FOUNTAIN OF PEACE COLLEGE OF HEALTH SCIENCES

CLINICAL LESSON PLAN

COURSE TITLE: IRH

PROCEDURE: EXAMINATION OF THE PLACENTA

STUDENT TEACHER: MUTAMBO IREEN

TARGET GROUP: ZRN 2

CLASS SIZE: 53

VENUE: SKILLS LAB

DATE: 18/09/19

TIME: 10:30

DURATION: 1HOUR

SUPERVISOR: Mrs DAKA

TEACHING METHOD: DEMONSTRATION/DISCUSSION

TEACHING AIDS: INSTRUMENTS, EQUIPMENTS AND PROCEDURE MANUAL, PLACENTA

Introduction

Good morning class, my names are Mutambo Ireen, a 4th year BSc student nurse and with me is Mrs Daka who will be with us
throughout our discussion /demonstration. Today we are going to discuss and demonstrate examination of the placenta. The
placenta is an organ that develops in the uterus during pregnancy. This structure provides oxygen and nutrients to the growing
baby and wastes products from the baby’s blood. The placenta attaches to the wall of the uterus, and the baby’s umbilical cord
arises from it.

GENERAL OBJECTIVE

At the end of the discussion/demonstration the 3nd year registered student nurses should be able to carry out the procedure placenta
examination.

SPECIFIC OBJECTIVE

a. list the indication of placenta examination

b. state the principles of placenta examination
c. outline the requirements for placenta examination
d. outline the method for placenta examination
TIME SPECIFIC CONTENT TEACHING AUDIO ACTIVITIES EVALUATION
TEACHERS LEARNERS
FRAM OBJECTIV METHOD VISUAL
E E AID
1 List the Third stage of labour Discussion Procedur Explaining, Listening, What are the
Answering Answering indications for
minute indication e manual
and asking questions. examination of
for placenta questions the placenta?
examination
3 State the 1.use a flat surface Discussion Procedur Explaining, Listening, List the
Answering Answering principles for
minutes principles 2.ensure good lighting e manual
and asking questions. placenta
for placenta 3.observe universal infection prevention questions examination
examination measures
4.examination is done by the bed side
3 Outline the The following things should be prepared; Discussion Procedur Explaining, Listening, Mention the
Answering Answering requirement for
minutes requirements 1.surface area Demonstratio e manual
and asking questions. placenta
for placenta 2.placenta in a big receiver n questions examination
examination 3.swabs in a gallipot
4.receiver for used swabs
5.infection prevention equipment
20 Outline the Method Demonstratio Procedur Explaining, Listening, What is the
Answering Answering method for
minutes method for 1.wash hands, dry them and put on gloves n e manual
and asking questions. examination of
placenta 2. Hold the placenta in the palms of the hands Placenta questions the placenta?
examination maternal side facing upwards.
20 Outline the Method cont… Procedur Explaining, Listening, What is the
Answering Answering method for
minutes method for 3. Assess the circumference Demonstratio e manual
TIME SPECIFIC CONTENT TEACHING AUDIO ACTIVITIES EVALUATION
TEACHERS LEARNERS
FRAM OBJECTIV METHOD VISUAL
placenta 4. assess and estimate the blood loss n Placenta and asking questions. examination of
questions the placenta?
examination 5. check whether all the lobules on the placenta
are present and fit together
6. hold the cord with one hand and allow the
placenta membranes to hang down
7. insert the other hand in the membranes, with
fingers spread out to note any part that could
have remained in the uterus
8. note the position of insertion of the cord
9. inspect the cut end of the cord with the swab
for the presences of two arteries and one vein
10. dispose of the placenta by incineration ( or
place in leak proof container for burial) after
consulting with the woman about cultural
practices
11. immerse both gloved hands in 0.5%
solution chlorine
20 Outline the 12. clean surface area and decontaminate with Procedur
What is the
minutes method for 0.5% solution chlorine e manual Explaining, Listening, method for
Answering Answering examination of
placenta 13. remove gloves by turning them out, place Demonstratio Placenta
and asking questions the placenta?
examination in leak proof container or plastic bag foe n questions
TIME SPECIFIC CONTENT TEACHING AUDIO ACTIVITIES EVALUATION
TEACHERS LEARNERS
FRAM OBJECTIV METHOD VISUAL
disposal
14. Report and document findings in clients
file.

Summary

Today we have discussed about examination of the placenta. Examination of the placenta is screening of the placenta for it
completeness to exclude if there is any this retained in the uterus. We mentioned the indications, the principals and requirement and I
demonstrated How to do an examination of the placenta.

ASSIGNMENT

Carry out a return demonstration on placenta examination

REFERENCES

1. General nursing council of Zambia (2014). Procedure Manual for students in the Registered Nursing Programme, 2nd
edition, Lusaka, Zambia.
2. University of Zambia School of medicine department of nursing sciences (2014). Bachelor of Science in nursing procedure
manual. Basic procedures. Lusaka, Zambia.