Lesson Plan

Lecturer’s Name; Leonida Jerono

Course: Reproductive Health Nursing
Learners: Nursing students
Time;2 hours
Broad objective: To understand the parts and functions of female genitalia
Lesson objectives: By the end of the lesson, the learner will be able to:
 List the parts of female internal genitalia.
 Describe their structures and layers
 Describe the functions of each part
Tim Goal/ Content Teach Learnin Learning/ Evaluat
e topic ing g Teaching ion.
Activi Activitie Resources
ties s
10;3 Recap Reproductive health Ask Answer White board Answers
0- the definition. questi question and white question
10;4 previous ons s. board marker
0 lesson Evolution Of
reproductive health Provi
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Concepts of integrated clarifi
comprehensive cation
reproductive health and
services feedb
Terms used in RH and ack to
midwifery studen
t
Parts and functions of questi
external genitalia. ons
10;4 List the  Comprises; Provi Answer White board Answers
0- organs of de question and white question
external The vagina clarifi s. board marker
10;5 genitalia. cation
0 The cervix
and
The uterus feedb
Two uterine tubes ack to
studen
Two ovaries t
questi
ons
10; Describe  Vagina- It’s a Respo Write White board Takes
50 the parts distensible nd to notes notes
and conce White board
fibromuscular
- functions rns Brainsto marker Answers
tubular structure
11;3 of the connecting the and rm question
0 female external and questi s
internal internal genital. ons Offer
reproduct raised answers
ive It is by to
system approximately learne question
10cm in length rs s asked
& 2.5cm in by the
diameter instructo
(although r.
there’s a wide
anatomical Listens
variation) attentive
ly.
Structure
 Vault
 The term given
to the upper end
of the vagina.
 Walls
 The anterior
wall measures
about 7.5 cm
long hence
closely related
to the adjacent
structures
anteriorly.
 The posterior
wall measures
10cm long
 Fornices or
arches
 These are
circular
recess/deeps
formed as the
cervix
projects/hangs
into the vault.
Layers
i.Mucosa is the
most innermost
 Consists of
 stratified
squamous
epithelium,
which allows
exudates/oozes
from the blood
vessels to sip
out and moist
the vagina
(ii) Muscle
layer:-
Comprises of a
weak inner coat
of circular fibres
and a stronger
outer coat of
longitudinal
fibres
 Pelvic fascial
outermost layer
 Surrounds the
vagina
externally as
well as the
adjacent pelvic
organs. Allows
independent
expansion and
contraction as
necessary.
Normal Vaginal
State
warm, moist and
pinkish in appearance
Vaginal fluid
(discharge) media is
acidic (PH 4.5)
Blood Supply
Internal Iliac artery
LYMPHATIC
DRAINAGE
inguinal, internal iliac
and the sacral glands.
NERVE SUPPLY
pelvic plexus.
FUNCTIONS
 Allows
menstrual fluid
to flow out
during the entire
procreation
period.
 Receives the
penis and the
ejected sperms
during
copulation.
 Provides an exit
for the fetus
during the
process of birth.
 CERVIX
. Situated between the
uterine cavity and the
upper end of the vagina
Areas
 Internal cervical
os:.
 Cervical canal:.
 External
cervical os.
Layers
The cervical
endometrium /
inner lining
 It is a mucous
membrane
lining, with tall
columnar
shaped
epithelial cells
and mucus
secreting
glands.
 Muscle/middle
layer
 fibres are
arranged in
longitudinal and
circular
patterns, as well
as embedded in
collagen fibres
to facilitate
stretching and
dilatation of
cervix during
labour.
Functions
 Remain closed
in non
pregnancy state
hence prevents
easy ascend of
infectious
organisms to
the uterus.
 Remain closed
prenatally for
fetus to develop
to term.
 Produces a plug
of mucus
prenatally at the
cervical canal
hence prevent
ascend of
infectious
organisms.
 Allows passage
of bloody
mucoid
discharge as it
dilates which
indicates true
labour.
 Facilitate
expulsion of the
fetus during the
 birth process as
the cervix
progressively
dilate.
iii. Uterus (Womb)
 It’s a thick-
walled hollow
muscular organ,
pear in shape
but flattened
anteriorly as
well as
posteriorly and
situated in the
pelvic cavity.
Basically weighs about
30-40gm before the
first pregnancy and
about 60gm thereafter
It measures 7.5cm long,
5cm wide and 2.5cm in
depth. Each wall
thickness being 2.5cm.
Position
 It is located
between the
urinary bladder
and the rectum
respectively.
Parts
i. Fundus
ii. Cornua
iii. Corpus(bod
y)
iv. Isthmus
Layers
 Perimetrium- It
is the outermost
layer, made up
of a double
serous
membrane, an
extension of the
peritoneum.
 Anteriorly,
covers the
uterus up to the
level of the
internal cervical
os.
 Myometrium-
The
middle(muscula
r) layer-
Thickest at the
fundus and body
while thinner at
the isthmus and
cervix.At the
fundus and body
the fibres
interlace i.e. run
in all directions
to surround the
blood and
lymphatic
vessels passing
to and from the
endometrium.
 Endometrium-
The innermost
layer.Formed of
ciliated
epithelium,
whose base has
a connective
tissue capable of
rapid
regeneration
following every
menstrual
phase.
Functions
 Prepares for
possibility of
pregnancy every
month.
 Shelters and
facilitates the
nourishment of
the fetus.
  Nourishment is
from the mother
through the
placenta.
 Expels the
products of
conception
through the
labour process.

Blood Supply-Uterine
and ovarian artery
nerve supply-Pelvis
plexus
Lymphatic drainage-
internal iliac glands

11;3 Break
0-
11;4
0
11;4 Describe iv. Uterine tubes Teach Write White board Answers
0 the parts (Fallopian tubes, ing, notes question
and oviduct, salpinges) answe White board s
- functions ring Brainsto maker
of the Are 2 thin tubular questi rm
12;1 structures running Whiteboard
0 female ons Offer eraser
internal laterally from the asked
cornua to the ovaries answers
reproduct by to
ive and each measures learne
about 10cm question
system rs s asked
Parts by the
instructo
Interstitial- It is the r.
first part, lying within
the uterine walls
Isthmus. It is the
narrowest part
immediately adjoining
the uterus. Measures
2.5cm long.
Ampulla
Infundibulum-
Comprises of many
finger-like projections
referred to as fimbriae.
Layers
Innermost lining- It is
a mucous membrane
made of ciliated
cuboidal epithelium
Middle layer-
Comprises of a thin
muscular coat similar to
that of the uterus
Inner fibers arranged in
circular and
longitudinal form to
produce peristaltic
movements
The outermost layer-
It is a continuation of
the peritoneum though
the inferior surface is
uncovered
Functions
 Facilitates
passive
movement of
the ovum from
ovary to uterine
cavity.
 Provides a site
for
conception,i.e.
fertilization to
occur.
 Provides
nourishment of
the fertilized
ovum as it
travels through
 Receives the
spermatozoa
 (male gametes)
from the uterine
cavity as they
travel upwards
and eventually
direct them to
the ampulla.
Blood supply-
Uterine and ovarian
arteries
Lymphatic system
Lumber glands
Nerve supply
Ovarian plexus
Ovaries
 They are two
(2) glandular
organs, located
in the peritoneal
cavity, but
attached to the
broad ligaments.
Each weighs 4-
8gms ,and the right one
is slightly
Structure
Medulla
is the innermost
zone/supporting
framework in which the
ovarian blood and
lymphatic vessels as
well as nerves passes
through
Cortex
 It is the outer
zone and the
functional part,
because it has
ovarian
follicles.
 They are
 surrounded by a
connective
tissue while the
outer layer of
the zone
comprises of a
fibrous tissue
referred to as
Tunica
albuginea
Functions
 Production of
ova throughout
the procreation
period.
 Production of
estrogen and
progesterone
hormones in
preparation of
the
endometrium
for pregnancy
Blood supply
Ovarian arteries

12;1 Summari Teacher to assist Listen Elaborat

0- zing the students recap ing. e the
lesson the lesson and various
12;2 asks questions Give parts of
0 the female
feedb internal
ack genitalia
on the and
lesson states the
. function.
12;2 Assignm Read & make
0 ent notes on the
anatomy and
- physiology of
12;3 the male
0 reproductive
system ( page
93-96)