Lesson Plan on Postanatal Assessment

Lesson plan STUDENT TEACHER:Ms. Annu Panchal Postnatal Examination SEMINAR TOPIC:UNIT:2nd Unit DEPARTMENT:Obstetrics and Gynaecological Nursing Panna Dhai Maa Subharti Nursing ollege VENUE:DATE:TIME:GROUP INVOLVED:M.Sc !st year students  STUDENT’S STRENGTH"# !$$ students METHOD OF TEACHING:%ecture com discussion A V AIDS USED: &oster ' charts' (lashcards' &am&hlets etc. Ms.Pin)y Mam' %ecturer' Obstetrics and Gynaecological Nursing EVALUATOR:GENERAL OBJECTIVES:- At the end o( the &ractice &ractice teaching' student *ill be able to gain the )no*ledge regarding regarding Postnatal Exercises. SPECIFIC OBJECTIVES:- Student *ill be able to' +ntroduce to the to&ic.

De(ine the de(inition o( &ost#natal assessment Describe the &ur&ose S!!a"#: Con$ls%on: E&ala'%on: Re(e"en$e "

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ob,ecti-e data

learning acti-ity

+ntroduce to the to&ic.

! min

2.

De(ine the de(inition o(  &ost#natal assessment

! min

0.

Describe the  &ur&ose

! min

INTRODUCTION:Examination o( a &ostnatal mother and early identi(ication o( com&lication is one o(  Student the im&ortant res&onsibility o( a nurse in the &ostnatal area. Ade3uate &ostnatal teacher gi-en examination is necessary (or &lanning the care o( &ostnatal mother. lecture come discussion DEFINITION)MEANING:students are Postnatal care includes systematic examination o( mother and the baby and the  &artici&ating a&&ro&riate ad-ice gi-en to the mother during &ost&artum &eriod. Postnatal in class assessment is an im&ortant com&onent o( &ostnatal care. through ta)ing the PURPOSE:notes. *+ o assess the health status o( the mother and institute thera&y to recti(y the de(ect i( any. ,+ o detect and treat at the earliest any gynaecological condition arising out o( obstetric legacy. + o im&art (amily &lanning guidance.

 %ecture um disscusss

6hat is the de(inition o(  &ostnatal assessment7

6hat are the  &ur&oses o( the &ostnatal assessment7

PERLIMINAR. ASSESSMENT:hec) the articles a-ailable in the mother4s unit.

1.

Ex&lain the !  &re&aration o(  min the &atient.

.

Ex&lain the

2

Student PREPARATION OF PATIENT"# teacher gi-en %/ Ex&lain the &rocedure to the mother. lecture come %%/ +nstruct the mother to em&ty the bladder and to *ash the &erineum *ith discussion *arm *ater. students are %%%/ Place the mother in su&ine &osition *ith hands at the sides and legs straight.  &artici&ating %&/ Dra&e the mother. in class &/ 5ring the mother to*ards the examiner. through As) the mother to be relaxed. &%/ ta)ing the notes. PREPARATION PREPARATION OF O F ARTICLES:a+ A large enamel tray containing"#

%ecture um disscusss

8o* can *e  &re&are the  &atient7

 &re&aration o(  min the articles and en-ironment

0+ $+ 1+ e+ (+ 2+ 3+ %+

%arge sheet to dra&e the client. Dra* sheet to dra&e the client. Stethosco&e to auscultate chest and bo*el sounds. orch orch to -isuali:e eyes' ears and mouth. 5o*l *ith gau:e &iece to clean the breast. Pa&er bag to discard the solid *aste. +nch ta&e to measure (undal height. Pen and &a&er to record the (indings.

PREPARATION OF ENVIRONMENT:%/ Select a clam and 3uite en-ironment. %%/ Pro-ide &ri-acy.

Student teacher gi-en lecture come discussion students are  &artici&ating in class through ta)ing the notes.

%ecture cum discussio n

8o* can you  &re&are the article and en-ironment7

PROCEDURE: 5e(ore ta)ing the history recording' create a calm and 3uite atmos&here so

9.

Ex&lain the  &rocedure o(  &ostnatal assessment

0min     

that the &ostnatal mother (eel is relaxed and com(ortable. o ha-e (ull coo&eration' ex&lain the &rocedure (or &ostnatal examination. Ensure &ri-acy and maintain con(identiality. 8ighlight any abnormal (indings. ;ecord all (acts accurately in the & ostnatal card. he matrix can be used to record the detail history o( the &ostnatal mother.

Student teacher gi-en lecture come Vital Signs:discussion 5lood &ressure' &ulse' res&iration and tem&erature must be monitor accurately. students are  &artici&ating General Appearance:in class 5ody build should be seen (or a&&earance i.e. ho* it is loo)s. through Acti-ity should be monitoring that *hether it is dull or acti-e. ta)ing the  Nourishment should be seen in &ostnatal mother that *hether *hether she is *ell nourished' notes. under nourished and &oor nourished. PH.SICAL E4AMINATION:-

%ecture cum discussio n

6hat is the  &rocedure o(  &ostnatal assessment7

 Skin:Assess the &atient s)in colour. Assess the &atient s)in (or turgor i.e. any rashes' lesion  Head:# Scal& should be assessed (or dandru(( and cleanliness and any &ediculi. 8air texture (or roughness and dryness. Face:the mother (ace should be obser-ed (or *rin)les' &u((iness and scars.  Eye:Pal&ebral con,uncti-a (or &aler' sclera (or ,aundice and eyes (or e-idence o( in(ection.  Nose De-iated nasal se&tum' in(ection and bloc)age.

eacher gi-en lecture come discussion students are  &artici&ating in class through ta)ing the notes.

%ecture cum discussio n

 Mouth Obser-e tongue (or &allor' glossitis = -itamin d e(iciencies>' teeth and gums (or caries' stomatitis' tonsil (or tonsillitis.  Ear  +n(ection 'bloc)age' *ax.  Neck  Obser-e nec) -eins' thyroid glands' lym&h glands (or any abnormalties.

<.

Discuss about  breast

2min

BREAST E4AMINATION:Ex&ose only the needed area that is one breast at a time. +ns&ect (or the engorged -eins' redness. +ns&ect ni&&le (or retracted' erect' crac)ed' crust (ormation.

eacher gi-en

8o* do

examination

PALPATION:# @eel (or *armth Pal&ate (rom the &eri&hery to the centre *ith (inger &ads in a circulatory motion Pal&ate (or any masses lum&s' hardness 6hile &al&ating (or axillary tails' instruct the to raise the hands abo-e the shoulder le-el Ex&ress the colostrums mil) and *i&e *ith gau:e &iece ;e&eat this (or the other side.

lecture come discussion students are  &artici&ating in class through ta)ing the notes.

%ecture cum discussio n

de(ine the  breast examination7

ABDOMINAL E4AMINATON

?.

Ex&lain the abdominal examination

 Inspection 0min o-er the chest *ith dra* sheet and ex&ose only the abdomen. Similarly use the other sheet to co-er u& the &el-ic region. +ns&ect the abdomen (or consistency'  &resence o( any *ound= LSCS5 PPS> and i( &resent assess the condition o( the *ound.

Student  Palpation teacher gi-en Start (rom the xi&histernum do*n' (eel (or the uterine (undus. Place the ulnar lecture come  border o( the hand. @eel (or the u&&er border o( the sym&hysis &ubis' &lace inchta&e discussion inch &art u& and measure the sym&hysis (undul height. @eel the consistency o( the students are uterus#hard*ell contracted and (labby.  &artici&ating in class through  Auscultation Auscultate (or bo*el sound. ta)ing the notes.  Etre!ities  Eliciting human4s sign

8o* you can ex&lain about abdominal examination7 %ecture cum discussio n

As) the mother to (lex the leg at the )nee le-el and relax. Su&&ort at the cal( muscle *ith other hand dorsi(lex the (oot. +( the mother ex&eriences &ain at the cal( region then homan4s sign is &ositi-e.  Ea!ination o" the perineu! Position client in lithotomy dorsal recumbent &osition. Dra&e the client.  Put the light on. 6ash hands. 6ear glo-es Examine the &erineum (or# • • • •

ondition o( e&isiotomy *ound= ;EEDA> olour and amount o( lochia. ondition o( &erineum  Number o( &ads changedday

AFTER CARE:-

B.

Describe 2min about the a(ter  o( the assessment

#lient$patient  Ex&lain the (indings. 8el& her to dress u&. ;emo-e the dra&&ings. Position com(ortably.

 Articles 6ash and re&lace the articles. 6ash hands.  En%iron!ent  Put o(( the light. Cee& the bedtable clean. Dis&ose the *aste

Student teacher gi-en lecture come discussion students are  &artici&ating in class through ta)ing the notes.

8o* you can ex&lain the a(ter care o( assessment7 %ecture cum discussio n

RECORDING:;ecord the (indings in nurse4s record record *ith date and time. /ital /ital signs record in the -ital signs chart.

!$. !$.

Ex&la x&lain in abou aboutt the &erineal care

PERINEAL CARE:Perineal care is *ashing do*n o( external genitilia and &erinea under a ase&tic 0min  &recaution.  P&'P(SES  o clean the &erineum in &reo&erati-e &re&aration (or a antise&tic action. o deodouri:e the &erineum. o stimulate circulation circulation and thus reli-ing the &ain' in(lammation and congestion. o &romote healing by &re-enting in(ection. o enhance com(ort. INDICATIONS:5e(ore &er -aginal examination o( any other &er -aginal &rocedure. 5e(ore and a(ter deli-ery. Post#natal mother. Post abortion. Gynecological contions#&rola&sed uterus' any in(ection e.g. -aganitis. PRECAUTIONS Ex&lanation to get coo&eration.

Student teacher gi-en lecture come discussion students are  &artici&ating in class through ta)ing the notes.

6hat is  &erineal care7

%ecture cum discussio n

Mother must em&ty her bladder be(ore the &rocedure. Maintain tem&erature and strength o( the solution=tem&#!$ O @ Dettol !"9$ and se-lon !"!$$> Cee& nine basic &rinci&les o( sa(ety ' economy' com(ort and e((ecti-eness e((ecti-eness in mind. SUMMAR.:+n this teching &ractice' + ha-e conducting teching &ractice on &ostnatal assessment assessment oday *e discussed about the de(inition' &ur&oses' &re&aration o( & atient' en-ironment and articles in &ostnatal assessment' & rocedure o( assessment and  &erineal care.

CONCLUSION:Examination a(ter the deli-ery is &ostnatal examination. +t include systematic examination o( baby and also ad-ices gi-en during &ost&artum &eriod. 6ith the ob,ecti-es to assess the health status o( mother and baby and to institude e((ecti-e thera&y' thera&y' to detect and treat an y gyanecological condition or associated illness arising out o( obstetric condition. REFERENCES:*+ Manocha Snehlata' P;OEDU;E AND P;A+E +N M+D6+@E;F' Published by# Cumar Publishing 8ouse' edition# 0rd ear2$!0' Page No. !0#!9$.

,+ Pra)ash ;atna' NU;S+NG P;OEDU;EF' Published by# 5S &ublisher and distributors' /olume# 2nd ear 2$$B' Page No. ?#<$ + Dutta Dc '  extboo) extboo) o( obstetricsF obstetricsF Edition# 9 th 'Published by#

alcutta "Ne* entral entral 5oo) Agency Agency  2$$1' &age no.!19#!1B 6EBSITES:777/7%8%pe1%a/$o! 3''p:))%2$e/!e1/s$/e1 3''p:))777/p0!e1/$o!

LESSON PLAN ON

POSTNATAL ASSESSMENT SUBMITTED TO, MRS. PINKY MAM, LECTURER- OBSTETRIC AND GYANECOLOGY NURSING SUBMITTED BY, MS. ANNU PANCHAL M.SC NURSING 1ST YEAR SUBHARTI NURSING COLLEGE