NURSING AND MIDWIFERY COUNCIL OF NIGERIA

CURRICULUM FOR BASIC MIDWIFERY

FIRST YEAR FIRST SEMESTER

Foundation of Nursing I

Anatomy and Physiology I

Basic Sciences

Behavioural Science I

1|Page
The use of English

Microbiology

Primary Health Care

End of Semester Examination

First Semester vacation — 2 weeks

Coniniunity Based Clinical Practic I

FIRST YEAR SECOND SEMESTER

Foundation of Nursing II

2|Page
Anatomy and Physiology II

Behavioural Science II

Nutrition

Pharmacology I

Medical/Surgical Nursing

Primary Health Care II

Seminar in clinical practice

End of Semester Examination

3|Page
Second Semester vacation — 2 weeks

Hospital Based Clinical Practice I.

SECOND YEAR FIRST SEMESTER

Applied Anatomy and Physiology

Fundamentals of Midwifery Practice

Normal Midwifery I

Pharmacology II

Community Midwifery

4|Page
Introduction to Computer

Statistical Methods

Seminar in Community Midwifery practice

End of Semester Examination

First Semester Vacation — 2 weeks

Community Based Clinical Practice II.

SECOND YEAR SECOND SEMESTER

Normal Midwifery II

5|Page
Complicated Midwifery I

Child Health

Mental Health Nursing

Family Planning

Seminar in Community Midwifery Practice

End of Semester Examination

Second Semester vacation — 2 weeks

Hospital Based Clinical Practice — II

6|Page
THIRD YEAR FIRST SEMESTER

Introduction to Reproductive Health

Complicated Midwifery II

Introduction to Research

Principles of Management and Teaching

Seminar in Midwifery Practice

Research Project

End of Semester Examination

7|Page
First Semester Vacation — 2 weeks

Community Based Clinical Practice — III

THIRD YEAR SECOND SEMESTER

Expectant Family Care Project

Seminar in Midwifery Practice

Hospital Based Clinical Practice - Ill

Revision

Final Examination

8|Page
Explanatory Note: The clinical experiences (community/Hospital based) take place at the end of
each semester.

INTRODUCTION

FOUNDATIONS OF NURSING I

This course is the foundation for the practice of Midwifery in the home, community and health
institutions and for further professional education.

It forms the basis for all other comprehensive and specialized health care. Preparation for the
course is more than the acquisition of technical skills and will be based on sound scientific

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principles which the student will apply throughout the whole programme and will be able to
build on as the programme progresses.

OBJECTIVES

At the end of the course, the student will be able to:

I. Describe the history, ethics, philosophy and trends in Nursing.

2. Explain the basic concepts and tools relevant to nursing practice.

3. Identify the structure and functions of health care institutions and

agencies.

4. Explain the principles of diagnostic procedures.

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5. Demonstrate the procedures for bedmaking

6. Explain the principles of physical care of client/patient

7. Explain the role of community and family in the care of patients.

8. Explain the principles and techniques of First Aid.

Course Content

Unit I: Introduction

- Definition of Nursing/Midwifery, ethics, professionalism

History and trends of Nursing/Midwifery

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The characteristics of-Nursing as a profession

Nursing Legislation and decrees I acts

The functions of Nursing and Midwifery Council of Nigeria

Unit II: Concepts and Tools in Nursing

- Basic needs of clients/patients

Concept of health-illness continuum

The components of the Nursing process (Assessment,

planning, implementation, evaluation)

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Problem-solving techniques that can be applied in Midwifery pra

(trial and error, systems approach and initiative problem solving)

Introduction to quality assurance

Theories in Nursing e.g. (Maslow’s Hierarchy of needs)

Communication process

Concept of Information, Education and Communication (IEC)

Reporting and Recording in Nursing /Midwifery

Concept of Health Management Information System

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Techniques of rehabilitdtion

Unit III: Health Care Institutions and Agencies

Structure and functions of Primary, Secondary and Tertiary health institutions.

National and international health agencies and associations in with care delivery e.g. World
Health Organisation, Red Cross, UI Nations International Children’s Fund, National Association
of’ Nurses and Midwives, International Council of Nurses etc.

Unit IV: Diagnostic Procedures

Diagnostic procedures e.g. vital signs, apex beat, weight/ha laboratory tests, Urine testing, stool,
sputum, other secretions. Procedure for collection of specimen listed above

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Use of diagnostic set

Collection of urine for routine and laboratory investigations Precautionary measures involved in
collection and disposal of sped for investigation

Recording of findings from diagnostic procedures accurately.

Unit V:Bedmaking

Principles of bedmaking

Preparation of trolleys for different types of bed making

Simple unoccupied beds and cots

Unit VI: Comfort and Safety Measures

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Reception, admission and discharge of patients

Trolleys for bed-bathing, pressure areas, mouth care etc.

Bathing of adults and children

Treatment of pressure areas

Oral care of patient

Examination and washing of patients hair

Giving of bed pans and urinals

Disposal of human wastes

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Feeding of patients

Positioning of patients

Lifting of patients

Use and care of bed accessories (cradle, bed table, air-ring, etC)

Special beds (admission, post-operative, cardiac, divided bed etc.)

Clearing of used equipment

Unit VII: Community Centred Nursing Care

Principles and practice of community centred nursing care

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Role of family in care of patients

Family interaction patterns and patients response to illness

Visits to families and communities

Role of community in health care

Community mobilization in health care delivery

Unit VIII: First Aid

Definition of First Aid

Principles of First Aid

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Qualities of a First Aider

Situations requiring First Aid e.g. Burns, Poisoning, Falls, Bites

casualties, drowning, etc

Techniques of First Aid

Management of emergency situations e.g. Cadio Pulmonary

Resuscitation, Mouth to Mouth etc.

Principles of Bandaging

Application of bandages, splints, dressing, tourniquet

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ANATOMY AND PHYSIOLOGY 1

INTRODUCION

This course deals with the normal anatomy and physiology of the body. This is essential for
better understanding of deviations from normal. Important for the student midwife to understand,
that the functions of e part of the human body are interdependent. The course recognizes
importance of environmental and technological changes on the nor structural development and
functions of the body.

OBJECTIVES

At the end of the course, the student will be able to:

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1. Explain the organization of the human body, its physiology maintenance

2. Describe the structure and functions of the musculo-skeletal system, describe the structure and
functions of blood and cardio-vascular system.

3. Describe structure and functions of the digestive system.

4. Describe the structure and functions of the respiratory system.

Course Content

Unit I: Organization of the human body

- Various systems of the human body

-The basic unit of the human body (cell)

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- Cell division (mitosis and meiosis)

- Properties of animal cell

- The scope of genetics

- Concept of adaptation and homeostasis

- Cavities and regions of the body

- Body tissues, membranes and their characteristics

Unit II: Structure and Functions of Musculo Skeletal System

- Anatomical terms e.g. proximal, distal, internal, medial etc

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- The anatomical structure of the human body

- Bones of the body

- Development, structure and composition of bones

- Types of articulation of the skeletal system e.g. synovial joints

- Types, characteristics and composition of the muscular system

Unit III: Blood and Cardio-Vascular System

- The structure and functions of the heart and blood vessels

- Functions of the heart and blood vessels

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- Formation and composition of blood

- Blood Groups, ABO and Rhesus incompoatiblity

- Blood clotting mechanism

- Blood circulation, blood volume, maintenance of blood pressure, pulse and heart beat

- Structure and functions of the lymphatic system

- Circulation of lymph

Unit 1V: Digestive System

- Organs of digestion, their structure and functions

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- Digestion and metabolism of carbohydrates, protein, fats in the human digestive system

- Functions of vitamins (water or fat soluble) and minerals in the body

- Heart production in the body

- Basal metabolic rate

Unit V: Respiratory System

- Structure and functions of organs of respiration (Nose, pharynx, larynx, trachea, bronchi, lungs)

- Mechanism of respiration (carriage of oxygen in blood, carriage of carbondioxide in blood,

gaseous exchange)

- The buffer system

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- Nervous control of respiration

BASIC SCIENCES

INTRODUCTION

The basic science course emphasizes the important basic concepts of sciena in relation to health
care activities.

OBJECTIVE

At the end of the course, the student will be able to

1. Relate the basic concepts in physics and chemistry to health activities

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2 Describe specifically the application of heat, mechani s, light i sound in terms of therapeutic
and other uses in health care activities. Explain the nature of radio-activity in relation to x-ray
and radiotheil including precautionary measures in the protection of patients, staff community in
general.

Describe basic biochemical concepts in terms of the bo9dy compos and alterations due to injury
or disease processes. Identify uses of inorganic and organic compounds in therape relating these
to the application of biochemistry and pharmacolo health care activities.

Unit I: Introduction

Definition of Science

Branches of Science and their relevance to midwifery practice

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Nature of scientific enquiry and its importance to a midwife

Matters: Definition and classification.

Unit II: Molecular phenomena and applications

Surface tension: Definition, common examples, application in midwifery practice

The concept of capillarity: Definition, common examples, application in midwifery practice

Diffusion: Definition, common example and application in midwifery practice

Concept of density and application in health care settings: Use of hydrometers and urinometers

Unit III: Measurements

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Types of measurements commonly carried out by nurses e.g. length, weight, volume etc.

S. 1. / unit conversion

Applications of measurements in the health field — Barometer, sphygnomonometer

Unit IV: Forces and their application in midwifery practice

Definition, types, examples

Application to midwifery practice

Unit V: Machines

- Definition, types and examples

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Levers: Definition, classification and examples

Pulleys: Definition, classification and examples

Application in midwifery practice

Unit VI: Heat

Definition, terminologies and sources of heat

Methods of providing heat for the body

Heat conversion

Calculations of calorific values for adult and baby food.

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Definition and measurement of temperature

Types of thermometer and uses

Unit VII: Optics

- Definitions, basic principles and applications

- Common eye defects and corrective mechanisms

Unit VIII: Electricity, Magnetism and Sound

- Basic principles, application to x-ray

- Properties of a magnet

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- Electromagnetism

- Sound-Basic principles, waves and application in midwifery practice

Unit 1X: Practicals

- Application of the principles and practice of physics to clinical practi

CHEMISTRY

Unit X: States of Matter

- Physical and chemicals properties of matter

- Chemical sbols of elements

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- Valency, atomic weight and number

- Simple formula and equations

- Mixtures and compounds

- Application in midwifery practice

Unit XI: AirComposition, Pollution and Purification

- Electrolysis: Definition, Electrolytes and Non-electrolytes

- Ion: Definition, examples, ionization

- Application in midwifery practice

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Unit XII: Acids, bases and salts

- Importance of salts to the body Hydrolysis of salts

Metals and non-metals: examples and properties

Simple volumetric analysis

Acid/base titration

Application in midwifery practice

Unit XIII: Carbons and Hydrocarbons

- Carbons: Properties of the elements and allotrophes Alcohol: Classification, preparations and
uses Application in midwifery practice

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Unit XIV: Organic and inorganic compounds:

- Organic compounds: Definition, classification, examples and structure

- Examples of oxidation products of alcohols — Aldehydes etc. Application in midwifery

practice

Unit XV: Practicals

Application of the principles and practice of chemistry to clinical

practice.

BEHAVIOURAL SCIENCE I

INTRODUCTION

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The aim of the integrated Behavioural Science Course is to facilitate greal understanding of the
principles of human behaviour generally and ti application of these principles to midwifery
practice in particular. Spec relevant behaviour concepts will be identified and their use in solv
clients problems will be demonstrated.

OBJECTIVES

At the end of the course, the student will be able to

1. Define relevant terms and concepts in behavioural sciences.

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2. Demonstrate skill in using counseling techniques to assist client/patient develop methods
suitable for solving identified problems. Recognise the various standarlized psychological tests
and the of utilization in clinical situations.

Utilize behavioural science principles in all aspects of care th

increasing client/midwife rapport.

Course Content

PSYCHOLOGICAL PERSPECTIVES

Unit I: Growth and Development

Principles of growth and development

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Factors influencing growth and development

Theories of psycho-social development; intellectual and emotional

Unit II: Personality

- Theories of personality

- Personality development Perception, motivation and the learning process

Unit III: Group Structure

- Leadership

Interpersonal and group relations

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Group dynamics

Intergroup tensions, prejudice and stereotype

Unit IV: Psychological Measures

Measures Counseling

Attitudinal measurement

Intelligence tests

Sociometry

THE USE OF ENGLISH

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INTRODUCTION

This course is designed to equip students with skills in the proper use! English Language to
facilitate the attainment of sound academic standai and enhance effective communication.

OBJECTIVES

At the end of the course, the student will be able to:

1. Demonstrate additional skills in the use of English Language means of communication.

2. Utilize the knowledge of English Language to interprete informa reports, instructions and
patient care studies.

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3. Utilize effective communication skills in influencing the attit client/patient, family and
community.

Course Content

Unit I: Mode of Communication and Expression of Ideas

General Overview

Verbal, non-verbal

Review of concept of Grammar

Speech

Phonology

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Phonetics; diction and flow

Unit II: Techniques of Writing

Basic Skills

Paragraphing

Punctuations

Legibility and organization

Types of sentences and their usage

Types of Essay Narrative

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Comparative

Descriptive Expository

Letter writing

Reports and Records

Unit III: Reading Skills

Basic Skills

Editing

Skimming

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Scanning Comprehension

Summary

Precis

Paraphrasing Lexis and Structure

Art of Debate

Unit IV: Reference Materials

- Types

Foot notes

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Bibliography

References Collation

MICROBIOLOGY

INTRODUCTION

In the study of microbiology, the midwife acquires the knowledge different types of organisms,
their relevance in midwifery practice and U application of microbiology to disease control

OBJECTIVES

At the end of the course, the student will be able to:

1. Identify different types of organisms

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2. Relate specific disease with causative organisms

3. Describe the mode of transmission, course and the treatment of sped infections.

4. Explain the concept of immunity and immune response as applie4 epidemiology.

5. Utilize the knowledge of disease processes in the control of I

6. Perform simple specific laboratory investigations.

7. Interprete results of laboratory findings.

Course Content

Unit I: Introduction

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- History of microbiology

- Classification/nomenclature

- Growth and multiplication of micro-organisms

- Relevance of microbiology to midwifery practice.

Unit II: Infection and Disease Control

- Sources of infection

- Transmission of infection

- Lesions produced by bacteria in the body

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- General principles in the control of infectious diseases

- Methods of disinfections and sterilization

- Principles of asepsis, reverse isolation and application to procedures

Disposal of intectect material aria spec1iucii

Quarantine, contact tracing, case control, isolation and notification

Unit III: Immunity

Principles and practice of immunology

General body resistance to infection

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Types of body defence mechanisms against microorganisms

Concepts of natural and acquired immunity Active and passive immunity

Abnormal immune response

Auto immune response

Anaphylaxis

Serum sickness

Acquired Immune Deficiency Syndrome (AIDS)

Unit IV: Microbiology of water, milk and food

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Water borne diseases and control

Milk borne diseases and control

Food borne diseases and control

Unit V: Diagnostic Procedure

Isolation of micro-organisms from different environments

Identification of the different organisms

Specific differences, between organisms

Exposure, incubation and examination of specimens under various test

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conditions

Examination of normal flora.

Unit VI: Environmental Aspect of Microbiology

Introductory entomology and parasitology

Environmental sanitation and parasitic infections

Sewage and waste disposal, water and air pollution

Microbiological tests of food, milk and water in the environment

Classification of parasites, protozoa, common worms, ova in the

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environment.

PRIMARY HEALTH CARE 1

INTRODUCTION

This course provides opportunity for the student to acquire knowled skills and attitudes adequate
for working efficiently in Primary Health Cai settings, to meet the health needs of individuals,
families and communities.

OBJECTIVES

At the end of this course, the student will be able to:

1. Assess the community situation in terms of human and mater resources.

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2. Identify health needs of the community.

3. Prioritise identified health needs

4. Organise target area into zones for health action.

5. Mobilize the community for effective participation in health activities for self reliance

Course Content

Unit I: Introduction

- Historical perspectives, philosophy, concepts and principles of prima health care/public health
nursing. Organisation and scope of primary health care services in Nigeria Roles, functions and
responsibilities of the nurse in primary health in relation to other health workers.

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Multidisciplinary, intersectoral approach to Primary Health Care: Team approach

Unit II: The Community: Organisational Structure of Community, Leadership

Composition of a Community

Community Structure: Decision making structure of a Community.

Family Patterns

Health Patterns

Staffing in Primary health care system

The role of Primary health care workers: Traditional Birth Attendants

Village Health Worker

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Community Health Extension

Workers (Senior, Junior)

Community Health Officers

Midwives

Public Health Nurses

Community Physicians etc.

Unit III: Information, Education and Communication

Community Mobilization

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Rationale and Role

Advocacy

Steps in Community Mobilization

Development Committee in Primary Health Care Services.

Composition and functions of Development committees such as

Village Development Committee

Health Facility Development Committee

District Development Committee

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Local Government Area Primary Health Care Development

Committee

Others: State Implementation Committee

National Policy Implementation Committee

Community Diagnosis

Role and Rationale for Community Diagnosis

Methods and steps used in Community Diagnosis

Situation Analysis

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Instrument used in situation analysis

Steps in conducting situation analysis

Health Education

Principles of Health Education

Guidance and Counseling

Principles of teaching and learning

Communication skills and group dynamics in Primary Hea1th Care

Unit IV: Clinical Skills in Primary Health Care

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Use of standing orders/Midwife Clinical Protocol

History taking

Reporting and Recording

Physical examination

Diagnostic techniques

Nutritional assessment

Weighing and Charting of weight data

Use of mid-upper arm circumference strip (Shakir

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Socio-economic assessment

Diagnostic Skills -.

FOUNDATIONS OF NURSING II

INTRODUCTION

This course is the foundation for the practice of Midwifery in the home, committee and health
institutions and for further professional education.

It forms the basis for all other comprehensive and specialized health care. Preparation for the
course is more than the acquisition of technical skills and will be based on sound scientific
principles which the student will apply throughout the whole programme and will be able to
build on as the programme progresses.

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OBJECTIVES

At the end of the course, the student will be able to:

1. Explain the principles of aseptic technique in clinical procedures

2. Demonstrate the procedure for wound dressing

3. Describe the storage and administration of medication

4. Identify equipment used for patients with special conditions

5. Demonstrate the procedures for patients preparation and setting of trays for specialized
diagnostic measures.

6. Explain the principles and techniques of isolation of patients

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7. Describe the management of critically ill, dying patient and their relatives

Course Content

Unit I: Infection Control

- Aseptic technique, sterilization, disinfection

- Concept of aseptic technique including decontamination

- Sterilization of instruments, equipment and material (physical, chemical)

- Methods of disinfection — concurrent, terminal etc.

- Content of packs for various procedures (injection, dressing packs dc)

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- Use of masks, gloves and gowns

etc)

Calculation of Drugs and intravenous fluids.

Catheterization, bladder irrigation etc

- Injection and infusions etc

Unit II: Wound Dressing

- Wounds, definition, types (incision, puncture, lacerated etc)

- Process of wound healing

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Wound dressing

Wound drains

Removal of sutures

Care of patients with Plaster of Paris (POP)

Unit III: Drug Administration:..

Rules of drug administration — (General and controlled drugs)

Route of drug administration

Trolleys/trays for administration of medications (oral medic

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injections, infusions, inhalations etc)

Dilution of lotions and disinfectants

Administration of Drugs

Giving of injections and intravenous fluids (intramuscular, intrad

Unit IV: Equipment for Special Conditions

- Resuscitation tray/tro1ley

Oxygen administration (nasal catheter, mask, oxygen tent) Suction tray and machine

Unit V: Specialized Diagnostic Measures

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Physical examination of clients/patients (head to toe)

Special examination (endoscopy, ophthalmoscopy, etc.)

Neurological Examination

Lumbar and cisternal puncture

Radiological examination

Biopsies

Ultasonography

Unit VI: Isolation of Patients

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Principles of isolation and barrier nursing

Universal precautionary measures

- Various types of isolation e.g. respiratory, reverse etc

- Methods of isolation and barrier nursing

Universal precautionary measures — infection control

Disposal of infected materials e.g. sputum, urine, faeces, vomitus etc.

Unit VII: Care of the critically ill/dying patient

Total patient care

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Process of dying e.g. Kubler-Ross’s stages of dying

Physical and psycho-social support to the critically ill/dying patient

Stages of grieving and onset of death

Last office

Care of the bereaved family

ANATOMY AND PHYSIOLOGY II

INTRODUCTION

The course deals with the normal anatomy and physiology of the This is essential for better
understanding of deviations from normal. important for the student midwife to understand that

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the functions of part of the human body are interdependent. The course recogniz importance of
environmental and technological changes on the n structural development and functions of the
body.

OBJECTIVE

At the end of the course, the student will be able to:

1. Describe the structure and functions of the Excretory System

2. Describe the structure and functions of the Reproductive System

3. Describe the structure and functions of the Special senses

4. Describe the structure and functions of the Endocrine System

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5. Describe the structure and functions of the Nervous System

Unit I: Excretory System

- Structure and functions of the skin

- Heat regulation

- Macroscopic and Microscopic structure of organs of the urinary s

- Functions of the urinary system

- Formation and excretion of urine

- Process of clearance of urea and electrolytes

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Unit II: Reproductive System

- Organs, structures and functions of the female reproductive sys

* The menstrual cycle

- Hormonal control of menstrual cycle

- Organs, structures and functions of the male reproductive syste

- Spermatogenesis

Unit III: Special Senses

- Structure and functions of Ear: mechanism of hearing Structure and functions of Eye:
mechanism of vision

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Structure and functions of Nose: mechanism of smell

Structure and functions of Taste Buds: mechanism of taste

Unit IV: Endocrine System

- Endocrine glands (pituitary, thyroid, parathyroid, adrenal, thymus gland and pineal body)

Structure and functions of the glands

- Hormonal eontrollfeedback mechanism

Unit V: Nervous System

- Structure and functions of the Nervous System Classification of the nervous system (central,
peripheral and autonomic

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nervous system) Mechanism of nervous control in the human body Mechanism of touch.

BEHAVIOURAL SCIENCE II

INTRODUCTION

The aim of the integrated Behavioural Science Course is to facilitate gre understanding of the
principles of human behaviour generally and application of these principles to midwifery
practice in particular. relevant behaviour concepts will be identified and their use in soil clients
problems will be demonstrate.

OBJECTIVES

At the end of the course, the student will be able to:

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1. Identify the nature and relevance of culture in Midwifery practice

2. Identify the distribution of available community resources mobilizing communities.

3. Explain the influence of socialization agents in midwifery practice

4. Describe the role of Government as institution of health care deliv

ANTHROPOLOGICAL PERSPECTIVES

Unit I: The Nature of Culture

- Culture: nature, purpose and relevance in midwifery practice

- Influence of culture on health and illness

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- Religion, beliefs and practices

- Traditional and Scientific medical beliefs

- Individual concepts and group influences

SOCIOLOGICAL PERSPECTIVES

Unit II: The nature of Sociology

- Concepts in sociology

- Social process

- Social stratification

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- Social change

- Population dynamics

Unit III: The adaptive process

- Socialization

- Agents of socialization

- Social institutions as they affect:

Individual

Family

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School

Religious institutions

Health care institutions

- Government as an institution of health care delivery

NUTRITION

INTRODUCTION

Nutrition is an integral part of health and health maintenance. It important for student midwives
to understand the psycho-social facti influencing eating habits to enable them promote the health

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of individui The knowledge acquired in this course would be applied in the provision therapeutic
diet in health and illness states.

OBJECTIVES

At the end of the course, the student will be abit. to:

1. 1dentii’ basic elements and nutrients in food

2. Recognise the influence of various factors in eating habits

3. Explain the role of food in the maintenance of health.

4. Modif’ nutritional intake to meet special needs

5. Develop skill in the preparation of foods commonly used in health

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[Link] individuals and families in making the right choice of re available and affordable food.

Course Content

Unit I: Introduction

Definition of nutritional terms

Classification of food

Nutrients and their chemical components

Functions and utilization of nutrients

Local food items with high nutritional values

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- r uncuons oi iooa in tne Docly

- Changing food needs during life cycle

- Growth monitoring

- Factors affecting the choice of food e.g. body needs, cultural and ethic background Religion,
socio-economic status, availability and

geographical area, health status.

Unit III: Nutritional Management

- Methods of food storage and preservation

- Budgeting

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Food hygiene

Teaching and supervision of food handlers in the home, school, health institutions and public
eating places

Role of government, organizations, communities and families in food production.

Unit IV: Nutritional needs in pregnancy and lactation

Nutrition in pregnancy

Nutritional requirements

Planning menu to meet the nutritional requirements

Effect of over/under nutrition

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Effect of taboos and cultural practices Nutrition during lactation

Nutritional requirements

Assessing the nutritional status of a lactating mother

Planning menu to meet the nutritional requirements

Effect of over/under nutrition Infant Nutrition

Breast feeding and breast milk

Composition of breast milk

Factors that affect the quality and quantity of breast milk

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Breast feeding techniques

Baby friendly Initiative: Exclusive breast feeding

Infant Formula/supplementary feeding

Types of infant formula and nutritional instant e.g. cow & goat milk

Use and preparation of infant formula

Advantages and disadvantages of infant formula

- Introduction to family diet — complementary feeding

Types of family diet

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Factors affecting complementary feeding e.g. poverty, ignorar

taboos etc.

Effects of over/under nutrition in infants

Unit V: Dietetics

- Nutritional requirement in special conditions

- Use of nutritional supplements

- Preparation of diet for sick individual

PHARMACOLOGY I

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INTRODUCTION

The course is designed to equip the student with a basic knowledge of pharmacology to enable
her function effectively in homes, communities and health care institutions.

it provides the student with the required knowledge of the use and effect of

drugs for the prevention, diagnosis and treatment of diseases conditions.

OBJECTIVES

At the end of the course, the student will be able to:

1. Demonstrate an understanding of the importance of pharmacology in midwifery.

2. Define relevant terminologies and abbreviations used in pharmacology.

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3. Describe drug classifications, sources and basic preparations.

4. Calculate drug dosages.

5. Utilize the rules and regulations guiding the administration of drugs in health care.

6. Describe the role of a nurse in the storage, administration and record keeping of drugs and the
legal considerations.

7. Discuss the problem of drug abuse in Nigeria and other countries.

Course Content

Unit I: Introduction

- History of Pharmacology

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- Importance of Pharmacology in midwifery

- Definition, scope, terminologies and abbreviations used in pharmacology

Unit II: General information about drugs

- Sources of drug: Traditional and Orthodox

- Chemical, Generic and brand names

- Classification and composition of drugs

- Introduction to the National Drug Policy and Essential Drug list.

Unit III: Preparation and administration of drugs

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- Preparation of drugs -- Traditional and Orthodox

- Principles and routes of drug administration

- Calculation of dosages — Tablets, lotions, solutions and infusions.

- Handling and storage of drugs.

- Nurses responsibility in administration of drugs.

- Legal implications in the storage, administration and record keeping drugs.

- Drug overdose and use of antidotes

- Drug abuse and addiction: definition and scope

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Unit IV: Mechanism of drug action

- Pharmacokinetics principles — C (Absorption, distribution, metaboli and excretion)

- Pharmacodynamics — (actions, interactions, adverse drug reactions)

- Pharmacogenetics — Idiosynscrasies

- Effect of age, diet, occupation and disease on drug (distribution and elimination)

MEDICAL I SURGICAL NURSING

INTRODUCTiON

Medical-Surgical Nursing encompasses care rendered to client/patient with acute and chronic
conditions utilizing the nursing process. The care is based a body of knowledge drawn from the

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biological, physical and behavioural sciences. The focus is on prornotive, rehabilitative and
community oriented health activities.

OBJECTIVES

At the end of the course, the student wil’ be able to:

1. Describe the basic concept and terminologies in Medical —Surgical Nursing.

2. Explain the concept and philosophy of rehabilitation
3. Describe the diagnostic measures in medical-surgical nursing Utilize nursing process in
the care of client/patient Describe health conditions that can threaten/affect adaptation
and their management
4. Explain the principles of operating room nursing. Apply the knowledge of perioperative
nursing intervention and care in the management of surgical patients.

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Course Content

Unit I: Health — illness Continuum

Concepts of Health-Illness Continuum, Adaptation, Homeostasis and stress

Behaviours in illness

Definition of terms used in medical-surgical nursing e.g.

pathophysiology, Diagnosis, Prognosis, Signs & Symptoms etc.

Concepts and principles in medical-surgical nursing e.g. Holistic,

Primary Nursing, Team approach etc.

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Unit II: Diagnostic Measures

- History taking e.g. personal data, family, medical, surgical history etc.

- Physical examination

Inspection — physical and mental status

Palpation — Neck, thorax, abdomen

Percussion — Thorax, abdomen

Auscultation — Apex beat, fetal heart beat.

Viral Signs — Temperature, Pulse, Respiration, Weight, Height,

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Blood pressure.

- Health Screening Methods

Use of swabs

X-ray

Ultra sound

Examination of urine, faeces, aspiration etc.

Blood — grouping, genotype, HB, cross-matching etc.

- Preparation of patients for various diagnostic procedures

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- Interpretation and Recording of diagnostic reports.

Unit HI: The Nursing Process

- The Nursing Process Assessment

• Diagnosis

Planning

Implementation

Evaluation

- Application of Nursing Process in the care of clients/patients

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- The Nursing care plan.

Unit IV: Common conditions that threaten adaptation

- Inflammation: Types, Signs & Symptoms, Management

- Pain: Theories of pain, Management

- Fluid and electrolyte imbalance

- Incontinence etc

- Application of nursing process in the management of patients with the

following conditions:

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Fluid and electrolyte imbalance

Haemorrhage

Shock

Fever

Unconsciousness

Surgical Interventions — minor I major surgery etc.

Unit V: Problems associated witl body defence mechanisms

- Body defence mechanisms

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Infection process as related to body defence mechanism

Signs and symptoms of infection

Communicable diseases (epidemiology, prevention and control) Management of patients with

specific communicable diseases

using nursing process.

Unit VI: Ilaematological Disorder

pathophysiology of disorders of the blood e.g. care of patients on

special procedures e.g. blood transfusion.

Disorders of white blood cells

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Haemorrhagic disorders, Anaemia etc.

Unit VII: Operating Room Nursing Personnel in operating theatre e.g. Ancillary staff

Description of a typical theatre, structure and types (modular, casualty

etc)

Circulating nurse

Nurse anaesthetist

Surgeon

Student (nurses, medical, midwives etc.)

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Rules and regulations of operating theatre

Hazards of operating room e.g. legal, physical, psychological and social

aspects.

Positions used in operations e.g. trendelenburg etc.

Dorsal

Recumbent

Lithotomy

- Aseptic Measures

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Basic rules of surgical asepsis

Operating room

Sterilization of instruments and supplies

Scrubbing for an operation/protocols

- Method of swab, instrument and needle count in routine and intra

operations

- Action of the operating room personnel in a short fall in the instrument

count during operation.

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Unit VIII: Perioperative Management

- Nurses role in pre, intra and post operative support of surgical patients

- Functions of circulating and scrub nurse

- Recovery room care

- Application of the nursing process in the management of a perioperative patient.

PRIMARY HEALTH CARE II

INTRODUCTION

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This course provides opportunity for the student to acquire knowledge, skills and attitudes
adequate for working efficiently in Primary Health care settings, to meet the health needs of
individuals, families and communities.

OBJECTIVES

At the end of the course, the student will be able to:

1. Describe the components of primary health care.

2. Provide promotive, ,reventive, curative and rehabilitative ervices to individuals, families and
the coffimunity.

3. Describe the School health programme

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4. Utilize relevant information on the two-way referral system for effective continuity of
client/patient care.

5. demonstrate skill in intersectoral and interdisciplinary collaboration in the provision of health

care.

Course Cpnte

Unit I: Components of Primary Health Care

Education concerning prevailing health problems

Identification of prevailing health problems

Methods of prevention and control

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Promotion of food supply and proper nutrition

Assessment of the nutritional status of the individual and family in

the community

Promotion of good and adequate nutrition

Nutrition counseling

Diet therapy

The provision of safe water and basic sanitation

Provision of safe water

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Basic Sanitation

Waste disposal

[dentification and management of environmental health hazards in the home and community.

Maternal and child health care including Family Planning

Pre-natal Care

[ntra-natal Care

Care of the Newborn

Post-natal Care

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Child health — Growth monitoring

Infant Welfare Clinics

Control of diarrhoeal diseases (Oral Rehydration Therapy)

School health

Adolescent/Youth friendly programmes

Family Planning

Family Health Care

Maternal Morbidity / Mortality

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Immunization against major communicable diseases

Diseases preventable by immunizations

National Programme on Immunization

Cold chain system

Care of equipment — Review of aseptic techniques, sterilization of instruments

Factors affecting Immunization coverage and effectiveness

Strategies for improved coverage: National Immunization Policy

National Immunization Agency

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National Immunization Day

State lmmuniation Day

Market Based Health Care

Services

School Based

House to House

Administration of Immunization (1) Community

(2) Clinic Follow up of defaulters

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Evaluation of Immunization services

Prevention and control of locally endemic diseases Identification of locally endemic diseases
Definition of: Incidence, prevalence, communic,j epidemic, control, prevention, resistance and
surveillancc Factors responsible for spread and routes of transmission Principles of
epidemiologic investigation: surveillance, no. and record keeping of vital statistics.

Communicable and non-communicable diseases

0 - Treatment of common diseases and injuries using standing orders

Prevention of accidents in the home and work place

Recognition of emergency conditions

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Two way referral system

Diagnostic services and treatment of common diseases and injuries

in committee and Health care settings.

Provision of Integrated health care services. Provision of essential drugs

Essential drugs — Policy and Rationale

Identification of essential drugs in primary health care

Review of drug action, interaction, contra-indications and drug

abuse.

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Supply of drugs — Procurement, storage and distribution Pre-packing of drugs

Drug revolving fund/cost recovery system

Community Mental Health

Promotion of mental health in the community

Common mental health conditions

Mental disabilities/handicap

Community care and referral system

Role of the family, employers and organizations

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Community based rehabilitation Community Dental and Eye Health

Common Dental and Eye Problems

Causes and prevention

Management of the common problems

Oral cleaning methods

Health Education on oral and Eye health

Follow up and referral

Unit II: Management in Primary Health Care

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Principles and theories of management

Management of resources — Human, money, time, space etc.

Accounting System — Budgeting, books and accounts, imprest etc

Formulation of health committees and village health committees

district/ward neighbourhood health committee, local governmeq

primary health implementation committee.

Formation of health plans and policies

Zoning of local government areas

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Mapping and numbering of houses

Placement of home based records

Monitoring and evaluation

Primary Health Care information system.

Unit III: School Health Programme

Objectives and scope of school health programme Components: Hygiene inspection

Environmental sanitation

Medical examination

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Immunization

Treatment of minor ailments

Supervision of food vendors

Family life education

Common health problems e.g. Dental caries, dermatoses, malnutril

etc

Assessment of the school child Treatment of minor ailments

The role of the school management, Parent — Teacher Association1 other relevant members of
the community in meeting the needs oi school child

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Monitoring, evaluation and feedback.

Unit IV: Occupational Health

- Principles and practice of occupational health nursing

- Occupational health hazards: classification, recognition, control of measures.

- Accidents at workplace and management of major disasters

- Occupational health services — including markets and agricultural settings

- Occupational health and safety education for individuals, families and communities

The use of nursing process in occupational health nursing

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Occupational health in relation to Primary Health Care

Unit V: Care of the elderly and the physically disabled

Ageing process and needs

Characteristics of the elderly

Community care services for the elderly/physically diabled

Rehabilitation of the elderly/physically diabled. (Care homes, health

facilities).

BMP 201 APPLIED ANATOMY AND PHYSIOLOGY

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INTRODUCTION

This course builds on the student’s already acquired knowledge of anatomy and physiology with
special application to midwifery. Physiological indices are used to explain pathological changes.
Thus the midwife role in the identification of anatomical land-marks in the mechanism of child
birth, is emphasized.

OBJECTIVES

At the end of the course, the student will be able to:

1. Relate the structural adaptation of the organs of reproduction to their functions in normal and
pathological conditions.

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2. Utilize the knowledge of anatomy and physiology in the care of clients during the pre-natal
and Postnatal periods of life.

3. Relate congenital malformations with the vulnerable period of human development.

4. Appreciate the role of predisposing factors in the development of congenital malformations.

Course Content

Unit I: Anatomy and Physiology of female reproductive organs

- Female reproductive organs

- Bony Pelvis

- External genitalia (Vulva)

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- Internal genitalia (the vagina/uterus)

- Pelvis floor (changes during pregnancy, labour and puerperium)

- Menstrual cycle/menstruation

- Fallopian tubes

- Ovaries

- Oogenesis

- Influence of related hormones on reproductive organs at puberty, pregnancy and menopause

Breast (Changes in pregnancy, ‘abour and puerperium) £1

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- Physiology of lactation

Unit II: Anatomy and Physiology of the male rep.

organs

- External organs — penis and scrotum

- Internal organs — testis, excretory duct

- SpermatogefleSis

- Andropause

Unit Ill: retal Development

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- Fertilization and implantation

- Embryonic development

- Placenta formation

- Placenta at term (structure and functions)

- Abnormalities of the placenta

- Foeto — placental exchange

- Foetal circulation (structure)

- Circulatory changes at birth

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- Abnormalities of foetal circulation

- The foetal skull

External structure — development, sutures, fontanelles, diameters, moulding

Internal structure

Changes that take place during labour: injuries.

Unit IV: Affiliated Organs

- Urinary system

- Structure and functions

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- Changes during pregnancy, labour and puerperium

FUNDAMENTALS OF MIDWIFERY PRACTICE

INTRODUCTION

This course introduces the student to the rules and regulations governing the practice of
midwifery. It highlights the concepts and principles that govern its practice and focuses on the
roles of national and international organizations concerned with midwifery practice.

OBJECTIVES

At the end of the course, the student will be able to:

I. Discuss the perspectives of midwifery practice.

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2. Explain theories and tools used in midwifery practice.

3. Appreciate the importance of quality care in midwifery practice

4. Discuss ethical and legal issues in midwifery practice.

Course Content

Unit I: Perspectives of Midwifery Practice

Definition of terms: midwifery, midwifery practice, maternal morbidity I

and morality etc.

Philosophy of midwifery practice

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Concept of reproductive health

History of midwifery in Nigeria

Functions of a midwife at primary, secondary and tertiary levels of care.

The Health term in Midwifery practice

The role of the following in midwifery practice: Obstetrician an

Gynaecologist, midwife, Traditional Birth Attendants, Donor Agencies,1

Community Health Extension Workers, Community Health Officers.

Unit II: Theories and Tools in Midwifery Practice

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Application of Maslows’s hierarchy of need in midwifery practice Problem solving in maternity
care

Ask and listen (History taking)

Look and feel (observation and clinical examination)

Identification of problems/needs Take appropriate action

Nursing process in maternity care

Assessing basic needs/problem of patient

Making appropriate nursing diagnosis

Drawing a nursing care plan to solve identified problems

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Implementing care appropriately

Evaluating patient care.

Unit ifi: Quality Care

Definition and Elements of Quality Care

Technical competencies of care providers in midwifery practice

Factors that enhance quality care in midwifery practice e.g. code of

ethics, infrastructures, facilities, equipment, staffing.

Unit IV: Ethical and Legal Issues

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Ethics and etiquette in midwifery practice

Midwifery legislation, Nursing and Midwifery Acts/Decrees as they affect midwifery practice in
Nigeria.

Regulations regarding scope of practice of the Registered Midwife, misconduct by a midwife etc

Identification and management of dilemmas encountered in midwifery practice e.g. abortion,

midwifery in private practice.

NORMAL MIDWIFERY

INTRODUCTION

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The course offers the student the opportunity to apply an in-d knowledge of the reproductive
system to the practice of normal midwil It emphasizes, the health of the family during the child
bearing years. i pays particular attention to the normal needs of the mother, father, f infant and
other siblings as a family unit.

Development of skills in the management of normal pregnancy, labc peurperium and the care of
the neonate is included as a necessary clin component. A cordial midwife /client relationship is
highlighted so develop a helpful interactional process.

OBJECTIVES

At the end of the course, the student will be able to

1. Describe the process of pre-natal care

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2. Utilize nursing process to assess pregnancy as a progress phenomenon

3. Describe the process and management of normal labour

Course Content

Unit I: Prenatal Care

Definition of pregnancy, prenatal care

Physiological changes of the various systems due to pregnancy!

Reproductive system including breast

Cardio vascular system

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Respiratory system

Urinary system

Intergumentary system

Musculo-skeletal system

Gastro-intestinal system

Neurological system

Endocrine system

Signs of pregnancy (presumptive, probable and positive) Family adaptation to pregnancy

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Acceptance of pregnancy

Identification with motherhood/fatherhood role

Husband — wife relationship

Mother — child relationship

Disorders and complications of pregnancy (minor and major)

Anticipation of labour

Aims and objectives of prenatal care

Process of pre-natal care

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Use of Prenatal Risk Assessment Form (Praf)

Histofy taking

Physical examination including height, weight, gait

General examination including abdominal

Laboratory investigations (PCV, FBC, HIV, Khan, VDRL, Urinalysis)

Pelvic Assessment (diameters, brim at 36 weeks)

Identification of high risk patients for referral

Unit II: Normal Labour

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Physiology of true labour

Stages of labour (first, second, third and fourth)

Mechanism of normal labour

Preparation of delivery room/equipment

Infection control in midwifery practice

First Stage of Labour

Definition

Physiology

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Admission Procedure

Assessment of first stage of laobur

History taking

Physical examination

Abdominal examination

Uterine contraction

Vaginal examination

Conditions of vulva and vagina

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Cervical dilatation

State of membranes

Confirmation presentation/presenting part Use of partograph

Components of partograph

Plotting

Interpretation of findings/diagnosis

Planning and implementation

Evaluation

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Relief of pain in labour

Types of analgesia (Diversional, Acupunture, use of drugs, Routes and timing for administration
of analgesics

Possible effects of analgesics and anaesthesia on mother and

Importance of continuous monitoring and documentation of progr

labour

Unit III: Second, Third and Fourth Stages of Labour

Second Stage of Labour

Definition

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Signs:

Management

Assessment

Positions in labour

Mechanism of normal labour

Conduct of normal delivery

Episiotomy Indication, types, procedure

Psychological support

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Immediate care of the baby under the following:

Initiation and maintenance of respiration

Assessment of baby using APGAR Scope

Provision of warmth

Initiation of breast feeding

Examination of baby head to toe)

Third Stage of Labour

Definition

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Signs of third stage of labour

Mechanism of placental separation

Methods of placental delivery

Active management of third stage of labour

Placenta examination

Fourth State of Laobur

Definition

Monitoring blood loss

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Inspection of perineum and repair

Initiation of lactation

Monitoring status of mother

Identification of complications

Reporting and referral

BMP 204 PHARMACOLOGY II

INTRODUCTiON

The course is designed to equip the student with the basic knowlec pharmacology to enable her
function effectively in homes, commu health care institutions.

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It provides the student with the required knowledge of the use and

drugs for the prevention, diagnosis and treatment of disease conditions.

OBJECTIVES

At the end of the course, the student will be able to:

I. Understand the concept of National drug policy and essential programme.

2. Understand the role of the midwife in financial control of L Revolving Fund. (DRF).

3. Identify the various types of drugs used in midwifery practice.

4. Know the various types of drugs used in clinical practice.

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Course Content

Unit I: Essential Drugs Programme

- National Drug Policy in the context of National Health Policy.

- Historical background and objectives of the National Drug Policy

- Concept of Essential Drugs.

- Historical background of essential drug programme

- Advantages and limitations of essential drug programme

The role of the midwife in the implementation of Essential Diii

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programme

- Role of National Formulary in Rational prescribing

Introduction to the Nigerian National Formulary and

Drugs.

The Nigerian Essential Drugs list.

Drug information, interaction and Adverse Reaction Monitoring (ARMI

Elicting Information about patients drug history

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Implications of over prescribing, multiple prescribing (polypharmacy) and under-prescribing.

Type of Drug Interactions — Synergism, Antagonism, Reduced absorption.

Use of adverse Drug Reaction monitoring form and nursing drug schedule sheets.

Patient Education and Counselling with regards to self medication, compliance and non-
compliance.

Financial Management and cost recovery

Concept of drug revolving fund

Objectives and Social consequences of drug revolving fund

Costing, pricing aria exemptions under the Drug revolving fund

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Financial control of DRF

Role of the Nurse/Midwife in DRF

Unit II: Drugs used in Midwifery in:

- Pregnancy

Labour

Puerperium

Neonatal period

Drugs to be carried, prescribed and administered independently by the

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midwife.

Unit III: Drugs used for other conditions

- Antibacterial, antiparasitic and antifungal drugs

- Drugs acting on special senses (Eye, Ear, Nose Skin etc) Cytotoxic drugs

Restorative drugs such as:

Minerals and vitamins

Psychogenic drugs

Antiseptics and disinfectants

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Infusions and transfusions-types, composition and preparation.

BMP 205

COMMUNITY MIDWIFERY

INTRODUCTION

The course is designed to enable students identify the basic concc principles of Primary Health
Care especially as it relates to mi practice in the community. It provides indepth knowledge in
the c individuals and expectant families in the community. It also examiñ utilization of available
resources in planning, administratioiil management of midwifery services.

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In addition, it explores the midwife’s role as a member of the health within the community
outlining the scope and limitations of practice.

OBJECTIVES

At the end of the course, the student will be able to:

1 Utilize the concepts and principles of advocacy for comm mobilization.

2 Apply the principles of Primary Health Care in the provisicid community midwifery/childcare
services.

3 Utilize the nursing process in Community Midwifery Practice

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4 Utilize information, education and communication counseling, to eliminate harmful traditional
practices.

5 Demonstrate understanding of referral systems in midwifery practice.

Course Content

Unit I: The Community

- Community

Definition

Community Structure: Family, Political, Cultural, Social and

Economic

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Community Dynamics

Role of TBA’s Traditibnal Healers, Spiritualists (etc) in mate

health services

Advocacy

Definition

Steps and skills,

Advocacy visit

Steps of health services in community practice

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Advocacy visit

Health assessment

Health diagnosis

Community mobilization Conimunity Mobilization

Definition, Steps and skills

Methods of community mobilization Application of skills of advocacy in community

mobilization

Unit II: Community Midwifery Services/Primary Health Care

Review of components/functions of Primary Health Care

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Mode of operation of primary health care in maternal/child health including family planning

Organization of midwifery services in the community /Domiciliary midwifery

Antenatal screening and selection of patients for home delivery

Home delivery (Delivery kit and contents)

Puerperium

Storage and administration of drugs

Role of the family and community in midwifery services

Recognition and management of obstetric emergencies in the

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community

The role of the midwife as a member of the health team

unit III: Assessment tools

- Quality assurance: Definition, components, dimensions

Strategies for sustaining quality care in community midwifery pra

Staffing, equipment, standard of practice.

- Use of midwife clinical protocols

- Application of quality assurance in patient care

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Nursing Audit: Definition, Committee and functions.

Monitoring and evaluation.

Unit IV: Harmful Traditional Practices (HTP)

- Traditional Practice: Definition, classification (beneficial and h

- Types related to Midwifery Practice

Female genital mutilation — Types, implications for midwi

practice, management early marriage.

Delivery practices (hot bath, potassium pap etc)

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Sexual violence

Nutritional taboos

Force feeding etc.

- Types related to human rights

Patients Bill of Rights

Violation of Rights (Patient’s Bill, Women’s Rights etc)

Gender issues in Midwifery practice

Decision making (choice of partner, place of confinem

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operative procedures etc)

- Contributory factors to HTP

- Strategies for elimination of HTP

Unit V: Referral System

- Scope of practice in the community

- Recognition of obstetric conditions that warrant referral to other healt facilities (secondary,
tertiary)

Collaboration with other related sectors in the community:

Agriculture, works, utility, housing, education, information etc.

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unit III: Assessment tools

- Quality assurance: Definition, components, dimensions

Strategies for sustaining quality care in community midwifery pra

Staffing, equipment, standard of practice.

- Use of midwife clinical protocols

- Application of quality assurance in patient care

Nursing Audit: Definition, Committee and functions.

Monitoring and evaluation.

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Unit IV: Harmful Traditional Practices (HTP)

- Traditional Practice: Definition, classification (beneficial and h

- Types related to Midwifery Practice

Female genital mutilation — Types, implications for midwi

practice, management early marriage.

Delivery practices (hot bath, potassium pap etc)

Sexual violence

Nutritional taboos

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Force feeding etc.

- Types related to human rights

Patients Bill of Rights

Violation of Rights (Patient’s Bill, Women’s Rights etc)

Gender issues in Midwifery practice

Decision making (choice of partner, place of confinem

operative procedures etc)

- Contributory factors to HTP

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- Strategies for elimination of HTP

Unit V: Referral System

- Scope of practice in the community

- Recognition of obstetric conditions that warrant referral to other healt facilities (secondary,
tertiary)

Collaboration with other related sectors in the community:

Agriculture, works, utility, housing, education, information etc.

BMP 206

INTRODUCTION TO COMPUTER

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INTRODUCTION

OBJECTIVES

Software

With increasing need for technological application to all spheres of human endeavours, it is
important that the Midwife keeps abreast of information technology as it applies to the health
care system. The course is designed to introduce the student to the sue of computer

At the end of the course student will be able to:

1. Identify the basic parts of the Computer Unit

2. Describe the hardware and software devices

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3. Demonstrate the use of computer in Communicating information.

4. Apply different computer programmes in health care as necessary

Course Contents

Unit 1: introduction to Computer

Definition of Computer

Classification of Computer

By function Analog Computer, Digital Computer and Hybrid

Computer

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By size Mainframe Computer, Mini Computer and Micro Computer

By age — 1St, 2nd 3rd 4th 5th Generations.

Unit II: Computer System

- Hardware

Central Processing Unit (CPU)

Input devices — Keyboard, mouse, scanner, terminal, optical market

readers etc.

Output devices — Monitor, Printer, Disk etc.

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Application Software — Basic Programming, Health Information SystemlAccess etc.

Unit III: Data Processing/comp Files

File Processing

File Arrangement

Unit IV: Computer Networking

Definition of Networking

Local Area Networking (LAN)

Wide Area Networking (WAN)

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Internet/B_mail

BMP 207 STATISTIDCAL METHODS

INTRODUCTION

This course highlights the use and importance of statistics in health care delivery. It introduces
students to basic statistical principles and methods used in analyzing and presenting data in an
empirical study.

OBJECTIVES

At the end of the course, the student will be able to:

1. Explain the role of statistics in science and health care.

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2. Utilize simple statistical methods i- gathering, analyzing and presenting data

3. Interprete data presented in a variety of studies

Course Content

Unit I: Introduction

- Definition of statistical terms

- Role of statistics in science and health care delivery

- Basic concepts, principles and methods

- Collection and organization of data

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Unit II: Scales of Measurement

- Scale of measurement

- Measures of central tendency and location

- Measures of variability

- Introduction to probability and inductive statistics

- Estimating significance of difference

Exclusive breast feeding

Advantages of breast feeding

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Demand feeding, rooming in

- 10 steps to successful breast feeding

- Common breast feeding difficulties

Unit II: Peurperium (The Mother)

- Definition of normal peurperium

- Physical and physiological changes that occur during puerperium

- Identification and management of the needs of the mother within the

first 10 Iays of a safe delivery.

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- Care of the perineum

Observation of lochia

Examination of fungal height

Assessment of vital signs

Counseling on breast feeding

Nuthtional needs

Post natal exercises 10 days to 6 weeks

Rest

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Nutrition

Exclusive breast feeding

Assessment of mental health status

Counseling for family planning

Unit III: Puerperium (The Baby)

- Immediate Care

Care of umbilical cord

Observation of: vital signs, cry, colour, weight, bowel and

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meconium

Immunization at birth (BCG)

Manageme of baby within the 1St j days

10 days to 6 weeks

Feeding pattern

Nutritional status

Growth monitoring

Immunizations

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Referral to child welfare clinic Possible problems of the new born

Neonatal jaundice

Enlarged breast

Post natal convul10

Caput Succedaneum

Cephalbeamatoma

Neonatal infection

Erb’s Palsy

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BMP 222

COMPLICATED MIDWIFERY I

INTRODUCTION

This course is designed to prepare the student to recognize those conditions which suggest
deviation from normal, during pregnancy and labour. It highlights the midwives roles and
responsibilities in early diagnosis appropriate intervention and referral as necessary. It also
emphasizes the midwife role in obstetric emergency situations and operative interventions.

OBJECTIVES

At the end of the course, the student will be able to:

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1. Identify risk factors/conditions that complicating pregnancy and labour.

2. Manage appropriately those risk factors/conditions

3. Identify major disorders in pregnancy

4. Describe the management of these disorders.

5. Describe the medical conditions that complicate pregnancy.

6. Explain the malpositions and maipresentations

7. Explain types of abnormal labour

8. Describe the management of these types of labour.

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9. Identity obstetric emergences in pregnancy and labour

10. Apply Life Saving Skill (LSS) measures in the management of these emergencies.

Course Content

Unit I: Risk Factors/Conditions that complicate Pregnancy and Labour

Structural abnormalities e.g. Abnormal pelvic

Cephalo — Pelvic Disproportion

Retroverted Gravid Uterus

Social and Psychological conditions

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Poverty

Single parenthood or unsupported mother

Psychosis

Domestic violence

Harmful practices

Breast conditions: Flat nipples, inverted nipples

Risk Conditions/Factors: Maipresentations and Malpositions, Bled Anaemia, Multiple

pregnancy, Intra-uterine death, pregnancy md hypertension, hydraminious, hyperemisis
gravidarum etc.

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Unit II: Management of the Risk Factor/Condition

- Proper screening for the factors and the conditions at antenatal c

during home visit

Health Education/Counseling

Referral

Follow-up

Involvement of family and community members jn managing conditions

Unit Ill: Medical conditions that complicate pregnancy.

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Essential hypertension

Cardiac disease

Pulmonary tuberculosis

Chronic nephritis

Diabetes mellitus

Anaemia

Malaria

Urinary tract infection

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Pschosis in pregnancy

Castro-intestinal disorders e.g. Cholera, Dysentry etc.

Worm infestation infection

Sexually transmitted infections e.g. Trichomoniasis, Herpes Genitalii

Syphilis, Gonorrhoea

Human Immuno Deficiency Virus (HIV) / Acquired Immune

Deficiency Syndrome (AIDS).

Unit IV: Malpositions and Maipresentations and Their Managements

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Breech

Face

Brow

Compound Presentation

Unstable lie

Occupational or posterior positions

Unit V: Abnormal Labour

- Definition

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- Types of Abnormal labour

Abnormal uterine action such as Hypertonic uterine action, incoordinate

uterine action, constriction ring.

Precipitate Labour

Spurious Labour

Cervical Dystocia

Prolonged Labour

Discuss the management of e’h of the types enumerated above.

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Causes

care in

Unit VI: Obstetric Emergencies In Pregnancy and Labour

Bleeding in Pregnancy, Bleeding in early Pregnancy, Types, and Management.

Post Abortion Care

Basic concepts for delivering post abortion care

Professional and legal aspects related to post abortion

Nigeria

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Patient-provider interaction and communication

Treatment plan for each state

Manual vacuum aspiration (MVA)

Pain management for MVA

Patient referral

Infection prevention and MVA instrument processing

Post abortion counselling

Bleeding in Late Pregnancy Antepartum 1-laemorrhage: Types, clinical

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features and management.

Post Partum Haemorrhage: Types, causes and management

Obstructed Labour / Ruptured uterus

Cord Prolapse

Maternal and Fetal Distress

Sepsis and Obstetric shock

CHILD HEALTH

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INTRODUCTION

This course focuses on the developmental needs of the growing c the midwife’s role in meeting
these needs. It highlights some di common to the 0-5 years age group, and the health services
availab1 maintaining the health of the child throughout the stages of dcvi to adolescence.

It fiu-ther enables the midwife appraise the important role of the home Ia

development of the child into a useful citizen.

OBJECTIVES

At the end of the course, the student will be able to:

1. Describe the stages of growth and development

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2. Explain commonly occurring diseases of age 0-5 years

3. Manage the commonly occurring diseases

4. Utilize approved guideline in the integrated management of chih illnesses

5 Discuss the available health services in the community

6 recognize the developmental and maturational problems of adolescent

Course Content

Unit I: Growth and development of the Child

The child as an individual

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Stages of normal growth and development

Positive factors in child growth and development

Physical, social, psychological, nutritional and clothing needs.

Importance of play and necessary play materials at different ages

Feeding methods and practices

Negative factors in child growth and development

Inhibitions of normal growth and development

Behavioural problems of the child e.g. thumb sucking, fear temper tantrums, bet wetting,
aggressiveness, lies telling etc.

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Unit II: Commonly occurring diseases at the 0-5 years age group.

- Malnutrition

Tetanus

Pneumonia

Measles etc

Unit III: Integrated Management of Childhood Illnesses (IMCI)

The oncept of IMCI

Definition, Rationale, Advantages, Components

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Selection and use of appropriate case

Management charts and recording forms Assessment of general danger signs

Assessment and classification of a child 2 years up to 5 years

Cough and difficult breathing

Diarrhoea

Fever

Ear problem

Malnutrition and anaemia

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Immunization and vitamin status

Other problems; mothers health Identification of treatment

Treatment Priorities

Pre-referral treatment

Treatment of the sick child 2 years up to 5 years

Urgent referral

Children who do not need urgent referral

Pre-referral treatment

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Appropriate oral drugs (dosage and schedules)

Appropriate antibiotics (dosage and schedules)

Home treatment for local infections e.g. eye

Infection; ear infection; mouth ulcers;

Soothing throat to reliet cough; preventing low blood sug fluids for diarrhoea

immunization

Communication

Counselling mother

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Assessment and classification of sick infant 1 week up to 2 montl

Bacterial infections

Diarrhoea

Feeding problems and low weight

Counselling mother about breast feeding problems

immunization status

Identification of appropriate treatment for tie sick infant

Infants that need urgent referral

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Pre-referral treatment

Those who do not require referral

Counselling mother on home care of the sick infant

Follow up care for sick child 2 year up to 5 years

Follow up care for sick infant I week to 2 months

Unit IV: Available Health Services

Child health clinic

National Programme on Immunization

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Control of diarrhoea diseases (Oral Rehydration Therapy)

School health

Unit V: The Adolescent

The Adolescent

Normal growth

Development and maturational problems associated with school age

and adolescent child

Family life education

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Substance abuse

Adolescent/youth friendly services

Teenage pregnancy/single parenthood

BMP 224 MENTAL HEALTH NURSING

INTRODUCTION

The course focuses on the concept of health and illness as an adaptive process, incorporating
psychological, socio-cultural and environmental components as they affect the individual.

It also highlights the professional midwife’s role in the promotion of mental

health.

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OBJECTIVES

At the end of this course, the student wilibe able to:

1. Apply the health-illness concept in the assessment of mental health status of the client.

2. Utilize the nursing process and interpersonal relationship concept in understanding dynamics
of behaviour and providing care to individual

and group

3. Assess the client/patient personality structure and characteristic patterns of adjustment.

4. Demonstrate the ability to manage psychiatric emergencies.

Course Content

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Unit I: Introduction to Mental Health

- Concepts of mental health

- Emotional health needs of individual, family and community

- Mental health promotion

- Mental health laws and act

- Changing concepts of mental health care in Nigeria

- Community resources for the promotion of mental health

- The role of the midwife in mental health promotion.

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Unit II: Mental Health Disorders

- Review of concept of personality development

- Patterns of behaviour disorder

Adaptive process in Symptoms formation

Classification causes and rnanage of the following diso

Neurosis

Psychoneurosis

The Psychoses

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Organic diseases

Affective disorder

Personality disorders

Psychosomatic disorders

Emotional disorders of the life cycle

Substance abuse

BMP 225 FAMILY PLANNING

INTRODUCTION

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This course focuses on family planning as an integral part of primary health care.

It provides the students with the knowledge, attitudes and skills of the principles and practice of
family planning services. It further highlights the health benefits of family planning to the
individual, family, the community and the society at large.

OBJECTIVES

At the end of the course, the student will be able to:

1. Educate, counsel and motivate individuals and families on the benefits of family planning.

2. Perform complete physical examination that will facilitate the provision of quality care.

3. Detect abnormalities that are beyond the scope of her practice and refer appropriately.

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4. Prescribe and administer family planning devices.

5. Apply the principles and practice of management to the organization and operation of family
planning clinics.

Course Content

Unit I: Introduction to Family Planning

- History of family planning: national and international

- Legal aspect of family planning -

- The socio-economic, cultural, religious beliefs, myths, Anisconceptions and custom which
affect clients’ acceptance of family planning

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- Demography: maternal and infant morbidity and mortality rates

General fertility rate

Population growth

Reproductive rate

- Health education and counseling in family planning

- Male involvement in family planning

Unit II: Data Collection for Family Planning Clients

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History taking and utilization of data (e.g. social, family, r surgical, menstrual, obstetrical,
Gynaecological and contraceptive) Examination of the female reproductive organs

Clinical investigations

Physical examinations: elements and techniques, including pelvic examination.

Identification of clients requiring laboratory investigations Laboratory investigations: collection

of specimens e.g. High vaginal swab, pap smear, urine specimen, blood sample, semen
specimen. Interpretation of results related to the following:

Pregnancy test

Pelvic inflammatory diseases

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Tumours

Sexually transmitted infections

Cervical erosion Identification and referral of infertile couples

Unit III: Family Planning Methods

Hormonals (orals, injectibles and in-plant e.g. norplant Intrauterine Contraceptive Device
(IUCD) (Technique of insertion and removal)

Barrier methods (diaphragm, condoms, foaming vaginal tablets, foam, jellies, creams)

Natural family planning

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Surgical methods (tubal ligation and vasectomy) Emphasize the following for each method —
(method of administration, mode of action, advantages and disadvantages, effectiveness, minor
side effects, indication and contradictions, major complications, client instruction). Referral of
clients with maj or complications and associated problems Follow-up: Schedule appointments,
defaulters

Record keeping and reporting:

Methods

Maintenance

Utilization

Unit IV: Management of Family Planning Services

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- community analysis including catchment areas and site

- Determination of the required resources: human and material

- Organisation of a family planning clinic:

Patient flow

Supply and storage of family planning commodities

- Management process:

Assessment

Planning

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Implementation

Evaluation tools e.g. interview of c nts and community.

- Budgeting

- Research and utilization of findings in family planning

BMP 301 INTRODUCTION TO REPRODUCTIVE HEALH

INTRODUCTION

The course in reproductive health is designed to acquaint the student with the components and
the strategies put in place to improve the quality c maternal health services and to increase
awareness about maternal health issues in the community.

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It lays emphasis on the improvement of women’s health in general and specifically on reducing
maternal and morbidity mortality.

OBJECTIVES

At the end of the course the student will be able to:

1. Identify the components of reproductive health

2. Demonstrate skills that will enhance quality care and promote good health among the
vulnerable groups

3 Utilize the technical competence acquired to improve the quality of care

rendered to all clients/patients

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Course content

Unit I: Components of reproductive health

Definition of Reproductive health, Sexual health, Reproductive Health

Care, Reproductive Rights

Concepts of reproductive health

Components of reproductive health

Safe motherhood

Prenatal care

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Safe delivery by skilled personnel

Essential Obstetric Care

Prenatal and neonatal care

Breast feeding

Family planning

Information and service

Prevention and management of infertility and sexual dysfunction in

both male and female

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Prevention and treatment of reproductive tract inrecuons

Sexually transmitted infections, Human immune virus and acquired

Immune Deficiency Syndrome

Adolescent reproductive and sexual health, promotion of healthy sexual maturation, responsible
and safe sex.

Elimination of harmful practices such as female genital mutilation, violence against women,
widowhood rites etc.

Screening for reproductive tract cancers (prostate, breast, cervix) and management of
reproductive conditions associated with andropause and menopause.

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Gender Equity

Meeting reproductive right issue of men (male involvement,

responsibilities and participation)

Girl child education

Status of women

Reproductive rights

Information, Education and Counseling

Unit II: Skill Acquisition

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- Skills on interpersonal communication in clinical management

Rapport

Good listening skills

Use of simple language that is understood by clients/patients

Asking open ended questions

Observing client (facial, physical expressions)

- Skills on promotion of health, prevention and treatment of diseases

Unit III: Provision of Quality Care

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Provision of health information, education and counseling to clientsi patients with reproductive
health needs across the ages.

Management of clients/patients with reproductive health problems.

BMP 302

COMPLICATED MIDWIFERY II

INTRODUCTION

This course is designed to prepare the student to recognize those condition which suggest
deviation from normal, during puerperium and neonat period. It highlights the midwives roles
and responsibilities in earl diagnosis, appropriate intervention and referral as necessary. It also
emphasizes the midwife role in obstetric emergency situations and operative interventions.

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OBJECTIVES

1. Identify conditions requiring emergency interventions and their management

2 Explain conditions/complications that affect the newborn and the mother

3 Demonstrate competence in the management of the conditions? complications that affect the
newborn and the mother during the puerperium.

4 Assist with operational procedures in obstetrics

5 Demonstrate competence in the performance and repair of episiotomy’ using approved

procedure

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6 Counsel patients and their families on conditions/complications in midwifery and the
prevention.

Course Content

Unit I: Complications of Puerperium

- Breasts

Cracked nipple

Engorged breasts

Breast abscess etc

(Definition, causes, management, prevention)

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-Uterus

Sub-involution: Definition, causes, management Perineum (Care)

LacerationlTear

Episiotomy’

Infected Wound

Puerperal pyrexia

Venous thrombosis

Thrombophiebitis

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Puerperal psychosis

Unit II: Abnormal Conditions of the Newborn

Birth Injuries

Internal e.g. intracranial injuries

Rupture of the liver

External e.g. cephal-haematoma

Dislocations

Fractures

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Congenital and genetic malformations:

Cleft lip and cleft palate

Spina bifida

Hydrocephaly

Anencephaly Musculo skeletal disorders:

Talipes equinovarus

Congenital hip dysplasia

Polydactyl

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Soft Tissue abnormalities:

Congenital Heart Diseases

Frenulum Lingua

Hypospadias and epispadias

Ambiguous genitalia

Umbilical hernia

Diaphragmatic hernia

Obstruction of the alimentary tract

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yioiic tenosis

Obstruction of the duodenum and small intestine

Imperforate anus etc

- Chromosomal Abnormalities:

Trisomy 13

Trisomy 18

Trisomy 21 or down’s syndrome

Phocomelia

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- In born errors of metabolism:

Phenylketonuria

- High Risk Infants: Diagnosis an management

Pre-term and post term infants

Respiratory distress syndrome

Babies of diabetic mothers

- Haemolytic and Haemorrhage diseases of the new born

- Infections e.g. Ophthalmia Neonatorum

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Pemphigus Neonatorum

Omphalitis

Tetanus Neonatorum

Respiratory infections

Jaundice

Unit Ill: Surgical Interventions

- Preparation of labour room for delivery

- Preparation of theatre for surgical intervention

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Use and care of various instruments

Trays and trolleys for theatre

Surgical

Precedure

- Perineal Laceration: Definition, types, causes, management Repair of perineal and cervical
lacerations

Preventive measures

- Episiotomy

Definition, types, indications, procedure, managemcnt

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- Forceps delivery

Definition, indications, procedure, contra-indications

Dangers to mother and child

Role of midwife before and after forceps delivery

- Vacuum extraction

Indications and contraindication

Preparation for the procedure

Dangers to mother and baby

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Management of vacuum extractor

- Caesarean Section

Types e.g. elective or emergency

Indications and contra-indications

Pre-operative Care

Procedure (role of the midwife)

Post operative Care

- Ear Piercing using the key down procedure

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Procedure

Problems associated with ear piercing

Management of problems associated with ear piercing

- Male circumcision

BMP 303

INTRODUCTION TO RESEARCH

INTRODUCTION

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The course is designed to introduce the student to the rudiments of researd methods and project
writing. Opportunity is offered for practical experiel through student participation in group
research and the writing of project.

OBJECTIVES.

At the end of the course, the student will be able to:

1 Discuss the research process, its methodology and the different types research most
artpropriate in midwifery practice.

2 Display an understanding of research studies by critically evaluatiii research reports in clinical

practice under supervision.

3 Initiate, conduct and present a well organized and documented researa project.

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4 Demonstrate an appreciation of the role of research in the developmei of midwifery theory.

Course Content

Unit I: Introduction to Research

- Purpose and type of research Methodology of research

Significance of research in midwifery practice

Unit II: Steps in the Research Process

Problem identification

Literature review and research

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Hypothesis and assumptions

Limitations and significance

Sampling, measurement of target population and data collection

Analysis of data

Interpretation of data and reporting

Dissemination and utilization of research findings

Critique or research reports

Unit III: Project Writing

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Selection of topic

Long essay versus research report

Writing a research proposal

Format of writing

Presentation/references

Acknowledgement of contributing and reference authors

Plagiarism and ethical considerations.

BMP 304 PRINCIPLES OF MANAGEMENT AND TEACHING

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INTRODUCTION

This course is designed to introduce the students to the theories, principles and techniques of
management and teaching as related to midwifery education and practice.

OBJECTIVES

At the end of the course, the students will be able to:

1. Utilize the knowledge of basic principles of management in organizing, administering and

controlling health care services.

2 Demonstrate competence in the use of managerial skill for quality assurance in midwifery
practice.

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3 Apply the principles of learning and teaching in organizing health talks! programmes for
clients, families and communities.

Course Content

Unit I: Introduction to Management

Philosophy and Principles of Management

Theories of management

Unit II: Elements of management

Planning:

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Types of planning

Decision making process

-Organizing

Structure of organization

Interdepartmental relationship and communication

Staffing

-Directing

Leadership

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Delegation of responsibility

Authority and Accountability

Motivation

-Controlling

Accounting/budgeting

Discipline

Job performance evaluation

Unit III: Application of principles of management to community

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midwifery practice:

- Organisation of the health clinic

- Role of the midwife in the management of the clinic

- The politics of health services

Unit IV: Quality Assurance and Risk Management

- Review of Quality Assurance and Nursing Audit

- Risk management

Basic concepts

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Common risk categories for midwives

Elements of risk management

Departmental programme

- Incident Report

Unit V: Principles of Teaching and Learning

- Theories and principles of teaching and learning

- The learning environment

Methods and techiiques of teaching and learning

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- Evaluation of teaching and learning processes

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