Manual of Maternity and
Newborn Health Nursing
BY :
Maternity and Newborn Health Nursing
Staff members
,Revision Edition
Clinical Learning Guides and Checklists to Facilitate Learning and Assessment of
Core Competencies
This document was produced by Health Workforce Development (HWD) Project.
The author’s views expressed in this publication do not necessarily reflect the views of the United States Agency for
International Development or the United States Government.
Egypt Health Workforce Development Project
Contract No. TASC2 IQC NO. GHS-I-00-03-00025, TASK ORDER NO. GHS-I-03-03-00025-00
,Clinical Learning Guides and Checklists to Facilitate Learning and Assessment
of Core Competencies
Introduction
Use of Clinical Learning Guides (CLGs) and Clinical Skill Checklists (CCLs) is an
internationally accepted best practice now adapted to the Egyptian context. CLGs
provide a step-by-step description of all steps in their proper sequence to perform a
defined skill, task or activity. Learners use CLGs to facilitate their acquisition of
clinical skills. Clinical trainers use CCLs, which are derived from CLGs to assess
progress of learners in achieving clinical competency.
CLGs and CCLs are valuable tools for use in both simulation environments (e.g.,
skill labs) and clinical practice learning environments; and their use is widely
recognized internationally as an effective tool for learning and assessment of clinical
skills. When used to support learner practice in a skill lab (or a clinical practice site)
CLGs have several advantages. Skill acquisition and competency development
facilitated by CLGs is results in competency faster than traditional approaches to
clinical training and is more humanistic by reducing potential risk of harm to patients
and learners.
CLGs are effective primarily because they are consistent with sound learning theory,
including that they are: (i) based upon adult learning principles, (ii) employ behavior
modeling, and (iii) are competency-based. A particularly useful feature of CLGs is
that they can be used to support peer-to-peer as wel asself learning opportunities.
The CLGs and CCLs found in this volume are consistent with the recently revised
core medical and nursing curricula released in September 2004 throughout Egypt,
including core course curricula for:
• Medical undergraduates and house officers in obstetrics and gynecology,
pediatrics, and community health; and
• Nursing undergraduates and nurse interns in maternity and gynecologic
nursing, pediatric nursing and community health nursing.
In preparing these instructional and assessment materials, care has been taken to
ensure their consistency with Egyptian national quality assurance and accreditation
standards, Egyptian Ministry of Health and Population clinical protocols, and
international best practices in medical and nursing education.
With the conclusion of the effort to produce these CLGs and CCLs, it is apparent to
the team that has undertaken this task that there now exists for Egypt a model for
instructional materials design and development that can be applied to all other
specialty areas of medical and nursing education in Egypt.
, Contents
No. LEARNING GUIDE TITLE PAGE
ANTENATAL
Antenatal Assessment
1 1
(History, Physical Examination & Testing).
2 Auscultation Fetal Heart Rate. 15
3 Pitting Edema Assessment. 18
4 Deep Tendon Reflex Assessment 20
LABOUR
5 Management of first stage of labor 24
6 Vaginal examination during labor 32
7 The Partogram 38
8 Management of second stage of labor 43
9 Instrumental tray of normal labor 45
10 Perineal care 54
11 Episiotomy 56
12 Management of third stage of labor 60
13 Examination of the placenta 62
14 Newborn assessment 66
15 Immediate care of the newborn 77
16 Neonatal resuscitation 81
17 Management of fourth stage of labor 86
18 Fundus and lochia assessment 89
19 Perineal care &assessment 93
20 Routine episiotomy care 96
21 The first two weeks routine neonate’s care 100
Nursing Responsibilities in Various Gynecological
22
Examinations in Gynecological Clinic. 106
23 Breast Examination 113
24 Assisting In IUD Insertion 122
25 Administer Contraceptive Hormonal Injection 124
26 Assisting In Insertion And Removal Of Norplant Implants 126
Newborn Health Nursing
BY :
Maternity and Newborn Health Nursing
Staff members
,Revision Edition
Clinical Learning Guides and Checklists to Facilitate Learning and Assessment of
Core Competencies
This document was produced by Health Workforce Development (HWD) Project.
The author’s views expressed in this publication do not necessarily reflect the views of the United States Agency for
International Development or the United States Government.
Egypt Health Workforce Development Project
Contract No. TASC2 IQC NO. GHS-I-00-03-00025, TASK ORDER NO. GHS-I-03-03-00025-00
,Clinical Learning Guides and Checklists to Facilitate Learning and Assessment
of Core Competencies
Introduction
Use of Clinical Learning Guides (CLGs) and Clinical Skill Checklists (CCLs) is an
internationally accepted best practice now adapted to the Egyptian context. CLGs
provide a step-by-step description of all steps in their proper sequence to perform a
defined skill, task or activity. Learners use CLGs to facilitate their acquisition of
clinical skills. Clinical trainers use CCLs, which are derived from CLGs to assess
progress of learners in achieving clinical competency.
CLGs and CCLs are valuable tools for use in both simulation environments (e.g.,
skill labs) and clinical practice learning environments; and their use is widely
recognized internationally as an effective tool for learning and assessment of clinical
skills. When used to support learner practice in a skill lab (or a clinical practice site)
CLGs have several advantages. Skill acquisition and competency development
facilitated by CLGs is results in competency faster than traditional approaches to
clinical training and is more humanistic by reducing potential risk of harm to patients
and learners.
CLGs are effective primarily because they are consistent with sound learning theory,
including that they are: (i) based upon adult learning principles, (ii) employ behavior
modeling, and (iii) are competency-based. A particularly useful feature of CLGs is
that they can be used to support peer-to-peer as wel asself learning opportunities.
The CLGs and CCLs found in this volume are consistent with the recently revised
core medical and nursing curricula released in September 2004 throughout Egypt,
including core course curricula for:
• Medical undergraduates and house officers in obstetrics and gynecology,
pediatrics, and community health; and
• Nursing undergraduates and nurse interns in maternity and gynecologic
nursing, pediatric nursing and community health nursing.
In preparing these instructional and assessment materials, care has been taken to
ensure their consistency with Egyptian national quality assurance and accreditation
standards, Egyptian Ministry of Health and Population clinical protocols, and
international best practices in medical and nursing education.
With the conclusion of the effort to produce these CLGs and CCLs, it is apparent to
the team that has undertaken this task that there now exists for Egypt a model for
instructional materials design and development that can be applied to all other
specialty areas of medical and nursing education in Egypt.
, Contents
No. LEARNING GUIDE TITLE PAGE
ANTENATAL
Antenatal Assessment
1 1
(History, Physical Examination & Testing).
2 Auscultation Fetal Heart Rate. 15
3 Pitting Edema Assessment. 18
4 Deep Tendon Reflex Assessment 20
LABOUR
5 Management of first stage of labor 24
6 Vaginal examination during labor 32
7 The Partogram 38
8 Management of second stage of labor 43
9 Instrumental tray of normal labor 45
10 Perineal care 54
11 Episiotomy 56
12 Management of third stage of labor 60
13 Examination of the placenta 62
14 Newborn assessment 66
15 Immediate care of the newborn 77
16 Neonatal resuscitation 81
17 Management of fourth stage of labor 86
18 Fundus and lochia assessment 89
19 Perineal care &assessment 93
20 Routine episiotomy care 96
21 The first two weeks routine neonate’s care 100
Nursing Responsibilities in Various Gynecological
22
Examinations in Gynecological Clinic. 106
23 Breast Examination 113
24 Assisting In IUD Insertion 122
25 Administer Contraceptive Hormonal Injection 124
26 Assisting In Insertion And Removal Of Norplant Implants 126
