Lesson plan

STUDENT TEACHER:- Ms. Annu Panchal

SEMINAR TOPIC:- Postnatal Examination
UNIT:- 2nd Unit
DEPARTMENT:- Obstetrics and Gynaecological Nursing
VENUE:- Panna Dhai Maa Subharti Nursing College
DATE:-
TIME:-
GROUP INVOLVED:- M.Sc 1st year students
STUDENT’S STRENGTH:- 100 students
METHOD OF TEACHING:- Lecture com discussion
A V AIDS USED:- poster , charts, flashcards, pamphlets etc.
EVALUATOR:- Ms.Pinky Mam, Lecturer, Obstetrics and Gynaecological Nursing
GENERAL OBJECTIVES:- At the end of the practice teaching, student will be able to gain the knowledge regarding Postnatal Exercises.
SPECIFIC OBJECTIVES:- Student will be able to,
Introduce to the topic.
Define the definition of post-natal assessment
Describe the purpose
Summary:
Conclusion:
Evaluation:
Reference:

Sr. Subjective Time Contents Teaching A.V Aids Evaluation

No objective data learning
. activity
1. Introduce to 1 INTRODUCTION:- Lecture What is the
the topic. min Examination of a postnatal mother and early identification of complication is one of Student Cum definition of
the important responsibility of a nurse in the postnatal area. Adequate postnatal teacher given disscusss postnatal
examination is necessary for planning the care of postnatal mother. lecture come assessment?
discussion
2. Define the 1 DEFINITION/MEANING:- students are
definition of min Postnatal care includes systematic examination of mother and the baby and the participating
post-natal appropriate advice given to the mother during postpartum period. Postnatal in class
assessment assessment is an important component of postnatal care. through
taking the
3. Describe the 1 PURPOSE:- notes. What are the
purpose min 1) To assess the health status of the mother and institute therapy to rectify the purposes of
defect if any. the postnatal
2) To detect and treat at the earliest any gynaecological condition arising out assessment?
of obstetric legacy.
3) To impart family planning guidance.

PERLIMINARY ASSESSMENT:-
Check the articles available in the mother’s unit.
Student Lecture How can we
4. Explain the 1 PREPARATION OF PATIENT:- teacher given Cum prepare the
preparation of min i. Explain the procedure to the mother. lecture come disscusss patient?
ii. Instruct the mother to empty the bladder and to wash the perineum with
the patient. discussion
warm water.
students are
iii. Place the mother in supine position with hands at the sides and legs straight.
iv. Drape the mother. participating
v. Bring the mother towards the examiner. in class
vi. Ask the mother to be relaxed. through
taking the
notes.
PREPARATION OF ARTICLES:-
5. Explain the 2 a) A large enamel tray containing:-
 preparation of min b) Large sheet to drape the client.
the articles c) Draw sheet to drape the client.
and d) Stethoscope to auscultate chest and bowel sounds.
e) Torch to visualize eyes, ears and mouth.
environment Student Lecture How can you
f) Bowl with gauze piece to clean the breast.
g) Paper bag to discard the solid waste. teacher given cum prepare the
h) Inch tape to measure fundal height. lecture come discussio article and
i) Pen and paper to record the findings. discussion n environment?
students are
PREPARATION OF ENVIRONMENT:- participating
i. Select a clam and quite environment. in class
ii. Provide privacy. through
taking the
notes.
PROCEDURE:-
 Before taking the history recording, create a calm and quite atmosphere so
6. Explain the 3min that the postnatal mother feel is relaxed and comfortable.
procedure of  To have full cooperation, explain the procedure for postnatal examination.
postnatal  Ensure privacy and maintain confidentiality.
assessment  Highlight any abnormal findings.
 Record all facts accurately in the postnatal card.
 The matrix can be used to record the detail history of the postnatal mother.
Student What is the
PHYSICAL EXAMINATION:- teacher given Lecture procedure of
lecture come cum postnatal
Vital Signs:- discussion discussio assessment?
Blood pressure, pulse, respiration and temperature must be monitor accurately. students are n
participating
General Appearance:- in class
Body build should be seen for appearance i.e. how it is looks. through
Activity should be monitoring that whether it is dull or active. taking the
Nourishment should be seen in postnatal mother that whether she is well nourished, notes.
under nourished and poor nourished.
 Skin:-
Assess the patient skin colour.
Assess the patient skin for turgor i.e. any rashes, lesion

Head:-
Scalp should be assessed for dandruff and cleanliness and any pediculi.
Hair texture for roughness and dryness.

Face:- Teacher given

the mother face should be observed for wrinkles, puffiness and scars. lecture come
discussion Lecture
Eye:- students are cum
Palpebral conjunctiva for paler, sclera for jaundice and eyes for evidence of participating discussio
infection. in class n
through
Nose taking the
Deviated nasal septum, infection and blockage. notes.

Mouth
Observe tongue for pallor, glossitis ( vitamin deficiencies), teeth and gums for
caries, stomatitis, tonsil for tonsillitis.

Ear
Infection ,blockage, wax.

Neck
Observe neck veins, thyroid glands, lymph glands for any abnormalties.

BREAST EXAMINATION:-
Expose only the needed area that is one breast at a time.
7. Discuss about 2min Inspect for the engorged veins, redness.
breast Inspect nipple for retracted, erect, cracked, crust formation. Teacher given How do
 examination lecture come define the
discussion breast
students are Lecture examination?
participating cum
in class discussio
PALPATION:- through n
Feel for warmth taking the
Palpate from the periphery to the centre with finger pads in a circulatory motion notes.
Palpate for any masses/ lumps, hardness
While palpating for axillary tails, instruct the to raise the hands above the shoulder
level
Express the colostrums/ milk and wipe with gauze piece
Repeat this for the other side.

ABDOMINAL EXAMINATON

Inspection
8. Explain the 3min Cover the chest with draw sheet and expose only the abdomen. Similarly use the
abdominal other sheet to cover up the pelvic region. Inspect the abdomen for consistency,
examination presence of any wound( LSCS, PPS) and if present assess the condition of the
wound.
Student How you can
Palpation teacher given explain about
Start from the xiphisternum down, feel for the uterine fundus. Place the ulnar lecture come abdominal
border of the hand. Feel for the upper border of the symphysis pubis, place inchtape discussion examination?
inch part up and measure the symphysis fundul height. Feel the consistency of the students are Lecture
uterus-hard/well contracted and flabby. participating cum
in class discussio
Auscultation through n
Auscultate for bowel sound. taking the
notes.
Extremities
Eliciting human’s sign
 Ask the mother to flex the leg at the knee level and relax. Support at the calf muscle
with other hand dorsiflex the foot. If the mother experiences pain at the calf region
then homan’s sign is positive.

Examination of the perineum

Position client in lithotomy/ dorsal recumbent position.
Drape the client.
Put the light on.
Wash hands.
Wear gloves
Examine the perineum for-
 Condition of episiotomy wound( REEDA)
 Colour and amount of lochia.
 Condition of perineum
 Number of pads changed/day

AFTER CARE:-

9. Describe 2min Client/patient

about the after Explain the findings.
of the Help her to dress up.
assessment Remove the drappings.
Position comfortably.
Student How you can
teacher given explain the
Articles lecture come after care of
Wash and replace the articles. discussion assessment?
Wash hands. students are
participating Lecture
Environment in class cum
Put off the light. through discussio
Keep the bed/table clean. taking the n
Dispose the waste notes.
 RECORDING:-
Record the findings in nurse’s record with date and time.
Vital signs record in the vital signs chart.

PERINEAL CARE:-
Perineal care is washing down of external genitilia and perinea under a aseptic
10. Explain about 3min precaution.
the perineal
care PURPOSES
To clean the perineum in preoperative preparation for a antiseptic action.
To deodourize the perineum.
To stimulate circulation and thus reliving the pain, inflammation and congestion. Student What is
To promote healing by preventing infection. teacher given perineal
To enhance comfort. lecture come care?
discussion
INDICATIONS:- students are
Before per vaginal examination of any other per vaginal procedure. participating
Before and after delivery. in class Lecture
Post-natal mother. through cum
Post abortion. taking the discussio
Gynecological contions-prolapsed uterus, any infection e.g. vaganitis. notes. n

PRECAUTIONS
Explanation to get cooperation.
Mother must empty her bladder before the procedure.
Maintain temperature and strength of the solution(temp-105O F Dettol 1:60 and
sevlon 1:100)
Keep nine basic principles of safety , economy, comfort and effectiveness in mind.

SUMMARY:-
In this teching practice, I have conducting teching practice on postnatal assessment
Today we discussed about the definition, purposes, preparation of patient,
environment and articles in postnatal assessment, procedure of assessment and
perineal care.

CONCLUSION:-
Examination after the delivery is postnatal examination. It include systematic
examination of baby and also advices given during postpartum period.
With the objectives to assess the health status of mother and baby and to institude
effective therapy, to detect and treat any gyanecological condition or associated
illness arising out of obstetric condition.

REFERENCES:-

1) Manocha Snehlata, “PROCEDURE AND PRACTICE IN MIDWIFERY”,

Published by- Kumar Publishing House, edition- 3rd Year2013, Page No.
135-160.
 2) Prakash Ratna, “NURSING PROCEDURE”, Published by- CBS publisher
and distributors, Volume- 2nd Year 2009, Page No. 58-70
3) Dutta Dc , “ Textbook of obstetrics” Edition- 6th ,Published by-
Calcutta :New Central Book Agency ; 2004, page no.146-149

WEBSITES:-
www.wikipedia.com
http://igce.med.sc.ed
http://www.pubmed.com

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