KATURI COLLEGE OF NURSING

III Year B.Sc., Nursing

COURSE PLAN FOR MEDICAL SURGICAL NURSING (Adult including Geriatrics)-II

PLACEMENT : III Year B.Sc., Nursing.

TIME ALLOTED : THEORY 150 Hours

Course Description

The purpose of this course is to acquire knowledge and develop proficiency in caring for
patients with medical and surgical disorders in varieties of health care settings and at home.

General Objectives

1. Describe the etiology, pathophysiology, clinical manifestations, diagnostic measures and

management of patients with disorders of Ear, Nose, Throat, Eye, neuro-logical disorders,
etc.
2. Describe concepts of reproductive health and family welfare programme
3. Describe the etiology, pathophysiology, clinical manifestations, diagnostic measures and
management of patients with disorders of patients with Burns, reconstructive and
cosmetic surgery

1
Unit Content Teaching Signature Signature Predicted
personnel of staff of HOD date of
Completion
Unit-I Nursing management of patient with disorders of
Ear, Nose and Throat
 Review of anatomy and physiology of the Ear Nose
and Throat
 Nursing assessment- History and Physical
assessment
 Etiology, Pathophysiology, clinical manifestations,
diagnosis, treatment modalities and medical &
Surgical nursing management of Ear Nose and
Throat disorders:
 External ear: deformities otalgia, foreign bodies
and tumours
 Middle Ear-Impacted wax, Tympanic membrane
perforation, otitis media, otosclerosis, mastoiditis,
tumours
 Inner ear- Meniere’s Disease, labyrinthitis,
ototoxicity, tumours
 Upper airway infections-common cold, sinusitis,
ethinitis, rhinitis, pharyngitis, tonsillitis and
adenoiditis, peritonsilar abscess, laryngitis
 Upper respiratory airway-epistaxis
 Nasal obstruction, laryngeal obstruction, cancer of
the larynx
 Cancer of the oral cavity
 Speech defects and speech therapy
 Deafness-

2
  Prevention, control and rehabilitation
 Hearing Aids, implanted hearing devices
Special Therapies
Nursing procedures
Drugs used in treatment of disorders of Ear, Nose and
Throat
Role of nurse Communicating with hearing impaired
and muteness.
Unit II Nursing management of patient with disorder of eye
 Review of anatomy and physiology of the eye –
 Nursing Assessment-History and Physical assessment
 Etiology, Pathophysiology, clinical manifestations,
diagnosis, treatment modalities and medical &
surgical nursing management of eye disorders:
 Refractive errors
 Eyelids-infection, tumours & deformities
 Conjunctiva-inflammation and infection, bleeding
 Cornea-inflammation and infection
 Lens-Cataracts
 Glaucoma
 Disorder of the uveal tract
 Ocular tumours
 Disorders of posterior chamber & retina: retinal
and vitreous problems
 Retinal detachment
 Ocular emergencies and their prevention
 Blindness
 National blindness control program
 Eye Banking
 Eye prostheses and Rehabilitation
3
 Role of nurse-Communication with visually impaired
patient, Eye camps
Special Therapies
Nursing procedures. Drugs used in treatment of
disorders of eye
Unit III Nursing management of patient with neurological
disorders
 Review of anatomy and physiology of the
neurological system
 Nursing Assessment – History and Physical and
neurological
 Etiology, pathophysiology, clinical manifestations,
diagnosis, treatment modalities and medical &
surgical nursing management of neurological
disorders
 Congenital malformations
 Headache
 Head Injuries
 Spinal Injuries
 Paraplegia
 Hemiplegia
 Quadraplegia
 Spinal cord compression-herniation of intervertebral
disc
 Tumors of the brain and spinal cord
 Intra cranial & cerebral aneurysms
 Infections:
 Meningitis, Encepha-litis, Brain abscess,
neurocysticercosis
 Movement disorders
4
  Chorea
 Seizures
 Epilepsies
 Cerebro Vascular Accidents(CVA)
 Cranial, Spinal Neuropa-thies-Bell’s palsy,
trigeminal neuralgia
 Peripheral Neuropathies: Guillain-Barr’e Syndrome
 Myasthenia gravis
 Multiple sclerosis
 Degenerative diseases
 Delirium
 Dementia
 Alzheimer’s disease
 Parkinson’s disease
 Management of unconscious patients & patients with
stroke
 Role of the nurse in communicating with patient
having neurological deficit
 Rehabilitation of patients with neurological deficit
Role of nurse in long stay facility (institutions) and at
home
Special Therapies
Nursing procedures
Drugs used in treatment of neurological disorders
Unit IV Nursing management of patients with disorders of
female reproductive system
 Review of anatomy and physiology of the
reproductive system
 Nursing Assessment – History and Physical
assessment
5
 Breast Self Examination
 Etiology, pathophysiology, clinical manifestations,
diagnosis, treatment modalities and medical &
surgical nursing management of disorder of female
reproductive system
 Congenital abnormalities of female reproductive
system
 Sexuality and Reproductive Health
 Sexual Health Assessment
 Menstrual Disorders: Dysmenorrhea, Amenorrhea,
Premenstrual Syndrome
 Abnormal Uterine Bleeding; Menorrhagia,
Metrorrhagia
 Pelvic Inflammatory Disease –
 Ovarian and fallopian tube disorders; infections,
cysts, tumours
 Uterine & cervical disorders; Endometriosis, polyps,
Fibroids, Cervical & uterine tumours, uterine
displacement, Cystocele/Urethrocele/Rectocele
 Vaginal disorders; Infections, cysts, tumours
 Diseases of breasts; Deformities, Infections, Cysts
and Tumours
 Menopause and Hormonal Replacement Therapy
Infertility
 Contraception ; Types Methods, Risk and
effectiveness
 Spacing methods
- Barrier methods, Intera Uterine Devices,
Hormonal, Post Conceptional Methods, etc
 Terminal methods- Sterilization
6
  Emergency Contraception methods
 Abortion-Natural, Medical and Surgical abortion-
MTP Act
 Toxic Shock Syndrome
 Injuries and Trauma; Sexual violence
Special Therapies
Nursing procedures
Drugs used in treatment of gynaecological disorders
National family welfare programme
Unit V Nursing management of patients with Burns,
reconstructive & cosmetic surgery disorders of
female reproductive system
 Review of anatomy and physiology of the skin &
connective tissues and various deformities
 Nursing Assessment – History and Physical
assessment & Assessment of burns & fluid and
electrolyte loss
 Etiology, Classification, Pathophysiology, clinical
manifestations, diagnosis, treatment modalities and
medical & surgical nursing management of Burns &
Re-constructive and Cosmetic surgery
 Types of Re-constructive and Cosmetic surgery; for
burns, congenital deformities, injuries and cosmetic
purposes
 Role of Nurse
 Legal aspects
 Rehabilitation
 Special Therapies
 Psycho social aspects
Nursing procedures

7
 Drugs used in treatment of burns, reconstructive and
cosmetic surgery
Unit VI  Nursing management of patients with oncological
conditions
 Structure & characteristics of normal & cancer cells
 Nursing Assessment-History and Physical assessment
 Prevention, Screening, Early detection, Warning
signs of cancer
 Epidemiology, Etiology, Classification, Patho-
physiology, Staging, clinical manifestations,
diagnosis, treatment modalities and medical &
surgical nursing management of oncological
conditions
 Common malignancies of various body systems:
Oral, larynx, lung, Stomach and Colon, Liver,
Leukemias and lymphomas, Breast, Cervix, Ovary,
Uterus, Sarcoma, Brain, Renal, Bladder, Prostate etc
 Oncological emergences
 Modalities of treatment
 Immunotherapy chemotherapy
 Radiotherapy
 Surgical Interventions
 Stem cell and Bone marrow transplants
 Gene therapy
 Other forms of treatment
 Psychosocial aspects of cancer
 Rehabilitation
 Palliative care; Symptom and Pain Management,
Nutritional support
 Home care
8
  Hospice care
 Stomal Therapy
 Special Therapies
 Psycho social aspects
Nursing procedures
Unit VII Nursing management of patient in Emergency and
Disaster situations
Disaster Nursing:
 Concepts & principles of Disaster Nursing
 Causes and types of Disaster : Natural and Man-made
- Earthquakes, Floods, Epidemics, Cyclones
- Fire, Explosion, Accidents
- Violence, Terrorism; bio-chemical, War
 Disaster preparedness:
 Team, Guidelines, protocols, Equipments, Resources
 Coordination and involvement of; Community,
various Govt., departments, non-govt. organizations &
International agencies
 Role of nurse: working
 Legal Aspects of Disaster Nursing
 Impact on Health and after effects; Post Traumatic
Stress Disorder
 Rehabilitation; physical, psycho-social, Financial,
Relocation
Emergency Nursing
 Concept, priorities, principles & scope of emergency
nursing
 Organization of emergency services: physical setup,
staffing, equipment and supplies, protocols, Concepts
of triage and role of triage nurse
9
  Coordination & involvement of different departments
and facilities
 Nursing Assessment-History and Physical assessment
 Etiology, Pathophysiology, clinical manifestations,
diagnosis, treatment modalities and medical and
Surgical nursing management of patient with medical
and surgical Emergency
 Principles of emergency management
 Common Emergencies
 Respiratory emergencies
 Cardiac Emergencies
 Shock & Haemorrhage
 Pain
 Poly-Trauma, road accidents, crush injuries, wound
 Bites
 Poisoning; Food, Gas, Drugs and chemical poisoning
 Seizures
 Thermal Emergencies Heat stroke and Cold injuries
 Pediatric Emergencies
 Psychiatric Emergencies
 Obstetrical Emergencies
 Violence, Abuse, Sexual assault
 Cardio Pulmonary Resuscitation
 Crisis Intervention
 Role of the nurse; Communication and Inter personal
Relations
Medico-Legal Aspects;
Unit VIII Nursing care of the elderly
 Nursing Assessment-History and Physical assessment
 Ageing;
10
  Demography; Myths and realities
 Concepts & theories of ageing
 Cognitive Aspects of Ageing
 Normal biological ageing
 Age related body systems changes
 Psychosocial Aspects of Ageing
 Medications and elderly
 Stress & coping in older adults
 Common Health Problems & Nursing Management
 Cardiovascular, Respiratory, Musculoskeletal
 Endocrine, genitor-urinary, gastrointestinal
 Neurological, Skin and other Sensory organs
- Psychosocial and Sexual
- Abuse of elderly
 Role of nurse for care of elderly: ambulation,
nutritional, communicational, psychosocial and
spiritual
 Role of nurse for caregivers of elderly
 Role of family and formal and non formal caregivers
 Use of aids & prosthesis (hearing aids, dentures)
 Legal & Ethical Issues
 Provisions & Programmes for elderly; privileges,
Community Programs and health services
 Home & institutional care
Unit IX Nursing management of patient in critical care units
 Nursing Assessment-History & Physical assessment
 Classification
 Principles of critical care nursing
 Organization; Physical setup, Policies, staffing norms
 Protocols, equipment and supplies
11
  Special equipments; ventilators, cardiac monitors,
defibrillators
 Resuscitation equipments
 Infection Control Protocols
 Nursing management of critically ill patient
 Monitoring of critically ill patient
 CPR-Advance Cardiac Life support
 Treatments & procedures
 Transitional care
 Ethical & Legal Aspects
 Communication with patient and family
 Communication with patient and family
 Intensive care records
 Crisis Intervention
 Death & Dying-coping with
 Drugs used in critical care unit
Unit X Nursing management of patients adults including
elderly with Occupational and Industrial disorders
 Nursing Assessment-History and Physical assessment
 Etiology, Patho-physiology, clinical manifestations,
diagnosis, treatment modalities and medical &
surgical nursing management of occupational and
industrial health disorders
 Role of nurse Special Therapies, Alternative
therapies Nursing procedures Drug used in treatment
of Occupational & Industrial disorders

12
 MEDICAL SURGICAL NURSING (Adult including Geriatrics)-II
UNIT CONTENT HOUR TEACHING TEACHING TEACHING EVAL
PERSONNEL METHOD MATERIAL TION
I Nursing management of patient with Lecture Black board Written
disorders of Ear, Nose and Throat Discussion test in
 Review of anatomy and physiology of class ro
the Ear Nose and Throat
 Nursing assessment- History and
Physical assessment 1
 Etiology, Pathophysiology, clinical
manifestations, diagnosis, treatment
modalities and medical & Surgical 1
nursing management of Ear Nose and
Throat disorders:
 External ear: deformities otalgia,
foreign bodies and tumours
 Middle Ear-Impacted wax,
Tympanic membrane perforation,
otitis media, otosclerosis,
mastoiditis, tumours 1
 Inner ear- Meniere’s Disease,
labyrinthitis, ototoxicity, tumours
 Upper airway infections-common
1
cold, sinusitis, ethinitis, rhinitis,
pharyngitis, tonsillitis and
adenoiditis, peritonsilar abscess,
laryngitis
 Upper respiratory airway-epistaxis
 Nasal obstruction, laryngeal 1
13
 obstruction, cancer of the larynx
 Cancer of the oral cavity
 Speech defects and speech therapy 1
 Deafness- 2
 Prevention, control and rehabilitation
 Hearing Aids, implanted hearing 1
devices
Special Therapies
Nursing procedures 1
Drugs used in treatment of disorders of 1
Ear, Nose and Throat
Role of nurse Communicating with 1
hearing impaired and muteness. 1

II Nursing management of patient with Lecture Black board Written

disorder of eye Discussion test in
 Review of anatomy and physiology of 1 class ro
the eye –
 Nursing Assessment-History and 1
Physical assessment
 Etiology, Pathophysiology, clinical
manifestations, diagnosis, treatment
modalities and medical & surgical
14
 nursing management of eye disorders:
 Refractive errors 1
 Eyelids-infection, tumours &
deformities 1
 Conjunctiva-inflammation and 1
infection, bleeding
 Cornea-inflammation and infection 1
 Lens-Cataracts
 Glaucoma 1
1
 Disorder of the uveal tract
 Ocular tumours
 Disorders of posterior chamber & 1
retina: retinal and vitreous problems 1
 Retinal detachment
 Ocular emergencies and their 1
prevention 1
 Blindness
 National blindness control program 1
 Eye Banking 1
 Eye prostheses and Rehabilitation
Role of nurse-Communication with 1
visually impaired patient, Eye camps
Special Therapies
Nursing procedures 1
Drugs used in treatment of disorders of
eye
III Nursing management of patient with Lecture Black board Written
neurological disorders Discussion test in
 Review of anatomy and physiology of class ro
the neurological system
15
 Nursing Assessment – History and
Physical and neurological 1
 Etiology, pathophysiology, clinical
manifestations, diagnosis, treatment
modalities and medical & surgical 1
nursing management of neurological
disorders
 Congenital malformations
 Headache
 Head Injuries
 Spinal Injuries
1
 Paraplegia
 Hemiplegia
 Quadraplegia
 Spinal cord compression-herniation of 1
intervertebral disc
 Tumors of the brain and spinal cord
 Intra cranial & cerebral aneurysms
 Infections: 1
 Meningitis, Encepha-litis, Brain
abscess, neurocysticercosis
 Movement disorders 1
 Chorea
 Seizures 1
 Epilepsies
 Cerebro Vascular Accidents(CVA) 1
 Cranial, Spinal Neuropa-thies-Bell’s
palsy, trigeminal neuralgia
 Peripheral Neuropathies: Guillain-
Barr’e Syndrome 1
16
 Myasthenia gravis
 Multiple sclerosis
 Degenerative diseases
 Delirium 1
 Dementia
 Alzheimer’s disease
1
 Parkinson’s disease
 Management of unconscious patients
& patients with stroke
1
 Role of the nurse in communicating
with patient having neurological
deficit
 Rehabilitation of patients with 1
neurological deficit
Role of nurse in long stay facility
(institutions) and at home
Special Therapies
Nursing procedures 1
Drugs used in treatment of neurological
disorders
1

17
IV Nursing management of patients with Lecture Black board Written
disorders of female reproductive Discussion test in
system class ro
 Review of anatomy and physiology of
the reproductive system
 Nursing Assessment – History and 1
Physical assessment
 Breast Self Examination
 Etiology, pathophysiology, clinical
manifestations, diagnosis, treatment 1
modalities and medical & surgical
nursing management of disorder of
female reproductive system
 Congenital abnormalities of female
reproductive system
 Sexuality and Reproductive Health
 Sexual Health Assessment
 Menstrual Disorders: Dysmenorrhea,
1
Amenorrhea, Premenstrual Syndrome
 Abnormal Uterine Bleeding;
Menorrhagia, Metrorrhagia 1
 Pelvic Inflammatory Disease –
 Ovarian and fallopian tube disorders;
infections, cysts, tumours
 Uterine & cervical disorders; 1
Endometriosis, polyps, Fibroids,
Cervical & uterine tumours, uterine
displacement, Cystocele/
Urethrocele/Rectocele

18
 Vaginal disorders; Infections, cysts, 1
tumours
 Diseases of breasts; Deformities,
Infections, Cysts and Tumours 1
 Menopause and Hormonal
Replacement Therapy Infertility
 Contraception ; Types Methods, Risk
and effectiveness
 Spacing methods
- Barrier methods, Intera Uterine 1
Devices, Hormonal, Post
Conceptional Methods, etc
 Terminal methods- Sterilization
 Emergency Contraception methods
 Abortion-Natural, Medical and
1
Surgical abortion- MTP Act
 Toxic Shock Syndrome
 Injuries and Trauma; Sexual violence 1
Special Therapies
Nursing procedures
Drugs used in treatment of
gynaecological disorders
National family welfare programme

19
 1

1
1

V Nursing management of patients with Lecture Black board Written

Burns, reconstructive & cosmetic Discussion test in
surgery disorders of female class ro
reproductive system
 Review of anatomy and physiology of
the skin & connective tissues and
various deformities
 Nursing Assessment – History and
Physical assessment & Assessment of 1
burns & fluid and electrolyte loss
 Etiology, Classification,
Pathophysiology, clinical
manifestations, diagnosis, treatment
modalities and medical & surgical 1
nursing management of Burns & Re-
constructive and Cosmetic surgery
 Types of Re-constructive and
Cosmetic surgery; for burns,
congenital deformities, injuries and
cosmetic purposes
 Role of Nurse
20
  Legal aspects 2
 Rehabilitation
 Special Therapies
 Psycho social aspects
Nursing procedures
Drugs used in treatment of burns, 1
reconstructive and cosmetic surgery 1
1
1
1
1
VI  Nursing management of patients Lecture Black board Written
with oncological conditions Discussion test in
 Structure & characteristics of normal class ro
& cancer cells
 Nursing Assessment-History and
Physical assessment
 Prevention, Screening, Early
detection, Warning signs of cancer 1
 Epidemiology, Etiology,
Classification, Patho-physiology,
Staging, clinical manifestations,
diagnosis, treatment modalities and
medical & surgical nursing
management of oncological conditions
 Common malignancies of various
body systems: Oral, larynx, lung,
Stomach and Colon, Liver, Leukemias
and lymphomas, Breast, Cervix,
Ovary, Uterus, Sarcoma, Brain, Renal,
Bladder, Prostate etc
21
 Oncological emergences 1
 Modalities of treatment
 Immunotherapy chemotherapy
 Radiotherapy
 Surgical Interventions
 Stem cell and Bone marrow
transplants
 Gene therapy
1
 Other forms of treatment
 Psychosocial aspects of cancer 1
 Rehabilitation
 Palliative care; Symptom and Pain
Management, Nutritional support 1
 Home care
 Hospice care
 Stomal Therapy
 Special Therapies 1
 Psycho social aspects
 Nursing procedures

22
 1
VII Nursing management of patient in Lecture Black board Written
Emergency and Disaster situations Discussion test in
Disaster Nursing: class ro
 Concepts & principles of Disaster
Nursing
 Causes and types of Disaster : Natural
and Man-made
- Earthquakes, Floods, Epidemics,
Cyclones
- Fire, Explosion, Accidents
- Violence, Terrorism; bio-chemical,
War
 Disaster preparedness: 1
 Team, Guidelines, protocols,
Equipments, Resources
 Coordination and involvement of; 1
Community, various Govt.,
departments, non-govt. organizations &
International agencies
 Role of nurse: working
 Legal Aspects of Disaster Nursing
 Impact on Health and after effects; Post
Traumatic Stress Disorder
 Rehabilitation; physical, psycho-social,
Financial, Relocation 1
Emergency Nursing
 Concept, priorities, principles & scope
of emergency nursing
 Organization of emergency services:
physical setup, staffing, equipment and
23
 supplies, protocols, Concepts of triage
and role of triage nurse
 Coordination & involvement of
different departments and facilities
 Nursing Assessment-History and
Physical assessment 1
 Etiology, Pathophysiology, clinical
manifestations, diagnosis, treatment
modalities and medical and Surgical
nursing management of patient with
medical and surgical Emergency
 Principles of emergency management
 Common Emergencies
 Respiratory emergencies
 Cardiac Emergencies
 Shock & Haemorrhage
 Pain
 Poly-Trauma, road accidents, crush
injuries, wound
 Bites
 Poisoning; Food, Gas, Drugs and
chemical poisoning
 Seizures
 Thermal Emergencies Heat stroke and 1
Cold injuries
 Pediatric Emergencies
 Psychiatric Emergencies
 Obstetrical Emergencies
 Violence, Abuse, Sexual assault
 Cardio Pulmonary Resuscitation
24
  Crisis Intervention
 Role of the nurse; Communication and
Inter personal Relations
Medico-Legal Aspects;

1
VIII Nursing care of the elderly Lecture Black board Written
 Nursing Assessment-History and Discussion test in
Physical assessment class ro
 Ageing; 1
 Demography; Myths and realities
 Concepts & theories of ageing
 Cognitive Aspects of Ageing
25
 Normal biological ageing
 Age related body systems changes
 Psychosocial Aspects of Ageing 1
 Medications and elderly
 Stress & coping in older adults
 Common Health Problems & Nursing 1
Management
 Cardiovascular, Respiratory,
1
Musculoskeletal
 Endocrine, genitor-urinary,
gastrointestinal
 Neurological, Skin and other Sensory
organs
- Psychosocial and Sexual
- Abuse of elderly
 Role of nurse for care of elderly:
ambulation, nutritional,
communicational, psychosocial and
spiritual
 Role of nurse for caregivers of elderly
 Role of family and formal and non 1
formal caregivers
 Use of aids & prosthesis (hearing aids,
dentures)
 Legal & Ethical Issues
 Provisions & Programmes for elderly;
privileges, Community Programs and
health services 1
 Home & institutional care

26
 1

1
1
IX Nursing management of patient in Lecture Black board Written
critical care units Discussion test in
 Nursing Assessment-History & class ro
Physical assessment
 Classification 1
 Principles of critical care nursing
 Organization; Physical setup, Policies,
staffing norms 1
 Protocols, equipment and supplies
 Special equipments; ventilators,
cardiac monitors, defibrillators
 Resuscitation equipments
1
 Infection Control Protocols
 Nursing management of critically ill
patient 1
 Monitoring of critically ill patient
 CPR-Advance Cardiac Life support 1
 Treatments & procedures
 Transitional care
 Ethical & Legal Aspects
 Communication with patient and 1
family
27
  Communication with patient and 1
family
 Intensive care records
 Crisis Intervention 1
 Death & Dying-coping with 1
 Drugs used in critical care unit 1
X Nursing management of patients Lecture Black board Written
adults including elderly with Discussion test in
Occupational and Industrial disorders class ro
 Nursing Assessment-History and
Physical assessment
 Etiology, Patho-physiology, clinical
manifestations, diagnosis, treatment 3
modalities and medical & surgical
nursing management of occupational
and industrial health disorders
 Role of nurse Special Therapies,
Alternative therapies Nursing
procedures Drug used in treatment of
Occupational & Industrial disorders
3

28
 KATURI COLLEGE OF NURSING

COURSE PLAN FOR CHILD HEALTH NURSING

PLACEMENT: III Year B.Sc., Nursing.

TIME ALLOTED: THEORY 90 Hours

Course Description

This course is designed for developing and understanding of the modern approach to
child care, identification, prevention and nursing management of common health problems of
neonates and children.

General Objectives

1. Explain the modern concept of child care and principles of child health Nursing
2. Describe national policy programs and legislation in relation to child health and welfare
3. List major causes of death during infancy, early and late childhood
4. Describe the major functions and role of the pediatric nurse in caring for a hospitalized child
5. Describe the principles of child health nursing

29
 Unit Content Teaching Signature Signature Predicted
personnel of staff of HOD date of
Completion
Unit-I Introduction
 Modern concepts of childcare
 Internationally accepted rights of the Child
 National policy and legislations in relation to child
health and welfare
 National programmes related to child health and
welfare
 Agencies related to welfare services to the
children
 Changing trends in hospital care, preventive,
promotive and curative aspects of child health
 Child morbidity and mortality rates
 Differences between an adult and child
 Hospital environment for a sick child
 Impact of hospitalization on the child and family
 Grief and bereavement
 The role of a Child health nurse in caring for a
hospitalized child
 Principles of pre and post operative care of infants
and children
 Child health nursing procedures
Unit II The healthy child
 Principles of growth and development
 Factors affecting growth and development
 Growth and development from birth to adolescene
 The needs of normal children through the stages of
developmental and parental guidance
30
  Nutritional needs of children and infants: breast
feeding, exclusive breast feeding
supplementary/artificial feeding and weaning.
 Baby friendly hospital concept
 Accidents: causes and prevention
 Value of play and selection of play material
 Preventive immunization, immunization programme
and cold chain
 Preventive paediatrics
 Care of under five and under five clinics/well baby
clinics
Unit III Nursing care o f a neonate
 Nursing care of a normal newborn/ Essential
newborn care
 Neonatal resuscitation
 Nursing management of a low birth weight baby
 Kangaroo mother care
 Nursing management of common neonatal
disorders
 Organization o neonatal unit
 Identification and nursing management of
common congenital malformations
Unit IV Integrated management of neonatal and childhood
illnesses (IMNCI)
Unit V Nursing management in common childhood
diseases
 Nutritional deficiency disorders
 Respiratory disorders and infections
 Gastrointestinal infections, infestations and
congenital disorders
31
  Cardio vascular problem: congenital defects and
rheumatic fever, rheumatic heart disease
 Genitor-urinary disorders: acute glomerulo
nephritis, Nephrotic syndrome, Wilms’ tumor,
infection and congenital disorders
 Neurological infections and disorders: convulsions,
epilepsy, meningitis, hydrocephalus, spina-bifida
 Hematological disorders: Anemias, thalassemia,
ITP, Leukemia, hemophilia
 Endocrine disorders: Juvenile Diabetes Mellitus
 Orthopedic disorders: club feet, hip dislocation and
fracture
 Disorders of skin, eye & ears
 Common communicable diseases in children, their
identification, nursing management in hospital and
home and prevention
 Child health emergencies : poisoning, foreign
bodies, hemorrhage, burns & drowning
 Nursing care of infant and children with HIV/AIDS
Unit VI Management of behavioural and social problems in
children
 Management of common behavioural disorders
 Management of common psychiatric problems
 Management of challenged children: Mentally,
Physically and socially challenged
 Welfare services for challenged children in India
 Child guidance clinics

CHILD HEALTH NURSING

UNIT CONTENT HOUR TEACHING TEACHING TEACHING EVALUA
32
 PERSONNEL METHOD MATERIAL TION
I Introduction Lecture Black board Written
 Modern concepts of childcare 1 Discussion test in
 Internationally accepted rights of class room
the Child
 National policy and legislations 2
in relation to child health and
welfare
 National programmes related to 1
child health and welfare
 Agencies related to welfare 1
services to the children
 Changing trends in hospital care,
preventive, promotive and 2
curative aspects of child health
1
 Child morbidity and mortality
rates
1
 Differences between an adult and
child
1
 Hospital environment for a sick
child
 Impact of hospitalization on the 1
child and family 1
 Grief and bereavement
 The role of a Child health nurse 1
in caring for a hospitalized child
 Principles of pre and post 1
operative care of infants and
children
 Child health nursing procedures 1
33
II The healthy child Lecture Black board Written
 Principles of growth and 2 Discussion test in
development class room
 Factors affecting growth and 2
development
 Growth and development from 2
birth to adolescene
 The needs of normal children 2
through the stages of
developmental and parental
guidance
 Nutritional needs of children and
infants: breast feeding, exclusive 2
breast feeding
supplementary/artificial feeding 2
and weaning.
 Baby friendly hospital concept 2
 Accidents: causes and prevention
 Value of play and selection of play
2
material
 Preventive immunization,
immunization programme and cold 2
chain
 Preventive paediatrics 1
 Care of under five and under five 2
clinics/well baby clinics
III Nursing care of a neonate Lecture Black board Written
 Nursing care of a normal Discussion test in
newborn/ Essential newborn care class room
 Neonatal resuscitation 3
2
34
  Nursing management of a low
birth weight baby 2
 Kangaroo mother care 2
 Nursing management of
common neonatal disorders 2
 Organization of neonatal unit
 Identification and nursing 2
management of common
congenital malformations
2
IV Integrated management of Lecture Black board Written
neonatal and childhood illnesses Discussion test in
(IMNCI) 10 class room

V Nursing management in common Lecture Black board Written

childhood diseases Discussion test in
 Nutritional deficiency disorders 2 class room
 Respiratory disorders and
infections 1
 Gastrointestinal infections,
infestations and congenital
disorders
 Cardio vascular problem: 2
congenital defects and rheumatic
fever, rheumatic heart disease
 Genitor-urinary disorders: acute
glomerulo nephritis, Nephrotic 2
syndrome, Wilms’ tumor, infection
and congenital disorders
 Neurological infections and 1
disorders: convulsions, epilepsy,
35
 meningitis, hydrocephalus, spina-
bifida
 Hematological disorders: Anemias, 2
thalassemia, ITP, Leukemia,
hemophilia
 Endocrine disorders: Juvenile 1
Diabetes Mellitus
 Orthopedic disorders: club feet, 1
hip dislocation and fracture 2
 Disorders of skin, eye & ears
 Common communicable diseases 1
in children, their identification,
nursing management in hospital 2
and home and prevention 2
 Child health emergencies :
poisoning, foreign bodies, 1
hemorrhage, burns & drowning
 Nursing care of infant and children
with HIV/AIDS

VI Management of behavioural and Lecture Black board Written

social problems in children Discussion test in
 Management of common class room
behavioural disorders
 Management of common 2
 psychiatric problems
 Management of challenged 2
children: Mentally, Physically and
socially challenged
 Welfare services for challenged
2
36
 children in India
 Child guidance clinics 2
2

37
 KATURI COLLEGE OF NURSING
III Year B.Sc., Nursing

COURSE PLAN FOR MENTAL HEALTH NURSING

PLACEMENT: III Year B.Sc., Nursing.

TIME ALLOTED: THEORY 90 Hours

Course Description

This course is designed for developing an understanding of the modern approach to

mental health, identification, prevention and nursing management of common mental health
problems with special emphasis on the therapeutic interventions for individuals, family and
community

General Objectives

1. Describe the historical development and current trends in mental health nursing
2. Describe the epidemiology of mental health problems
3. Describe the national mental health Act, programmes and mental health policy
4. Discusses the scope of mental health nursing
Unit Content Teaching Signature Signature Predicted
personnel of staff of HOD date of
Completion
Unit-I Introduction
 Perspective of Mental Health and Mental Health
nursing: evolution of mental health services,
38
 treatments and nursing practices
 Prevalence and incidence of mental health problems
and disorders
 Mental Health Act
 National Mental health policy vis a vis National
health policy
 National Mental health programme
 Mental Health team
 Nature and scope of mental health nursing
 Role and functions of mental health nurse in various
settings and factors affecting the level of nursing
practice
 Concepts of normal and abnormal behaviour
Unit II Principles and Concepts of Mental Health Nursing
 Definition: mental health nursing and terminology
used
 Classification of mental disorders :ICD
 Review of personality development, defense
mechanisms
 Maladaptive behaviour of individuals and groups:
stress, crisis and disaster(s)
 Etiology: bio-psycho-social factors
 Psychopathology of mental disorders: review of
structure and function of brain, limbic system and
abnormal neuro transmission
 Principles of Mental health Nursing
 Conceptual models and the role of nurse:
 Existential Model
 Psycho-analytical medoles
 Behavioural model
39
  Interpersonal model
Unit III Assessment of mental health status
 History taking
 Mental status examination
 Mini mental status examination
 Neurological examination: review
 Investigations ; Related Blood chemistry, EEG, CT
and MRI
 Psychological tests
Role and responsibilities of nurse
Unit IV Therapeutic communication and nurse-patient
relationship
 Therapeutic communication: types, techniques,
characteristics
 Types of relationship
 Ethics and responsibilities
 Elements of nurse patient contract
 Review of technique of IPR-Johari Window
 Goals, phases, tasks, therapeutic techniques
 Therapeutic impasse and its intervention
Unit V Treatment modalities and therapies used in mental
disorders
 Psycho Pharmacology
 Psychological therapies: Therapeutic community,
psycho therapy-individual: psycho-analytical,
cognitive and supportive, Family, Group,
behavioural. Play, Psycho-drama, Music, Dance,
Recreational & Light therapy, Relaxation therapies:
Yoga, Meditation, Bio feedback
 Alternative systems of medicine
40
  Occupational therapy
 Physical Therapy: electro convulsive therapy
 Geriatric considerations
Role of nurse in above therapies
Unit VI Nursing management of patient with Schizophrenia,
and other psychotic disorders
 Classification: ICD
 Etiology, psycho-pathology, types, clinical
manifestations, diagnosis
 Nursing Assessment-History, Physical & mental
assessment
 Treatment modalities and nursing management of
patients with Schizophrenia, and other psychotic
disorders
 Geriatric considerations
 Follow up and home care and rehabilitation
Unit VII Nursing management of patient with mood disorders
 Mood disorders: Bipolar affective disorder, Mania
depression & dysthamia etc
 Etiology, psycho-pathology, clinical manifestations,
diagnosis
 Nursing Assessment-History, Physical & mental
assessment
 Treatment modalities and nursing management of
patients with mood disorders
 Geriatric considerations
 Follow up and home care and rehabilitation
Unit Nursing management of patient with neurotic, stress
VIII related and somatization disorders
 Anxiety disorder, Phobias, Dissociation and
41
 Conversion disorder, Obsessive compulsive disorder,
somatoform disorders, Post traumatic stress disorder
 Etiology, psycho-pathology, clinical manifestations,
diagnosis
 Nursing Assessment-History, Physical & mental
assessment
 Treatment modalities and nursing management of
patients with neurotic, stress related and somatization
disorders
 Geriatric considerations
 Follow up and home care and rehabilitation
Unit IX Nursing management of patient with substance use
disorders
 Commonly used psychotropic substance:
Classification, forms, routes, action, intoxication and
withdrawal
 Etiology of dependence: tolerance, psychological and
physical dependence, withdrawal syndrome, diagnosis
 Nursing Assessment-History, Physical, mental
assessment and drug assay
 Treatment (detoxification, antabuse and narcotic
antagonist therapy and harm reduction) and nursing
management of patients with substance use disorders
 Geriatric considerations
 Follow up and home care and rehabilitation
Unit X Nursing management of patient with Personality,
Sexual and Eating disorders
 Classification of disorders
 Etiology, psycho-pathology, characteristics, diagnosis
 Nursing Assessment-History, Physical & mental
42
 assessment
 Treatment modalities and nursing management of
patients with Personality, Sexual & Eating disorders
 Geriatric considerations
 Follow up and home care and rehabilitation
Unit XI Nursing management of child-hood and adolescent
disorders including mental deficiency
 Classification
 Etiology, psycho-pathology, characteristics, diagnosis
 Nursing Assessment-History, Physical mental and IQ
assessment
 Treatment modalities and nursing management of
childhood disorders including mental deficiency
 Follow up and home care and rehabilitation
Unit XII Nursing management of organic brain disorders
 Classification : ICD?
 Etiology, psycho-pathology, clinical features,
diagnosis and Differential diagnosis (parkinsons &
alzheimers)
 Nursing Assessment-History, Physical mental and
neurological assessment
 Treatment modalities and nursing management of
organic brain disorders
 Geriatric considerations
 Follow up and home care and rehabilitation

Unit Psychiatric emergencies and crisis intervention

43
XIII  Types of psychiatric emergencies and their
management
 Stress adaptation Model: stress and stressor, coping,
resources and mechanism
 Grief: theories of grieving process, principles,
techniques of counseling
 Types of crisis
 Crisis Intervention: Principles, Techniques and
Process
 Geriatric considerations
 Role and responsibilities of nurse
Unit Legal issued in Mental Health Nursing
XIV  The Mental Health Act 1987: Act, sections, Articles
& their implications etc.
 Indian Lunacy Act 1912
 Rights of mentally ill clients
 Forensic psychiatry
 Acts related to narcotic and psychotropic substances
and illegal drug trafficking
 Admission and discharge procedures
 Role and responsibilities of nurse
Unit XV Community Mental Health Nursing
 Development of Community Mental Health Services:
 National Mental Health Programme
 Institutionalization Versus Deinstitutionalization
 Model of Preventive Psychiatry: Levels of Prevention
 Mental Health Services available at the primary,
secondary tertiary levels including rehabilitation and
Role of nurse
 Mental health Agencies: Government and voluntary,
44
 National and International
 Mental health nursing issues for special populations:
children, Adolescence, Women, Elderly, Victims of
violence and abuse, Handicapped, HIV/AIDS etc.

MENTAL HEALTH NURSING

UNIT CONTENT HOUR TEACHING TEACHING TEACHING EVALU
PERSONNEL METHOD MATERIAL TION
I Introduction Lecture Black board Written
 Perspective of Mental Health and Discussion test in
Mental Health nursing: evolution of 1 class roo

45
 mental health services, treatments and
nursing practices
 Prevalence and incidence of mental 1
health problems and disorders 1
 Mental Health Act
 National Mental health policy vis a vis
National health policy 1
 National Mental health programme
 Mental Health team 1
 Nature and scope of mental health 1
nursing
1
 Role and functions of mental health
nurse in various settings and factors
affecting the level of nursing practice
 Concepts of normal and abnormal
2
behaviour
1
II Principles and Concepts of Mental Lecture Black board Written
Health Nursing Discussion test in
 Definition: mental health nursing and class roo
terminology used
 Classification of mental disorders :ICD 1
 Review of personality development,
defense mechanisms
 Maladaptive behaviour of individuals
and groups: stress, crisis and
disaster(s)
 Etiology: bio-psycho-social factors 1
 Psychopathology of mental disorders: 1
review of structure and function of
46
 brain, limbic system and abnormal
neuro transmission 1
 Principles of Mental health Nursing
 Conceptual models and the role of
nurse:
 Existential Model 1
 Psycho-analytical medoles 1
 Behavioural model 1
 Interpersonal model 1
III Assessment of mental health status Lecture Black board Written
 History taking 1 Discussion test in
 Mental status examination 2 class roo
 Mini mental status examination
 Neurological examination: review 1
 Investigations ; Related Blood
chemistry, EEG, CT and MRI 1
 Psychological tests 2
Role and responsibilities of nurse 1
IV Therapeutic communication and Lecture Black board Written
nurse-patient relationship 1 Discussion test in
 Therapeutic communication: types, class roo
techniques, characteristics 1
 Types of relationship
 Ethics and responsibilities 1
 Elements of nurse patient contract
 Review of technique of IPR-Johari 1
Window
 Goals, phases, tasks, therapeutic 1
techniques
1
 Therapeutic impasse and its
47
 intervention
V Treatment modalities and therapies Lecture Black board Written
used in mental disorders Discussion test in
 Psycho Pharmacology 2 class roo
 Psychological therapies: Therapeutic
community, psycho therapy- 4
individual: psycho-analytical,
cognitive and supportive, Family,
Group, behavioural. Play, Psycho-
drama, Music, Dance, Recreational &
Light therapy, Relaxation therapies:
Yoga, Meditation, Bio feedback
 Alternative systems of medicine 2
 Occupational therapy 2
 Physical Therapy: electro convulsive
therapy 2
 Geriatric considerations 2
Role of nurse in above therapies
VI Nursing management of patient with Lecture Black board Written
Schizophrenia, and other psychotic Discussion test in
disorders 1 class roo
 Classification: ICD
 Etiology, psycho-pathology, types, 1
clinical manifestations, diagnosis
 Nursing Assessment-History, Physical 1
& mental assessment
 Treatment modalities and nursing
management of patients with 1
Schizophrenia, and other psychotic
disorders

48
  Geriatric considerations 1
 Follow up and home care and 1
rehabilitation

VII Nursing management of patient with Lecture Black board Written

mood disorders Discussion test in
 Mood disorders: Bipolar affective class roo
disorder, Mania depression & 1
dysthamia etc
 Etiology, psycho-pathology, clinical 1
manifestations, diagnosis
 Nursing Assessment-History, Physical 1
& mental assessment
 Treatment modalities and nursing
management of patients with mood 1
disorders
 Geriatric considerations 1
 Follow up and home care and
rehabilitation 1
VIII Nursing management of patient with Lecture Black board Written
neurotic, stress related and Discussion test in
somatization disorders 2 class roo
 Anxiety disorder, Phobias,
Dissociation and Conversion disorder,
Obsessive compulsive disorder,
somatoform disorders, Post traumatic
stress disorder
 Etiology, psycho-pathology, clinical 1
manifestations, diagnosis
 Nursing Assessment-History, Physical
1
49
 & mental assessment
 Treatment modalities and nursing 2
management of patients with neurotic,
stress related and somatization
disorders
 Geriatric considerations 1
 Follow up and home care and
rehabilitation 1
IX Nursing management of patient with Lecture Black board Written
substance use disorders Discussion test in
 Commonly used psychotropic 1 class roo
substance: Classification, forms,
routes, action, intoxication and
withdrawal
 Etiology of dependence: tolerance,
psychological and physical 1
dependence, withdrawal syndrome,
diagnosis
 Nursing Assessment-History, Physical, 1
mental assessment and drug assay
 Treatment (detoxification, antabuse
and narcotic antagonist therapy and
harm reduction) and nursing
management of patients with substance
use disorders 1
 Geriatric considerations
 Follow up and home care and
rehabilitation 1
X Nursing management of patient with Lecture Black board Written
Personality, Sexual and Eating Discussion test in
disorders 1 class roo
50
  Classification of disorders
 Etiology, psycho-pathology,
characteristics, diagnosis 1
 Nursing Assessment-History, Physical
& mental assessment
 Treatment modalities and nursing
management of patients with 1
Personality, Sexual & Eating disorders
 Geriatric considerations
 Follow up and home care and 1
rehabilitation
XI Nursing management of child-hood Lecture Black board Written
and adolescent disorders including Discussion test in
mental deficiency 1 class roo
 Classification
 Etiology, psycho-pathology, 2
characteristics, diagnosis
 Nursing Assessment-History, Physical
mental and IQ assessment
 Treatment modalities and nursing 2
management of childhood disorders
including mental deficiency 1
 Follow up and home care and
rehabilitation
XII Nursing management of organic brain Lecture Black board Written
disorders 1 Discussion test in
 Classification : ICD? class roo
 Etiology, psycho-pathology, clinical 1
features, diagnosis and Differential
diagnosis (parkinsons & alzheimers)

51
  Nursing Assessment-History, Physical 1
mental and neurological assessment
 Treatment modalities and nursing
management of organic brain disorders 1
 Geriatric considerations
 Follow up and home care and
rehabilitation 1
XIII Psychiatric emergencies and crisis Lecture Black board Written
intervention Discussion test in
 Types of psychiatric emergencies and 1 class roo
their management
 Stress adaptation Model: stress and
stressor, coping, resources and 1
mechanism
 Grief: theories of grieving process, 1
principles, techniques of counseling 1
 Types of crisis 1
 Crisis Intervention: Principles,
Techniques and Process 1
 Geriatric considerations
1
 Role and responsibilities of nurse
XIV Legal issued in Mental Health Nursing Lecture Black board Written
 The Mental Health Act 1987: Act, Discussion test in
sections, Articles & their implications 1 class roo
etc.
 Indian Lunacy Act 1912 1
 Rights of mentally ill clients
 Forensic psychiatry
 Acts related to narcotic and
psychotropic substances and illegal 1

52
 drug trafficking
 Admission and discharge procedures
 Role and responsibilities of nurse 1
XV Community Mental Health Nursing Lecture Black board Written
 Development of Community Mental Discussion test in
Health Services: 1 class roo
 National Mental Health Programme
 Institutionalization Versus 1
Deinstitutionalization
 Model of Preventive Psychiatry:
Levels of Prevention 1
 Mental Health Services available at the
primary, secondary tertiary levels
including rehabilitation and Role of
nurse
 Mental health Agencies: Government
and voluntary, National and 1
International
 Mental health nursing issues for
special populations: children,
Adolescence, Women, Elderly,
1
Victims of violence and abuse,
Handicapped, HIV/AIDS etc.

53
 KATURI COLLEGE OF NURSING
III Year B.Sc., Nursing

COURSE PLAN FOR MIDWIFERY AND OBSTETRICAL NURSING

PLACEMENT: III Year B.Sc., Nursing.

TIME ALLOTED: THEORY 90 Hours

54
 Course Description

This course is designed for students to appreciate the concept and principles of midwifery
and obstetrical nursing. It helps them to acquire knowledge and skills in rendering nursing
care to normal and high risk pregnant women during antenatal, natal and post natal periods in
hospitals and community settings. It also helps to develop skills in managing normal and high
risk neonates and participate in family welfare programme.

General Objectives

1. Recognize the trends and issues in midwifery and obstetrical nursing

2. Describe the anatomy and physiology of female reproductive system
3. Describe the diagnosis and management of women during antenatal period
4. Describe the physiology and stages of labour
5. Describe the management of women during intra-natal period

Unit Content Teaching Signature Signature Predicted

personnel of staff of HOD date of
Completion
Unit-I Introduction to midwifery and obstetrical Nursing
 Introduction to concepts of midwifery and obstetrical
Nursing
 Trends in midwifery and obstetrical nursing
 Historical perspectives and current trends
 Legal and ethical aspects
 Pre-conception care and preparing for parenthood
 Role of nurse in midwifery and obstetrical care
 National policy and legislation in relation to maternal
55
 health and welfare
 Maternal, morbidity, mortality and fertility rates
 Perinatal, morbidity and mortality rates
Unit II Review of anatomy and physiology of female
reproductive system and foetal development
 Female pelvis-general description of the bones joints,
ligaments, planes of the pelvis diameters of the true
pelvis, important landmarks, variations in pelvis shape
 Female organs of reproduction-external genetalia,
internal genital organs and their anatomical relations,
musculature-blood supply, nerves, lymphatics, pelvic
cellular tissue, pelvic peritoneum
 Physiology of menstrual cycle
 Human sexuality
 Foetal development
 Conception
 Review of fertilization, implantation (embedding of
the ovum), development of the embryo and placenta at
term functions, abnormalities, the foetal sac, amniotic
fluid, the umbilical chord
 Foetal circulation, foetal skull, bones, sutures and
measurements
 Review of Genetics
Unit III Assessment and management of pregnancy
(antenatal)
 Normal pregnancy
 Physiological changes during pregnancy
 Reproductive system
 Cardio vascular system
 Respiratory system
56
  Urinary system
 Gastro intestinal system
 Metabolic changes
 Skeletal changes
 Skin changes
 Endocrine system
 Psychological changes
 Discomforts of pregnancy
 Diagnosis of pregnancy
 Signs
 Differential diagnosis
 Confirmatory tests
 Antenatal care
 Objectives
 Assessment
 History and physical examination
 Antenatal Examination
 Signs of previous child-birth
 Relationship of foetus to uterus and pelvis : Lie,
Attitude, Presentation, Position
 Per vaginal examination
 Screening & assessment for high risk
 Risk approach
 History and Physical Examination
 Modalities of diagnosis: Invasive and Non-Invasive,
ultrasonic, cardiotomo-graphy, NST, CST
 Antenatal preparation
 Antenatal counseling
 Antenatal exercises

57
  Diet
 Substance use
 Education for child-birth
 Husband and families
 Preparation for safe-confinement
 Prevention from radiation
 Psycho-social and cultural aspects of pregnancy
 Adjustment to pregnancy
 Unwed mother
 Single parent
 Teenage pregnancy
 Sexual violence
 Adoption
Unit IV Assessment and management of intra-natal period
 Physiology of labour, mechanism of labour
 Management of labour
 First stage
 Signs and symptoms of onset of labour; normal
and abnormal
 Duration
 Preparation of :
 Labour room
 Woman
 Assessment & observation of woment in labour:
partogram-maternal and foetal monitoring
 Active management of labour, Induction of labour
 Pain relief and comfort in labour
 Second stage
 Signs and symptoms; normal and abnormal

58
  Duration
 Conduct of delivery; principles and techniques
 Episiotomy (only if required)
 Receiving the new born
 Neonatal resuscitation; initial steps and subsequent
resuscitation
 Care of umbilical cord
 Immediate assessment including screening for
congenital anomalies
 Identification
 Bonding
 Initiate feeding
 Screening and transportation of the neonate
 Third stage
 Signs and symptoms; normal and abnormal
 Duration
 Method of placental expulsion
 Management; Principles and techniques
 Examination of the placenta
 Examination of perineum
 Maintaining records and reports
 Fourth Stage
Unit V Assessment and management of women during
postnatal period
 Normal puerperium; Physiology Duration
 Postnatal assessment and management
 Promoting physical and emotional well-being
 Lactation management
 Immunization
 Family dynamics after child-birth
59
  Family welfare services; methods, counseling
 Follow-up
 Records and reports
Unit VI Assessment and management of normal neonates
 Normal Neonate:
 Physiological adaptation
 Initial & Daily assessment
 Essential newborn care; Thermal control
 Breast feeding, prevention of infections
 Immunization
 Minor disorders of newborn and its management
 Levels of Neonatal care (level I, II, and III)
 At primary, secondary and tertiary levels
 Maintenance of Reports and Records
Unit High-risk pregnancy-assessment & management
VII  Screening and assessment
 Ultrasonic, cardiotomo-graphy, NST, CST, non-
invasive & invasive
 Newer modalities of diagnosis
 High-risk approach
 Levels of care; primary, secondary and tertiary levels
 Disorders of pregnancy
 Hyper-emesis gravidarum, bleeding in early
pregnancy, abortion, ectopic
 Pregnancy, vesicular mole
 Ante-partum haemorrage
 Uterine abnormality and displacement
 Diseases complicating pregnancy
 Medical and surgical conditions
 Infections, RTI (STD), UTI, HIV, TORCH
60
  Gynaecological diseases complicating pregnancy
 Pregnancy induced hypertension and diabetes,
Toxemia of pregnancy, hydramnios
 Rh incompatibility
 Mental disorders
 Adolescent pregnancy, Elderly primi and grand
multipara
 Multiple pregnancy
 Abnormalities of placenta and cord
 Intra-uterine growth-retardation
 Nursing management of mothers with high-risk
pregnancy
 Maintenance of Records and Report
Unit Abnormal Labour-assessment and management
VIII  Disorders in labour
 CPD and contracted pelvis
 Malpositions and malpresentations
 Premature labour, disorders of uterine actions-
precipitate labour, prolonged labour
 Complications of third stage: injuries to birth canal
 Obstetrical procedures and operations
 Presentation and prolapse of cord, Vasa praevia,
amniotic fluid embolism, rupture of uterus, shoulder
dystocia, obstretical shock
 Obstetrical procedures and operations
 Induction of labour, forceps, vacuum version, manual
removal of placeta, caesarean section, destructive
operations
 Nursing management of women undergoing Obstetrical
operations and procedures
61
Unit IX Abnormalities during Postnatal periods
 Assessment and management of women with postnatal
complications
 Puerperial infections, breast engorgement and
infections, UTI, thrombo-Embolic disorders,
postpartum haemorrage, Eclampsia and
subinvolution
 Psychological complications:
 Post partum Blues
 Post partum Depression
 Post partum Psychosis
Unit X Assessment and management of High risk newborn
 Admission of neonates in the neonatal intensive care
units-protocols
 Nursing management of :
 Low birth weight babies
 Infections
 Respiratory problems
 Haemolytic disorders
 Birth injuries
 Malformations
 Monitoring of high risks neonates
 Feeding of high risk neonates
 Organization & management of neonatal intensive care
units
 Infection control in neonatal intensive care units
 Maintenance of reports and records
Unit XI Pharmaco-therapeutics in obstetrics
 Indication, dosage, action, contra indication and side
effects of drugs
62
  Effect of drugs on pregnancy, labour and puerperium
 Nursing responsibilities in the administration of drug
in Obstetrics-oxytocins, antihy-pertensives, diuretics,
toco-lytic agents, anti-convulsants
 Analgesics and anesthesics in obstetrics
 Effects of maternal medication on foetus and neonate
Unit XII Family Welfare Programme
 Population trends and problems in India
 Concepts, aims, importance and history of family
welfare programme
 National Population: dynamics, policy and education
 National family welfare programme; RCH, ICDS,
MCH Safe motherhood
 Organization and administration at national, state,
district, block and village levels
 Methods of contraception; spacing, temporary and
permanent, Emergency contraception
 Infertility and its management
 Counseling for family welfare
 Latest research in contraception
 Maintenance of vital statistics
 Role of national, international and voluntary
organizations
 Role of a nurse in family welfare programme
 Training/Supervision/Collaboration with other
functionaries in community like ANMs, LHVs,
Anganwadi workers, TBAs (Traditional birth
attendant-Dai)

63
 MIDWIFERY AND OBSTETRICAL NURSING
UNIT CONTENT HOUR TEACHING TEACHING TEACHING EVALUA
PERSONNEL METHOD MATERIAL TION
I Introduction to midwifery and Lecture Black board Written
obstetrical Nursing Discussion test in
 Introduction to concepts of midwifery class room
and obstetrical Nursing
 Trends in midwifery and obstetrical 1
nursing
 Historical perspectives and current
trends
 Legal and ethical aspects 1
 Pre-conception care and preparing for
parenthood
 Role of nurse in midwifery and
obstetrical care
1
 National policy and legislation in
relation to maternal health and
welfare
1
 Maternal, morbidity, mortality and
fertility rates
 Perinatal, morbidity and mortality
rates

64
II Review of anatomy and physiology of Lecture Black board Written
female reproductive system and foetal Discussion test in
development class room
 Female pelvis-general description of
the bones joints, ligaments, planes of 2
the pelvis diameters of the true pelvis,
important landmarks, variations in
pelvis shape
 Female organs of reproduction-external 1
genetalia, internal genital organs and
their anatomical relations, musculature-
blood supply, nerves, lymphatics,
pelvic cellular tissue, pelvic peritoneum
 Physiology of menstrual cycle 1
 Human sexuality 1
 Foetal development 1
 Conception
1
 Review of fertilization, implantation
(embedding of the ovum), development
of the embryo and placenta at term
functions, abnormalities, the foetal sac,
amniotic fluid, the umbilical chord
1
 Foetal circulation, foetal skull, bones,
sutures and measurements
1
 Review of Genetics

III Assessment and management of Lecture Black board Written

pregnancy (antenatal) Discussion test in
 Normal pregnancy 1 class room
 Physiological changes during
pregnancy 1
65
  Reproductive system
 Cardio vascular system
 Respiratory system
 Urinary system 1
 Gastero intestinal system
 Metabolic changes
 Skeletal changes
 Skin changes
 Endocrine system 1
 Psychological changes
 Discomforts of pregnancy
 Diagnosis of pregnancy
 Signs 1
 Differential diagnosis
 Confirmatory tests
 Antenatal care
 Objectives
 Assessment
 History and physical examination 1
 Antenatal Examination
 Signs of previous child-birth
 Relationship of foetus to uterus
and pelvis : Lie, Attitude,
Presentation, Position
1
 Per vaginal examination
 Screening & assessment for high risk
 Risk approach
 History and Physical Examination
 Modalities of diagnosis: Invasive and 1
Non-Invasive, ultrasonic, cardiotomo-
66
 graphy, NST, CST
 Antenatal preparation
 Antenatal counseling
 Antenatal exercises
 Diet
 Substance use
 Education for child-birth
 Husband and families
 Preparation for safe-
confinement
 Prevention from radiation
 Psycho-social and cultural aspects of
pregnancy
 Adjustment to pregnancy
 Unwed mother
 Single parent
 Teenage pregnancy
 Sexual violence
 Adoption
IV Assessment and management of intra- Lecture Black board Written
natal period Discussion test in
 Physiology of labour, mechanism of 1 class room
labour
 Management of labour
 First stage 1
 Signs and symptoms of onset of
labour; normal and abnormal
 Duration
 Preparation of :
 Labour room
67
  Woman
 Assessment & observation of
woment in labour: partogram-
maternal and foetal monitoring 2
 Active management of labour,
Induction of labour
 Pain relief and comfort in labour
 Second stage
 Signs and symptoms; normal and
abnormal
 Duration
 Conduct of delivery; principles and
techniques
 Episiotomy (only if required)
 Receiving the new born 2
 Neonatal resuscitation; initial steps
and subsequent resuscitation
 Care of umbilical cord
 Immediate assessment including
screening for congenital anomalies
 Identification 2
 Bonding
 Initiate feeding
 Screening and transportation of the
neonate
 Third stage
 Signs and symptoms; normal and 2
abnormal
 Duration
 Method of placental expulsion
68
  Management; Principles and
techniques
 Examination of the placenta
 Examination of perineum 2
 Maintaining records and reports
 Fourth Stage
V Assessment and management of Lecture Black board Written
women during postnatal period Discussion test in
 Normal puerperium; Physiology class room
Duration
 Postnatal assessment and management 1
 Promoting physical and emotional
well-being
 Lactation management
 Immunization
 Family dynamics after child-birth
1
 Family welfare services; methods,
counseling
 Follow-up
 Records and reports 1
1
1
VI Assessment and management of Lecture Black board Written
normal neonates Discussion test in
 Normal Neonate: class room
 Physiological adaptation
 Initial & Daily assessment
 Essential newborn care; Thermal
control
 Breast feeding, prevention of
69
 infections
 Immunization
 Minor disorders of newborn and its 2
management
 Levels of Neonatal care (level I, II, and
III) 1
 At primary, secondary and tertiary
levels 1
 Maintenance of Reports and Records
1

1
VII High-risk pregnancy-assessment & Lecture Black board Written
management Discussion test in
 Screening and assessment class room
 Ultrasonic, cardiotomo-graphy, NST,
CST, non-invasive & invasive
 Newer modalities of diagnosis 1
 High-risk approach
 Levels of care; primary, secondary and 1
tertiary levels
 Disorders of pregnancy
 Hyper-emesis gravidarum, bleeding
in early pregnancy, abortion, ectopic
 Pregnancy, vesicular mole
1
 Ante-partum haemorrage 1
 Uterine abnormality and displacement
 Diseases complicating pregnancy
 Medical and surgical conditions
 Infections, RTI (STD), UTI, HIV,

70
 TORCH 1
 Gynaecological diseases
complicating pregnancy
 Pregnancy induced hypertension and 1
diabetes, Toxemia of pregnancy, 1
hydramnios
 Rh incompatibility
 Mental disorders
 Adolescent pregnancy, Elderly primi
and grand multipara 1
 Multiple pregnancy
 Abnormalities of placenta and cord
 Intra-uterine growth-retardation
 Nursing management of mothers with
high-risk pregnancy
 Maintenance of Records and Report
VIII Abnormal Labour-assessment and Lecture Black board Written
management Discussion test in
 Disorders in labour class room
 CPD and contracted pelvis
 Malpositions and malpresentations 2
 Premature labour, disorders of uterine
actions-precipitate labour, prolonged 1
labour
 Complications of third stage: injuries
to birth canal
 Obstetrical procedures and operations 1
 Presentation and prolapse of cord, Vasa
praevia, amniotic fluid embolism,
1
rupture of uterus, shoulder dystocia,
71
 obstretical shock 1
 Obstetrical procedures and operations 1
 Induction of labour, forceps, vacuum 2
version, manual removal of placeta,
caesareansection, destructive
operations
 Nursing management of women 1
undergoing Obstetrical operations and
procedures
IX Abnormalities during Postnatal Lecture Black board Written
periods Discussion test in
 Assessment and management of women class room
with postnatal complications
 Puerperial infections, breast 2
engorgement and infections, UTI,
thrombo-Embolic disorders,
postpartum haemorrage, Eclampsia 1
and subinvolution
 Psychological complications: 1
 Post partum Blues
 Post partum Depression
 Post partum Psychosis
X Assessment and management of High Lecture Black board Written
risk newborn Discussion test in
 Admission of neonates in the neonatal 2 class room
intensive care units-protocols
 Nursing management of :
 Low birth weight babies 1
 Infections 1
 Respiratory problems 1
1
72
  Haemolytic disorders 1
 Birth injuries 1
 Malformations 1
 Monitoring of high risks neonates 1
 Feeding of high risk neonates
 Organization & management of
neonatal intensive care units
 Infection control in neonatal intensive
care units
 Maintenance of reports and records
XI Pharmaco-therapeutics in obstetrics Lecture Black board Written
 Indication, dosage, action, contra 1 Discussion test in
indication and side effects of drugs class room
 Effect of drugs on pregnancy, labour
and puerperium 1
 Nursing responsibilities in the
administration of drug in Obstetrics-
oxytocins, antihy-pertensives, 1
diuretics, toco-lytic agents, anti-
convulsants
 Analgesics and anesthesics in 1
obstetrics
 Effects of maternal medica-tion on
foetus and neonate 1

XII Family Welfare Programme Lecture Black board Written

 Population trends and problems in India 1 Discussion test in
 Concepts, aims, importance and history class room
of family welfare programme
1
73
 National Population: dynamics, policy
and education
 National family welfare programme;
RCH, ICDS, MCH Safe motherhood 1
 Organization and administration at
national, state, district, block and
village levels 1
 Methods of contraception; spacing,
temporary and permanent, Emergency
contraception 1
 Infertility and its management 1
 Counseling for family welfare 1
1
 Latest research in contraception
1
 Maintenance of vital statistics
 Role of national, international and 1
voluntary organizations
 Role of a nurse in family welfare 1
programme
 Training/Supervision/Collaboration
with other functionaries in community
like ANMs, LHVs, Anganwadi
workers, TBAs (Traditional birth
attendant-Dai)

74
75