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Title : PLANNED CLINICAL INSTRUCTION

Placement : Clinical Practicum 102-A

Duration : 306 hours

COURSE DESCRIPTION:The course deals with the skills in:(1) Management of normal pregnancy, labor and delivery, puerperium; and the careof the newborn;(2) Counseling in family planning and responsible parenthood; and(3) Intravenous insertion, vaginal examination and suturing.

GENERAL OBJECTIVE:

At the end of the semester, students should have the skills, knowledge, attitude,

and values on health promotion and identification and management of risk factorsand apply principles in caring for pregnant woman, woman in labor, woman in thestage of delivery, newborn infant and post partum mothers, must also possess bothscientific and intellectual honesty with deep personal commitment so the safety ofthe patient will never be compromised.

SPECIFIC OBJECTIVES ACTIVITIES/RESOURCES1. Students will able to

demonstrate the differentobstetrical assessment,estimate the EDC and AOGverify pregnancy based onsigns.

1.PregnancyAssign students to assess pregnantclient:A. Signs and symptoms1. Recognition / Early detection ofabnormalitiesB. DiagnosisC. Physiologic changesD. Prenatal care1. History taking2. Vital signs and weight taking3. Identification of high risk factors4. Leopolds Maneuver5. Auscultation for FHB6. AOG and EDC computation7. Immunization8. Urine exam for albumin and sugar9. Mothers class

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2. Students will be able toparticipate in caring for client inlabor.

3. Determine the signs ofimpending delivery and identifythe factors that affect labor anddelivery

4. Students will identify andfamiliarized with the

instrument/procedure that arebeing use/done in the deliveryroom.

5. Students will able to recognizethe importance of monitoringPOL, FHR and identify thestages of labor.

6. Students will able to show skillsin handling actual delivery andperineal suturing.

II. Labor and DeliveryGive an actual pregnant patient inlabor Actual exposure to labor roomand on a woman in labor Assessingon :A. Signs and symptoms of true labor

1. Monitoring progress of labor1.1. Uterine contractions1.1.1. Duration1.1.2. Interval1.1.3. Intensity1.2 Vaginal examinationB. Recognition / Early detection ofabnormalitiesC. Procedures1. catheterization2. enema3. perennial flushing

Actual exposure to Delivery Room:D. Care During the First Stage of Labor1. Vital signs2. Comfort measures3. Diet4. Positioning5. Emotional supportE. Care Second Stage of Labor1. Draping2. Observation of mechanism of labor3. Ritgens manuever4. Delivery techniqueF. Care during Second Stage of labor1. Observation of the signs of placentalseparation2. Delivery and inspection of the placenta3. Injection of oxytocic4. Inspection of the perineum5. Measure blood loss6. Identification and classification oflacerations7. Repair of lacerations8. Perennial flushing9. After care

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7. Students will able todemonstrate and perform theroutine newborn care

111. Immediate Care of the NewBornGive an actual newborn, assess andperform Immediate Newborn Care1. Apgar Scoring2. Suctioning of mucous

3. Maintain body temperature4. Bonding5. Cord dressing6. Eye prophylaxis7. Rectal temperature taking8. Identification9. Vitamin K injection10.BCG administration11.Anthropometric measurement12.Newborn screening13. Registration of Birth

10. Students will able to assess,determine, and manage postpartum complications

1V. Management of the PostpartumPeriodGive an actual newly deliveredpatient:1. Vital signs2. Watch for uterine atony3. Observation of lochia4. Observation of distended bladderI. Management of puerperium1. Vital signs2. Physical assessment3. Breast care4. Measurement of fundal height5. Observation of lochia (color, odor,amount)6. Care of perennial wound7. Elimination of bowel and bladder8. Inspection of lower extremities foredema, varicosities, milk leg9. Ambulation10.Family planning counseling11. Health instructions12. Post partum check up