LOURDES COLLEGE OF NURSING, SIDHI SADAN

NURSING EDUCATION
FORMAT FOR LESSON PLAN

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Name of student teacher : DELPHY VARGHESE
Topic : CTG
Subject & unit : Obstetrics and gynecology
Duration : 20 minutes
Group : Peer group
Venue : MSc first year class room
Date & time : 05/05/2020
Method of teaching : Lecture cum discussion
AV aids used : Power point, chalk and board, chart, flash card
Previous knowledge of the group : The group has basic knowledge about the
discussion from previous degree class.

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General objective:
At the end of the class students attain knowledge regarding CTG and apply this in clinical practice
classroom teaching with positive attitude.
Specific objective:
At the end of the class students will be able to,
 define the CTG
leave 2.5 cm
from margin  Enlist the purposes of the CTG
 List down the method of CTG
 Explain the indication for CTG
 Enlist the equipments for CTG
 Explain the preparation for CTG
 Enumerate the procedure for the external CTG
 List down the interpretation by CTG
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Time Specific Content Teaching AV Evaluation
objectives learning activity aids
2 Introduction Teacher
min Which is the method used to assess fetal introduces the
heart rate? topic CTG.

Definition Teacher defines Power What is the

CTG Students point CTG?
Define CTG Cardiotocography (CTG) is a continuous
2 electronic record of the fetal heart rate are taking
min obtained via an ultrasound transducer placed lecture notes.
on the mothers abdomen, the machine used
to perform the monitoring is called a
cardiograph, more commonly known as an
electronic fetal monitor (EFM)

Purposes
 to record FHS continuously
 to check uterine activity
 to detect any fetal distress
 to gain information about rate, rhythm of
the fetal heart rate and fetal move ment
Teacher
discuss….. Transparen
discuss the methods of CTG cy/
Students are
management  external CTG Powerpoin
actively
of…….  internal CTG listening/ taking t/ Flash
indication for the use of continuous EFM lecture notes card/
 high risk pregnancy Chart
a) maternal medical illness etc…
b) obstetric complication What is...?
 cerebral palsy or neonatal encephalopathy
 induction or augmentation of labour.
5
Equipments for the procedure
min
 cardiotocograph
 transducer(2): toco and cardio
 conduction gel or paste
 abdominal binder ( two belt)
 monitor paper
 tissue paper

preparation for CTG

determine the indication for fetal
monitoring
explain the purpose , time required for test
instruct the women for the empty the
bladder
place the women in supine position
uncover theabdomen
 procedure
place the tocosesor on the fundus of uterus
and fix it with abdominal binder
identify the presentation and position of
the fetus
localize the FHS and fix it with abdominal
binder
assure the recording of FSH and uterine
contraction
explain the mother to push the bottom
when she feel any movements
labeled the women’s name, I.P
number,date and time in CTG graph
read the CTG and immediately notify the
doctor, if any abnormality seen

interpretation of CTG
uterine activity (contraction)
baseline fetal heart rate (FHR)
baseline FHR variability
presence of acceleration
periodic or episodic deceleration
changes or trends of FHR patterns over
time

Summary
So far we have seen
About definition, purposes, methods,
indication, preparation, equipments,
procedure, interpretation
Recapitulation
What is CTG?
Which are the method of CTG?
Assignment
Write an assignment on:
Topic: internal CTG
Reference:
Date & venue for submission:
05/05/2020
Conclusion
Conclude the topic.
Black board activity
TOPIC
ntroduction Definition Purposes Indication types rough works
………….. a
………….. b purposes
……………
……………. Management
Bibliography
Teacher reference:
1.
2.
Student
reference:
1.
2.