Sample Teaching Plan 2

The University of the West Indies
Faculty of Medical Sciences

The UWI School of Nursing, Mona
Lesson Plan
Topic: Precipitate Labour
Audience: Senior Post Basic Midwifery Students at VJH School of Midwifery
Number of Persons: Twenty Three (23)
Venue: VJH School of Midwifery
Date & Time: June 26, 2014 at 10:00 am
Duration: 45 minutes
Teaching Method: Lecture/Group discussion/Socratic questioning
Resources: Power point Presentation
Learning Theory: Ausubel’s Subsumption Theory- Ausubel’s theory is concerned with how individuals learn large amounts of
meaningful material from verbal presentations in a school setting. According to Ausubel a primary process in learning in learning in
subsumption in which new material is related to relevant ideas in the existing cognitive structure on a substantive, non-verbatim basis.
Goal: To enable students to effectively identify and manage a client with Precipitate Labour
Objectives:
At the end of the 45 minutes session the students will be able to:
 Define precipitate/precipitous labour
 Identify risk factors for precipitate labour
 Outline the causes of precipitate labour
 State the signs of precipitate labour
 Describe the nursing management of precipitate labour using the nursing process
 Discuss the complications of precipitate labour to the mother and the infant
Evaluation:
Question and Answer/Summary
References
Brincat, M., Versi, E & Rodeck, C. H., (1984).Full term precipitate labour;5,(2), 96-97 Retrieved from
http://informahealthcare.com/doi/abs/10.3109/01443618409109126?journalCode=jog
Nodalo, B.A.,Tan,E., Ymas, L. & Christine (n.d.)Abnormal Progress in Labor (Precipitous Labor and Birth & Retraction
Rings)Retrieved from http://www.scribd.com/doc/31868075/Abnormal-Progress-in-Labor-Precipitous-Labor-and-Birth-Retraction-
Rings
Objectives Content Teacher’s activity Learners’ activity Evaluation
Define This refers to a delivery which Ice breaker: Lead five Give prompt At least two students
precipitate/precipitous results after an unusually rapid minute discussion on responses to teacher defined precipitate
labour labor (less than three hours) and test done by students activity labour with a 90%
culminates in the rapid, earlier today. accuracy
spontaneous expulsion of the Give own
infant. Ask student their interpretation of the
understanding of term precipitate
precipitate labour labour
Give definition of
Precipitate labour
Identify risk factors Lead discussion on the Students will listen Two students
for precipitate labour  Multipara with relaxed pelvic risk factors attentively and ask described two risk
or perineal floor muscles appropriate questions. factors of precipitate
 Previous history of labour with a 90%
precipitate labour accuracy
 Unusually strong, forceful
contractions.
 Inadequate warning of
imminent birth due to absence of
painful sensations during labor
 Small foetus
 Large pelvis
Outline the causes of
precipitate labour The use of:
Prostaglandins
Oxytocin drip
Cocaine use
Unknown
Signs of precipitate labour
State the signs of  Increased pain more than
precipitate labour normal
 Increased maternal heart rate,
pulse and body temp
 Increased BP
 Nasal Flaring
 Anxiety
 Restlessness
 Hypertonic Contractions
Describe the nursing Place class in two Students will listen
management of groups. Each group attentively participate
Assessment
precipitate labour will give two actual actively and ask
 Previous labor history if the
using the nursing and two potential appropriate questions
woman is a multipara
process nursing diagnoses for about precipitate
 Strength of contractions precipitate labour labour
 Be alert for contractions that
are more frequent than every
2 minutes and dilatation that
progresses faster than
normal(more than 1.5cm/hr)
 Assess fetal status
 Assess mothers comfort
 Assess mother’s coping
abilities
Nursing Diagnosis
 Acute pain related to

accelerated labor pattern
 Risk for ineffective coping
related to ineffectiveness of
breathing techniques to relieve
discomfort
Planning
During the entire process of labor

and birth:
• The nurse should closely
monitor the woman’s contractions
and cervical dilatation, and an
emergency birth pack is kept near
the bedside.
• The nurse should stay in
constant attendance, assist the
woman to a comfortable position
and provides a quiet environment
Nursing Intervention
Non- Pharmacologic:
•Continue electronic
monitoring
•Remain with client to provide

support and comfort measures
 Instruct the woman not to

bear down until she is
instructed to do so.
 Instruct woman to pant with
contractions if fetal head is
crowning
 Apply gentle pressure
anteriorly against the fetal
head to maintain flexion and
prevent it from delivering too
quickly.
 Support the perineum by
making U shape with the
other hand and supporting the
descending head between
contractions to prevent
excess tearing and perineal
lacerations.
Pharmacologic:
Tocolytic agent such asterbutaline
may be administered to reduce the
force and frequency of
contractions
Notify physician for rapid
cervical changes
Evaluation
 The woman and her baby are

closely monitored during labor
and a safe birth occur
 The woman states that she
feels supported and enhanced
comfort during labor and birth
Two students
Discuss the Complications of precipitate Conduct questioning Participate actively in correctly stated the
complications of labour are : session regarding the the discussion complications of
precipitate labour to  Lacerations of the cervix, complications of precipitate labour to
vagina, and/or perineum. precipitate labour mother and neonate
the mother and the with a 90% accuracy
infant  Haemorrhaging originating
from lacerations and/or
hematomas of the cervix,
vagina, or perineum. There
may also be hemorrhaging
from the uterus.
 Uterine atony may result from

muscular exhaustion after
unusually strong and rapid
labor.

Sample Teaching Plan 2

Uploaded by

Copyright:

Available Formats

Sample Teaching Plan 2

Uploaded by

Document Information

Original Description:

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Sample Teaching Plan 2

Uploaded by

Copyright:

Available Formats

The University of the West Indies

Faculty of Medical Sciences

Topic: Precipitate Labour

Audience: Senior Post Basic Midwifery Students at VJH School of Midwifery

Number of Persons: Twenty Three (23)

Venue: VJH School of Midwifery

Date & Time: June 26, 2014 at 10:00 am

Teaching Method: Lecture/Group discussion/Socratic questioning

Resources: Power point Presentation

 Acute pain related to

During the entire process of labor

•Remain with client to provide

 Instruct the woman not to

 The woman and her baby are

 Uterine atony may result from

You might also like