting, importance and mobilizing of transportation, prenatal
counseling, role of nurse and crisis intervention, identification
of high risk pregnancy and refer
􀂉 Alternative/complementary therapies
IV 25 Normal Labour and nursing management: • Lecture-cum-discussion • Essay Type
􀂉 Essential factors of labour • Short Answers
􀂉 Stages and onset • Seminar/Presentations
First stage: Physiology of normal labour • Class room exercises
• Use of partograph: Principles, use and critical analysis, evidence
based studies
• Analgesia and anaesthesia in labour
• Nursing management
Second stage
• Physiology , intrapartum monitoring
• Nursing management.
• Resuscitation , immediate newborn care and initiate breast
feeding (Guidelines of National neonatalogy forum of India)
Third stage
• Physiology and nursing management
Fourth stage – Observation, critical analysis and Nursing
management.
• Various child birth practice: water birth, position change etc
• Evidence based practice in relation to labour intervention
Role of nurse midwifery practitioner
 • Alternative/complementary therapies
V 20 Normal puerperium and nursing management • Lecture-cum-discussion • Essay Type
􀂉 Physiology of puerperium • Short Answers
􀂉 Physiology of lactation, lactation management, exclusive breast • Seminar/Presentations
feeding ,Baby friendly hospital intitative(BFHI) • Project
􀂉 Assessment of postnatal women .
􀂉 Minor discomforts and complications of puerperium • Class room exercises
􀂉 Management of mothers during puerperium: Postnatal
exercises Rooming in, bonding, warm chain
􀂉 Evidence based studies
Role of nurse midwifery practitioner
• Alternative/complementary therapies
VI 20 Normal Newborn • Lecture-cum-discussion • Essay Type
􀂉 Physiology and characteristics of normal newborn • Short Answers
􀂉 Physical and Behavioural assessment of newborn • Seminar/Presentations
􀂉 Needs of newborn • Class room exercises
􀂉 Essential newborn care: Exclusive breast feeding, Immunization,
Hygiene measures, Newborn nutrition
􀂉 Organization of neonatal care, services(Levels), transport,
neonatal intensive care unit, organization and management of
nursing services in NICU
􀂉 Observation and care of newborn
􀂉 Parenting process
VII 10 Pharmoco dynamics in obstetrics • Lecture-cum-discussion • Essay Type
􀂉 Drugs used in pregnancy, labour, post partum and newborn • Short Answers
􀂉 Calculation of drug dose and administration • Seminar/Presentations
􀂉 Effects of drugs used • Class room exercises
􀂉 Anaesthesia and analgesia in obstetrics
􀂉 Roles and responsibilities of midwifery nurse practitioner
􀂉 Standing orders and protocols and use of selected life saving
drugs and interventions of obstetric emergencies approved by the
MOHFW
VIII 10 Family welfare services • Lecture-cum-discussion • Essay Type
􀂉 Population dynamics • Short Answers
 􀂉 Demography trends: vital statistics, calculation of indicators • Seminar/Presentations
especially maternal and neonatal mortality rates and problems
and other health problems
􀂉 Recent advancement in contraceptive technology
􀂉 Role of nurses in family welfare programmes in all settings
􀂉 Role of independent nurse midwifery practitioner
􀂉 Family life education
􀂉 Evidence based studies
􀂉 Information, Education and Communication(IEC)
􀂉 Management information and evaluation system(MIES)
􀂉 Teaching and supervision of health team members
IX 5 Infertility • Lecture-cum-discussion • Essay Type
􀂉 Primary and secondary causes • Short Answers
􀂉 Diagnostic procedures • Seminar/Presentations
􀂉 Counseling: ethical and legal aspects of assisted reproductive • Class room exercises
technology(ART)
􀂉 Recent advancement in infertility management.
􀂉 Adoption procedures
Role of nurses in infertility management.
X 5 Menopause • Lecture-cum-discussion • Essay Type
􀂉 Physiological, psychological and social aspects • Short Answers
􀂉 Hormone Replacement Therapy • Seminar/Presentations
􀂉 Surgical menopause • Class room exercises
􀂉 Counseling and guidance
Role of midwifery nurse practitioner
XI 5 Abortion • Lecture-cum-discussion • Essay Type
􀂉 Types, causes • Short Answers
􀂉 Legislations, Clinical rights and professional responsibility
􀂉 Abortion procedures
􀂉 Complications
􀂉 Nursing management Role of midwifery nurse practitioner
Practical
Total = 660 Hours
1 week = 30 Hours

S.No. Deptt./Unit No. of Week Total Hours

1. Anetenatal Wards & OPDs 5 150
2. Labour Room 5 120
3. Postnatal Ward 2 60
4. Family Planning Clinics 2 60
5. PHC/Rural maternity settings 4 120
6. Gynae 2 60
7. Maternity OT 2 60
8. NICU 1 30
Total 22 Weeks 660Hours

Procedures observed
• Diagnostic investigations : amniotcentecis, chordocentecis, chorionic villi sampling
• Infertility management: artificial reproduction : artificial insemination, invitro fertilization, and related procedures

Procedures assisted
• Medical termination of pregnancy,

Procedures performed
• Antenatal assessment-20
• Postnatal assessment-20
• Assessment during labour : use of partograph - 20
• Per vaginal examination-20
• Conduct of normal delivery-20
• Episiotomy and suturing-10
• Setting up of delivery areas
• Insertion of intra uterine devices( copper T)
Others
• Identification of high risk women and referral
• Health education: to women and their families
• Motivation of couples for planned parenthood

Procedures performed
o Health education, counseling and mother craft classes
o Antenatal immunization
o Assessment of intra uterine fetal well-being
o Universal precautions –effective infection control methods
o Vaginal examination and interpretation (early pregnancy, labour, post partum)
o Utilization of partograph, Cervicograph
o Conduction of safe delivery
o Episiotomies suturing
o Manual removal of placenta, placental examination
o Postnatal assessment – 20
o Management of breast engorgement, while leg
o Postnatal counseling
o Breast care, breast exam, and drainage breast abcess
o Postnatal exercise
o Newborn assessment –Ruling out congenital anomalies
o Neonatal resuscitation
o Apgar score
o Monitoring neonates
Clinically
With monitor
Capillary refill time
Assessment of jaundice
o Gastric lavage
o Gastric gavages
o Care of child in multi channel monitor and ventilator
o Care of child in radiant, warmer and incubutator
o Kangaroo care
o Anthropometrics measurement
o Neonatal reflexes
o Breast feeding
o Parental nutrition & fluid balance /infusion pump
o Feeding technique
o Medication
Oral
I.D
I.M
I.V
o Capillary blood sample collection
o Oxygen therapy
o Phototherpy
o Chest physiotherapy

METHODS OF TEACHING
Method of teaching
·Lecture cum discussion
·Demonstration
·Seminar/Presentation
·Project work
·Field visits

Methods of evaluation
·Written Tests
·Class room /Clinical teaching
·Presentation
·Written assignments
LIST OF BOOKS RECOMMENDED FOR OBSTETRICS AND GYNAECOLOGY & NEONATOLOGY
1. Buckley Kathleen and Kulb Nancy W, “ high Risk Maternity Nursing Manual” Edn, Williams & Wilkin, 1993, Philadelphia.
2. Bennet V Ruth & Brown K Linda, “Myle” text Book for Midwives, ELBS, Churchill Livingstone
3. Calander, R & A Miller, ‘Obstetrics illustrated’ IV edn, Churchill & Livigstone Newyork,1993.
4. Dawn C.S, “ Textbook of Obstetrics and Neonatology”, Dawn Books, Calcutta.
5. Dawn C.S, “ Textbook of Gynaecologfy and contraception”, Dawn Books, Calcutta.
6. D.C Dutta, “Text book of Obstetrics”, Vth edn, New Central Agency (p) Calcutta, 2001.
7. D.C Dutta, “Text book of Gynaecology” ,Vth edn, New Central Agency (p) Calcutta, 2001.
8. Daftary Shrish N EL AL , “ Holland and Brews Manual of Obstetrics”, XVI edn, B I Churchill Livingstone PVT Ltd, New Delhi.
9. Dickason Elizabeth jean et al , “ Maternal infant Nursing care, II edn, 1998, Mosby , ST. Louis.
10. GoodnerBrenda, “ Concepts of Obsterics Nursing”, I edn, Skidmore, Roth Publishing, INC ,1994, Texas.
11. Gorie Trula Myers et al” ,Foundations of maternal Newborn Nursing”, II edn, WB Saunders Coy, Philadelphia, 1998.
12. Hollan and Brews”, Manual of Obstetrics”, BI Churchill Livingstone
13. Ladewing Patricia Wieland et al , “ Essentials of Maternal Newborn Nursing”, II edn, Addisol Wesley Nursing, NY, 1990.
14. Menon Krishna & Palaniappan, “Clinical Obstetrics”, IX EDN Orient Longman, 1990, Madras.
15. Rashmi Patil, “ Instruments, Operatuions, Drugs in Obstetrics and Gynaecology”, Vors Medical Publications.
16. Philips Celeste R , “ Family centered Maternity Newborn care”, III edn, Mosby New year Book, St Louis 1996.
17. Tindall VR, Jeffcoate’s Principles of Gynaecology”, Butterworth Heineman.
18. Wonna Donna L, Perry Shannon et al”, Maternal child Nursing”, 1998, Iedn, CV Mosby coy, st Louis, London.

LIST OF JOURNALS RECOMMENNDED

1. American Journal of Nursing
2. Health and population
3. Indian Journal of Nursing and Midwifery
4. Journal of Obstetrics and Gynaecology
5. Journal of Pardiatrics
6. Journal of Family Welfare
7. Nursing Journal of India
8. Nursing Times
9. Paediatrics today
10. Paediatric clinics of India
11. Obstetric And Gynecology Today.
 SCHEME OF INTERNAL ASSESSMENT

Internal Assessment

Theory

Sl. No. Techniques Number Weightage

1 Tests 2
Midterm (50 marks) 50
Prefinal (75 marks) 75

2 Other Assignment

Seminar (100 marks) 100

Journal Presentation (50 marks) 50

275

Total Internal Assessment 25

Total External Assessment 75

 Practical Experience Evaluation

Sl.No Content No Marks

1. Care Plan :- 1. Antenatal 1 50
2. Intranatal 1 50
3. Postnatal 1 50
2. Care Plan Newborn 1 50
3. Clinical Presentation:- 1. Antenatal 1 50
1 50
2. Postnatal
4. Case Book /Journal 1 30
5. Clinical Evaluation Antenatal, Postnatal 2 200 (100 * 2 )
6. Practice Teaching (Ng Edn) 1
7. Prefinal Examination 1 100
8. Mid Term Practical Examination 1 50
9. Prefinal Practical Examination 1 100
780

UNIVERSITY EXAMINATION

1.WRITTEN EXAMINATION 75 MARKS

2. PRACTICAL EXAMINATION 100 MARKS
 SEMINAR EVALUATION PROFORMA
Subject: ------------------------------------------------- Topic: ------------------------------------
Name of the Student: ---------------------------------- Date /Time: ----------------------------------------------
Name of the Evaluator /Guide: -----------------------

S.N Criteria Marks Allotted Marks Obtained

1 AIMS AND OBJECTIVES 5
2 ORGANISATION OF CONTENT 15
Latest information
Simple to complex
Application of Nursing Theory
3 PRESENTATION 50
Introduction
Content, relevancy
Teaching technique
4 AUDIOVISUAL AIDS 15
5 SPEAKER’S QUALITIES 5
Appearance
Confidence
Communication skill
Voice modulation
6 GROUP DISCUSSION 5
7 REFERENCES 5
100
TOTAL

REMARKS

SIGNATURE OF STUDENT
 EVALUATION CRITERIA
CASE RESENTATION TOTAL SCORE –50

S.N Criteria Marks Allotted Marks Obtained

1 Assessment 10
History taking & Physical assessment
2 Disease condition in detail –Aetiology, Pathophysiology 10
Clinical features, investigations, Medical management
3 Objectives of care 4
4 Application of Nursing theories 6
5 Nursing diagnosis 6
6 Nursing Management 10
7 Conclusion 4
50
TOTAL
 MATERNAL NURSING EXPERIENCE
PROFORMA & GUIDELINE FOR CASE STUDY

1. Introduction
Purpose of the study
Objectives of the study
Duration of the study

2. History and assessment:

Patient biodata
a) Name.
b) Age.
c) Gravida.
d) Parity.
e) Educational qualification
f) Occupation
g) Income
h) Religion
i) Years of marriage
j) Marital status : Married/widow/single/divorcee
k) Family : Joint/Nuclear

3. Presenting complaints:

4. Menstrual history
a) Age of menarche
b) Duration of menstruation
c) Regularity of periods

5 Past medical history

6. Past surgical history

7. Family history
8 Personal history: Smoking/alcohol/tobacco chewing

9. Dietary history:
a) Diet Veg/Non-veg
b) Meal pattern
c) Food habits

10. Obstetric History

Gravida or parity Nature of Delivery Bad obstetric History if Outcome of pregnancy (a child) Puerperium & Family
any Planning History
Full Term Pre Term Sex Alive SB Any Other

11. Assessment
Assessment Findings In patient In Book Interpretation

a) General Examination
b) Abdominal examination
c) Pelvic Examination

12. Investigations
Investigations Results Normal value Remark

13. Problems/Needs identified

14. Theoretical background with correlative patient findings

a) Definition
b) Incidence and mortality rate
c) Etiology Etiological factors Present in patient & Analysis
d) Clinical manifestations Present in patient & Scientific rationale
e) Management : Medical
Obstétrical
15. Nursing Care - Objectives

Nurses Notes – Daily nurses notes

Nursing care Plan – Short Term & Long Term Plans

Date Need/ Nsg Objective Plan of care Rationale Implementation Evaluation
/Time Problem diagnosis

16. Prognosis

17. Discharge notes

18. Summary of the Case

19. Conclusion

20. Bibliography
 EVALUATION CRITERIA FOR CASE STUDY
(Maximum Marks - 50)
S.n Criteria Marks Allotted Marks Obtained Total
1. Introduction 3.0
2. History & assessment 5.0
3. Comparative findings with patient 10.0
4. Theoretical knowledge & understanding of diagnosis 5.0
5. Nursing process 15.0
6. Follow-up care 5.0
7. Summary & conclusion 5.0
8. Bibliography 2.0
Total 50
N B : Two Case Studies 50 marks each

Signature of Students Signature of Supervisor

 MATERNAL NURSING EXPERIENCE

PROFORMA & GUIDELINE FOR CASE PRESENTATION

1. Patient Biodata
a) Name
b) Age
c) Gravida
d) Parity
e) Educational qualification
f) Occupation
g) Income
h) Religion
i) Years of marriage
j) Marital status : Married/widow/single/divorcee
k) Family : Joint/Nuclear

2. Obstetric History
Gravida Nature of Bad obstetric Outcome of Puerperium
or parity Delivery History if pregnancy (a child) & Family
Full Term Pre Term any Sex Alive SB Any Other Planning History

3. Presenting complaints

4. Past medical history

5. Past surgical history

6. Assessment
a) General examination
b) Per abdominal examination
c) Pelvic examination

7. Investigations

8. Treatment

9. Diagnosis
a) Definition
b) Review of related anatomy & physiology
10. Clinical presentation
Signs & symptoms as per the Signs & symptoms Related pathophysiology
book present in the patient
11. Management.
a) Aims.
b) Medical, obstetrical & nursing management.
c) Complications.

12. Health teaching on discharge.

13. Bibliography.
 EVALUATION CRITERIA FOR CASE PRESENTATION
(Maximum Marks – 50)

S.n Criteria Marks Allotted Marks Obtained Total

1. Content/ Subjective & Objective data 8
2. Problems & needs identified & Nsg. 15
care plan in mother & child
3. Effectiveness of presentation 5
4. Correlation with patient & book 10
5. AV aids 5
6. Physical arrangement 2
7. Group participation 3
8. Bibliography 2
Total 50
N B : One case presentation 50 marks

Signature of Students Signature of Supervisor

 CLINICAL EVALUATION: MATERNITY NURSING
Area :- Ante Natal Ward. (Maximum Marks – 100)
Name of the Student _______________
Year: Duration of Experience: ___
SN Criteria 1 2 3 4
KNOWLEDGE, SKILL & APPLICATION
1. Demonstrates, sound scientific knowledge & understanding in her dealings with the patient & family
2. Demonstrates ability & skill in history taking of antenatal mothers
3. Demonstrates skill in antenatal assessment
4. Demonstrates skill in identifying the needs & problems of antenatal mothers
5. Demonstrates ability to analyze & plan care for antenatal Mothers
6. Demonstrate ability to implement the planned care to antenatal mothers
7. Demonstrate ability in preparing patients for surgical intervention if necessary
8. Able to perform & assist in diagnostic & treatment modalities
9. Demonstrate skill in intrauterine fetal monitoring
10. Makes relevant observations & record & reports them promptly & effectively
11. Identifies risk factors & manages emergency situations effectively & promptly
12. Works independently & makes prompt, relevant decisions in all situations
13. Able to carry out health talks & incidental health teachings effectively
14. Demonstrates sound knowledge of drug used safely during antenatal period.
15. Able to establish therapeutic relationship with the patient & family
Personality aspects
16. Professional grooming & turn-out in uniform
17. Patient, keen & attentive listener
18. Courteous, tactful & considerate in all her dealings with colleagues, seniors, patients & family
19. Expresses ideas/concepts concisely
20. Enthusiastic & interested, takes interest in clinical setting
21. Follows instructions & exhibits positive behavioral changes as and when required
22. Displays emotional maturity in all her dealings in the clinical setting
23. Demonstrates evidence of self learning by additional reading of current literature
24. Displays persuasive, assertive & compulsive leadership behavior, affecting changes in patient’s behavior in clinical setting
25. Practices economy in relation to time effort & material in all aspects of care
Positive & Negative Aspects.
Signature of Student Signature of Clinical supervisor
 CLINICAL EVALUATION: MATERNITY NURSING
Area :- Labour Room. (Maximum Marks – 100)
Name of the Student _____________
Year: Duration of Experience: _________
SN Criteria 1 2 3 4
KNOWLEDGE, SKILL & APPLICATION
1. Demonstrates, sound scientific knowledge & understanding in her dealings with the patient & family
2. Demonstrates ability & skills in history taking of maternity patients
3. Demonstrate ability to perform general, abdominal & prevaginal Examination
4. Demonstrate ability to analyze & interpret the data collected for nursing care planning
5. Demonstrate the ability to identify the needs of maternity patients & neonates
6. Demonstrates ability in planning nursing care & implement according to the needs of the patients.
7. Displays skill in trolley setting & assisting in instrumental deliveries & other procedures
8. Confident & skillful in conducting normal deliveries with episiotomy & immediate post natal care
9. Identifies risk factors & manages emergency situations effectively
10. Works independently & makes prompt, relevant decisions in all situations
11. Able to carry out health talks & incidental health teachings effectively
12. Demonstrates sound knowledge of drug used in obstetrics & gynaec practice
13. Able to establish therapeutic relationship with the patient & family
14. Able to perform & assist in diagnostic procedures & treatment modalities
15. Makes relevant observations & records & reports them promptly & effectively.
Personality aspects
16. Professional grooming & turn-out in uniform
17. Patient, keen & attentive listener
18. Courteous, tactful & considerate in all her dealings with colleagues, seniors, patients & family
19. Expresses ideas/concepts concisely
20. Enthusiastic & interested, takes interest in clinical setting
21. Follows instructions & exhibits positive behavioral changes as and when required
22. Displays emotional maturity in all her dealings in the clinical setting
23. Demonstrates evidence of self learning by additional reading of current literature
24. Displays persuasive, assertive & compulsive leadership behavior, affecting changes in patient’s behavior in clinical setting
25. Practices economy in relation to time effort & material in all aspects of care
Positive & Negative Aspects.
Signature of Student Signature of Clinical supervisor
 CLINICAL EVALUATION: MATERNITY NURSING
Area :- Post Natal Ward. (Maximum Marks – 100)
Name of the Student ________________
Year: Duration of Experience:____
SN Criteria 1 2 3 4
KNOWLEDGE, SKILL & APPLICATION
1. Demonstrates, sound scientific knowledge & understanding dealings with the patient & family
2. Demonstrates ability & skill in history taking of postnatal mothers
3. Demonstrates skill in postnatal assessment
4. Demonstrates skill in identifying the needs & problems of post natal mothers & neonates
5. Demonstrates ability to analyze & plan care for postnatal mothers & neonates
6. Demonstrate ability to implement the planned care to post natal mothers & neonates
7. Demonstrate ability in care of post LSCS patients.
8. Able to perform & assist in diagnostic & treatment modalities
9. Demonstrate skill in immediate newborn assessment & care
10. Makes relevant observations & record & reports them promptly & effectively
11. Identifies risk factors & manages emergency situations effectively & promptly
12. Works independently & makes prompt, relevant decisions in all situations
13. Able to carry out health talks & incidental health teachings effectively
14. Demonstrates sound knowledge of drug used in obstetrics & gynaec practice
15. Able to establish therapeutic relationship with the patient & family
Personality aspects
16. Professional grooming & turn-out in uniform
17. Patient, keen & attentive listener
18. Courteous, tactful & considerate in all her dealings with colleagues, seniors, patients & family
19. Expresses ideas/concepts concisely
20. Enthusiastic & interested, takes interest in clinical setting
21. Follows instructions & exhibits positive behavioral changes as and when required
22. Displays emotional maturity in all her dealings in the clinical setting
23. Demonstrates evidence of self learning by additional reading of current literature
24. Displays persuasive, assertive & compulsive leadership behavior, affecting changes in patient’s behavior in clinical setting
25. Practices economy in relation to time effort & material in all aspects of care
Positive & Negative Aspects.
Signature of Student Signature of Clinical supervisor
 MATERNAL NURSING EXPERIENCES

PROFORMA FOR HEALTH TEACHING

Topic Selected :-
1. Name of the student teacher:
2. Name of the supervisor
3. Venue:
4. Date:
5. Time:
6. Group:
7. Previous knowledge of the group
8. AV aids used
9. General objectives
10. Specific objectives

Health Teaching plan

SN Time Specific Content Teaching AV Aids Evaluation
objectives Learning
Activities

References:
 EVALUATION CRITERIA FOR HEALTH TEACHING
(Maximum Marks – 25)

SN Criteria Total Marks

1. 08
Lesson Plan
2. 05
Presentation
3. 05
Communication skill
4. 04
Preparation & effective use of A V Aids
5. 03
Group participation
25
Total
 PROFORMA & GUIDELINE FOR NURSING CARE PLAN (GYNAEC)
I Patient Biodata
a) Name
b) Age
c) Gravida
d) Parity
e) Educational qualification
f) Occupation
g) Income
h) Religion
i) Years of marriage
j) Marital status : Married/widow/single/divorcee
II Spouse’s particulars
a) Age
b) Educational qualification
c) Occupation
d) Income
e) Religion
III Presenting complaints: In chronological order
a) Menstrual history
b) Age of menarche
c) Duration of menstruation
d) Regularity of periods
e) Age of menopause
IV Contraceptive history
V Past history of pregnancy
VI Past medical history: Heart disease/hypertension/diabetes Mellitus/ tuberculosis/ malaria/kidney disease
VII History of allergy/blood transfusion
VIII Past surgical history
IX Family history
X Personal history: Smoking/alcohol/tobacco chewing
XI Dietary history:
a) Diet Veg/Non-veg
b) Meal pattern
c) Food habits
XII General examination
a) Appearance
b) Build
c) Anthropometric measurements (relevant)
XIII Psychosocial Status
XIV Investigations done
XV Management – Aim, Objectives of Nursing Care
XVI Medication
SN DRUG DOSE FREQ TIME ACTION SIDE DRUG NURSES
EEFFECTS INTERACTION RESPONSIBILITY

XVII Nursing care Plan(Short Term & Long Term)

ASSESSMENT NSG EXPECTED PLAN OF RATIONALE IMPLEMENTATION EVALUATION
DIAGNOSIS OUTCOME CARE

XVIII Health education on discharge

XIX Bibliography
 CLINICAL EVALUATION PROFORMA
Name of the Student : ---------------------------------- DURATION:-------------------------
Clinical Area :------------------------------------------------
SN Criteria 1 2 3 4
1. PERSONALITY & ATTITUDE
Grooming & turn out
2. Able to think logically & well informed
3. Attentive listener
4. Communicate effectively
5. Trustworthy & reliable
6. Enthusiastic, interested & takes initiatives when situation demands
7. Courteous, tactful & considerate in all her dealings with patient, significant other team members.
8. Displays leadership qualities
9. Follows instructions & exhibits positive behavioural changes
10. Complete assignments on time with self motivation & effort
11. KNOWLEDGE
Possess sound knowledge of principles of obstetric Nursing
12. Has understanding of the modern trends & current issuses in obstetric Nursing practices.
13. Has knowledge of physiological changes during pregnancy, labour & puerperium.
14. Has adequate knowledge of diet
15. Demonstrate evidence of self learning by current literature & seeking help from experts in the field.
16. APPLICATION & SKILL
Able to acurately elicit health history
17. Able to perform & assist in the examination diagnostic procedures Treatment modalities.
18. Displays skill in trolly setting & assisting in instrumental deliveries & other procedures.
19. Confident & skillful in conducting normal deliveries & rendering antenatal and postnatal care of gynae patients.
20. Make relevant observation & records & reports.
21. Identifies risk factors & manages emergency situations effectively & Promptly
22. Works independently & makes prompt relevant decision in all situation.
23. Sibmits assignments with self-motivation & effiorts
24. Demonstrates sound knowledge of drugs used in Obs. And gynae practices
25. Applies Nursing theories through Nursing process in the clinical field.
REMARKS:
SIGNATURE OF THE STUDENT SIGNATURE OF THE SUPERVISOR
 EVALUATION CRITERIA FOR NURSING CARE PLAN
Maximum marks 50

Name of the Student :

Date : ………………… Field placement :………………….

S.n Criteria Marks Allotted Marks Obtained Total

1. History taking 6
2. Assessment of needs & 10
Problems
3. Nursing process 16
4. Implementation of care 10
5. Follow-up care 4
6. Bibliography 4
Total 50

N.B. : One Nursing Care Plan : 50 Marks

Remarks

Signature of Students ……… Signature of Supervisor ………