Name of the Subject: Obstetrics and Gynaecological Nursing.

Name of the topic: Foetal Development and Foetal Circulation.

Group: Third year B.Sc. Nursing student.

Date: 22/11/12 Time: 45 min

Place: Class room of 3rd year B.Sc. Nursing ,Govt. C.O.N.,Burdwan.

Method of teaching: Demonstration, lecture, discussion questionnaire.

Medium of teaching: English.

A.V.Aids: Charts, posters, blackboard, OHP.

Name of the student teacher:Tarakdasi Mondal.

Name of the teacher: Madam Subhra Roy.

General Objectives:
Students will be able to:--

 Gain knowledge about the development and circulation of foetus.

 Develop skill in monitoring antenatal foetal development.
 Practise their knowledge in real field.
 Teaching- Learning
Specific Activity A.V.
Time Contents Evaluation
Objective Teacher’s Student’s Aids
activity activity
The students INTRODUCTION --
will be able Foetal development is the process in
2min to:-
which a human embryo gestates
during pregnancy, from fertilization
until birth. The fetal circulation is
often encompassing the entire
fetoplacental circulation.
1min Announcement of the topic Announce Listen Chalk
Foetal development and foetal the topic carefully and
circulation. black
2min Fertilisation-- When semen is board
Define
deposited in the vagina, the Define
fertilisation Define
spermatozoa travel through the fertilisation
cervix and body of the uterus and Recall fertilisation
into the Fallopian tubes. Fertilization
of the ovum (egg cell) usually takes
place in the Fallopian tube.

Define the
Embryonic period-- The Define the
2min embryonic period in humans begins Define the embryonic
period Understand
at fertilization (penetration of the egg period period
by the sperm) and continues until the
OHP
end of the 10th week of gestation.
Gestational age vs. embryonic age-
Recognise the Gestational age is the time that has
3min exact Differenciate Recognise Differenciate
passed since the onset of the last the exact
difference the
menstruation, which generally or as difference gestational
standard occurs 2 weeks before the age and
actual fertilization. Embryonic age, in embryonic
contrast measures the actual age of age
the embryo or fetus from the time of
fertilization.

3min
Foetal period--The foetal period
th
Define foetal begins at the end of the 10 week of Define Listen Get idea
period gestation and continued before birth
carefully about the
of the baby.
period
Changes by weeks of gestation
Explain the Week 1–2:-- Gestational age: 0
Recognise
embryonic weeks and 0 dayntil to 1 week and 6 Discuss carefully Explain the
15min
weeks of days old. 1–14 days from last development
gestation OHP
menstruation in different
Week 3:-- Fertilization of the ovum weeks of
 Teaching- Learning
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Objective Teacher’s Student’s Aids
activity activity

to form a new human organism. gestation

Week 4:-- placenta and embryonic
The students
membranes formed.
will be able
to:- Week 5:-- A notochord formed.
Week 6:-- Measurement-4mm.
Embryo begins to curve.
week 7:-- Measurement-9mm. Eye,
legs, hand, kidney formation starts
Week 8:-- Measurement-13mm.
Lungs formation starts
Week 9:-- Measurement-18mm.
Describe
Fetal period--
2min Define The fetal period begins at the end of Outline the Identify the
the 10th week of gestation (8th week foetal foetal period
of development). Since the period
precursors of all the major organs OHP
are created by this time, the fetal
period is described both by organ
and by a list of changes by weeks of
gestational age.
Week 10 to 12:-- Measurement-30
to 80mm. Illustrate
Week 13 to 16:-- Measurement-
Develop Chart
15cm.
knowledge Express the
15mins Develop Week 19:-- Measurement-20cm.
changes of
Week 23:-- Measurement-28cm.
knowledge development
Week 27:-- Measurement-38cm. in foetal
Week 31:-- Measurement-38 to period
43cm.
Week 35:-- Measurement-40 to
48cm.
Week 36 to 40:-- Measurement-48
to 53cm.
The development is continued
postnatally with adaptation to
extrauterine life and child
development stages.

8 min Demonstrate Fetal circulation -- Outline Poster Explain the

the foetal foetal
The fetal circulation works Recognise
circulation circulation
differently from that of born humans,
mainly because the lungs are not in
 Teaching- Learning
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Objective Teacher’s Student’s Aids
activity activity

use: the fetus obtains oxygen and

students will nutrients from the mother through
be able to:- the placenta and the umbilical cord.
Placental role-- fetal hemoglobin
has a higher affinity for oxygen so
diffusion of oxygen from the mother's
circulatory system occurs via
placenta. . Water, glucose, amino
acids, vitamins, and inorganic salts
freely diffuse across the placenta
along with oxygen. Circuit
—The foetal circulation is the
circulatory system of human foetus.
The foetal circulation works
differently from that of born
humans,mainly because the lungs are
10mins not in use. Demonstrate Understand
Recognise the Changes of Foetal circulation changes in
Point out the
changes at birth:- foetal
circulation sites of
changes in
 Closure of the umbilical
arteries circulation
 Closure of the umbilical vein after birth
and ductus venosus
 Closure of the ductus
arteriosus
 Closure of the foramen ovale Summerise Recall
the topic
2min Summarisation:--Discussion
done about the gradual development
of the foetus and the difference in Conclude the
foetal circulation then circulation topic Review
after birth.
1min Conclusion—Foetal morbidity and
mortality are minimised by gaining
proper knowledge about foetal
development and circulation.

Evaluation done by questionnairs method

Bibliography
1. ^ Definitions and Indicators in Family Planning. Maternal & Child Health and
Reproductive Health. By European Regional Office, World Health Organization. Revised March
1999 & January 2001. In turn citing: WHO Geneva, WHA20.19, WHA43.27, Article 23
2. Whitaker, Kent (2001). "Fetal Circulation". Comprehensive Perinatal and Pediatric
Respiratory Care. Delmar Thomson Learning. pp. 18–20. ISBN 978-0-7668-1373-1.
http://books.google.com/books?id=R3WK8XyAHYgC&pg=PA18.
3. Johnson, P.; D.J., Maxwell, M.J. Tynan, L.D. Allan (2000). "Dr.". Heart 84 (1): 59–63.
doi:10.1136/heart.84.1.59. http://heart.bmj.com/content/84/1/59.full. Retrieved 09/04/12.
4. ^ patient.co.uk » PatientPlus » Antepartum Haemorrhage Last Updated: 5 May 2009
5. ^ The Royal Women’s Hospital > antepartum haemorrhage Retrieved on Jan 13, 2009
6. ^ Moore L. Keith. (2008). Before We Are Born: Essentials of Embryology and Birth
Defects. Philadelphia, PA: Saunders/Elsevier. ISBN 978-1-4160-3705-7.
7. ^ a b Stephen Jay Gould,. Ontogeny and Phylogeny. Cambridge, Mass: Belknap Press. p.
206. ISBN 0-674-63941-3. http://www.sjgarchive.org/library/ontogeny.html.
8. ^ a b c d e f g h i j k l m n o p q r s t )William J. Larsen (2001). Human embryology.
Edinburgh: Churchill Livingstone. ISBN 0-443-06583-7. [page needed]
9. ^ Scott F. Gilbert; with a chapter on plant development by Susan R. Singer (2000).
Developmental biology. Sunderland, Mass: Sinauer Associates. ISBN 0-87893-243-7.
http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=dbio.box.2669.
10. ^ 3D Pregnancy (large image of fetus at 4 weeks after fertilization). Retrieved 2007-08-
28. A rotatable 3D version of this photo is available here, and a sketch is available here.
11. ^ Wagner F, Erdösová B, Kylarová D (December 2004). "Degradation phase of apoptosis
during the early stages of human metanephros development". Biomed Pap Med Fac Univ Palacky
Olomouc Czech Repub 148 (2): 255–6. PMID 15744391.
12. ^ 3D Pregnancy (large image of fetus at 10 weeks after fertilization). Retrieved 2007-08-
28. A rotatable 3D version of this photo is available here, and a sketch is available here.
13. ^ Mazza V, Falcinelli C, Paganelli S, et al. (June 2001). "Sonographic early fetal gender
assignment: a longitudinal study in pregnancies after in vitro fertilization". Ultrasound Obstet
Gynecol 17 (6): 513–6. doi:10.1046/j.1469-0705.2001.00421.x. PMID 11422974.
14. ^ 3D Pregnancy (large image of fetus at 18 weeks after fertilization). Retrieved 2007-08-
28. A rotatable 3D version of this photo is available here, and a sketch is available here.
15. ^ 3D Pregnancy (large image of fetus at 38 weeks after fertilization). Retrieved 2007-08-
28. A rotatable 3D version of this photo is available here, and a sketch is available here.
16. ^ [1], “Prenatal Factors in Schizophrenia”, 2012-07-10
 Seminar On
Foetal Development
and Foetal Circulation

Submitted to: Submitted by:

Madam Subhra Roy Tarakdasi

Mondal

Govt. College Of Nursing 1st Yr M.Sc.

Nursing

Burdwan Govt. College

Of Nursing
Burdwan