Teaching & Learning Plan
The following table provides information to utilize in developing your Teaching & Learning Plan. Each column in the teaching and learning plan form should include the
appropriate information related to the individual client needs identified in the Nursing Care Plan. You are expected to develop 3 Teaching Objectives with the supporting
documentation as noted on the page below. Any questions that you have concerning Teaching & Learning Plan should be directed to your instructor.
Teaching Objective(s) Content
(Evidence-based with references)
Teaching & Learning Method(s)
(How are you going to teach)
Time Frame
(How long)
Evaluation of
Learning
After identifying the teaching
needs during the assessment, the
objective should be created.
The objectives are the main
ideas that you want your
learner(s) to understand and
apply after the teaching
experience. Two or three
objectives should be identified
for the teaching experience.
Each objective should start with
the stem below:
The learner (client) will …
Once the objectives for the teaching plan have
been created, content must be selected.
Depending on what is being taught, a reference to
where the content was found should be identified.
Content should be applicable to the audience.
Considerations on the use of terminology and
complexity should be incorporated into the
selection of the content.
The teacher will discuss …
When determining how to share
the content during the teaching
experience, be sure to think about
the various learning styles.
Learning styles may include
auditory, visual and cognitive.
The following are some examples
of presentation formats:
Diagrams
Charts
Videos
Handouts
Brochures
Hands on Simulation
Demonstration of skills
The material will be presented by
…
The amount of time
for the teaching
experience will
depend on the
individual and the
amount of content
presented.
Consider timing of
when the teaching
experience will take
place. If during
discharge, allow
10-15 minutes
depending on the
amount and
complexity of the
content.
This teaching
experience will take
…
Evaluation of learning
occurs after the
content has bene
presented. Evaluation
can be a verbal
acknowledgement,
return demonstration
or the completion of a
brief survey. The
type of evaluation is
dependent upon the
type of teaching and
the type of content
presented.
The teaching
experience will be
successful if the
learner is able to …
Student Name: Client Code: Nursing Diagnosis Priority #
Instructor: ________________________ Grade:
Teaching & Learning Plan
Assessment of Client’s
Readiness to Learn
Physical
Elevated Blood Pressure
Swelling (Edema)
Increased Abdominal Size
Proteinuria:
Monitoring for Signs of Preeclampsia:
Scar from Previous Cesarean Section
Description of Findings:
Upon examination, the patient displayed elevated blood pressure,
accompanied by noticeable swelling or edema, particularly evident in
the extremities. Notably, there was an increase in abdominal size,
potentially indicating fluid retention or fetal growth. Additionally,
proteinuria was observed, suggesting abnormal levels of protein in
the urine, which could be indicative of kidney dysfunction. Given
these symptoms, careful monitoring for signs of preeclampsia was
warranted, as this condition poses risks to both maternal and fetal
health. Furthermore, a scar from a previous cesarean section was
noted, indicating a history of surgical intervention in childbirth.
These physical findings collectively necessitate close attention and
medical management to ensure the well-being of both the mother and
the unborn child throughout the course of pregnancy.
Emotional
Anxiety and Fear
Concern for Baby's Health
Sense of Loss of Control
Feelings of Uncertainty and Vulnerability
Coping Mechanisms and Emotional Resilience
Description of Findings:
Elevated blood pressure in a pregnant individual can trigger a
cascade of emotions. Anxiety and fear often accompany this
condition, as the individual worries about potential complications for
themselves and their baby. There's a palpable concern for the baby's
health, intensifying feelings of vulnerability and uncertainty. The
sense of loss of control looms large as the individual grapples with
the unpredictability of their condition and the potential impact on
their pregnancy. However, amidst these challenges, coping
mechanisms and emotional resilience emerge. The individual may
seek solace in supportive relationships, engage in relaxation
techniques, or maintain open communication with healthcare
providers. These coping strategies serve as pillars of strength, helping
the individual navigate the emotional rollercoaster of managing
elevated blood pressure during pregnancy, fostering a sense of
empowerment and fortitude in the face of adversity.
Experiential
Concerns Regarding Chronic Hypertension Management During
Pregnancy
Anxiety Over Group B Strep Positive Result
Emotional Responses to Preparing for a Planned Cesarean Section
Navigating Complex Medical Decision-Making
Desire for Comprehensive Support and Education
Description of Findings:
Experiencing elevated blood pressure during pregnancy can evoke
concerns about managing chronic hypertension, posing risks to both
maternal and fetal health. Anxiety may heighten upon learning of a
positive Group B strep result, as it raises worries about potential
complications for the newborn. Emotionally, preparing for a planned
Cesarean section may evoke mixed feelings, including anticipation,
fear, and uncertainty. Navigating complex medical decisions amidst
these circumstances can feel overwhelming, requiring careful
consideration of risks and benefits. Amidst these challenges, there's a
profound desire for comprehensive support and education, seeking
guidance to navigate the intricacies of pregnancy, childbirth, and
postpartum care. Access to empathetic healthcare providers who
offer tailored guidance and education can greatly alleviate anxieties
and empower informed decision-making, fostering a sense of
confidence and security throughout this journey.
Knowledge
Chronic Hypertension Management During Pregnancy
Group B Streptococcus (GBS) Positive
Preparation for a Planned Cesarean Section
Monitoring and Follow-up
Patient Education and Empowerment
Description of Findings:
AS does not understand well why her pregnancies are at risk
No cognitive impairment
Barrier language: Patient does not speak English and may not feel
comfortable using an interpreter
Visual and audio
Conclusion of Findings
of the Readiness to
Learn
Move forward with teaching
Hold teaching plan- describe rationale and discuss strategies to prepare the client for teaching.
Cultural Considerations Description of findings and how to incorporate into the teaching plan.
Teaching Objective(s) Content
(Evidence-based with references)
Teaching & Learning Method(s)
(How are you going to teach)
Time
Fram
e
(How
long)
Evaluation
of Learning
(How is
success of
the teaching
measured)
(1) The learner will
Learn the importance of
receiving routine
prenatal care
throughout pregnancy.
Oligohydramnios is an amniotic fluid disorder resulting in decreased
amniotic fluid volume for gestational age. Low amniotic fluid volumes
can be the result of numerous maternal, fetal, or placental
complications and can lead to poor fetal outcomes. This activity will
highlight the pathophysiology, etiology, evaluation, and treatment of
oligohydramnios and review the role of healthcare teams in assessing
and managing this condition.
https://www.ncbi.nlm.nih.gov/books/NBK562326/
Audiovisual, pamphlets and handouts in
resident native language
15 to
30
minut
es
AS stated,
understandi
ng of the
importance
of prenatal
care
(2) The learner will
Learn about the
importance of genetic
testing in a consanguine
relationship
Consanguineous marriages are associated with an increased risk for
congenital malformations and autosomal recessive diseases, with some
resultant increased postnatal mortality in the offspring of first cousin
couples, but demographic and socioeconomic confounders need to be
well controlled.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3419292/
#:~:text=Consanguineous%20marriages%20are%20associated
%20with,need%20to%20be%20well%20controlled.
Genetic studies performed in consanguineous couples suggest that the
reproductive risk that distinguishes them from other couples in the
general population is related to autosomal recessive (AR) diseases.
This risk is scattered among the thousands of known and potential AR
diseases. Thus, for effective preconceptional screening of
consanguineous couples it is necessary to have a test that encompasses
the largest number of genes possible.
https://www.frontiersin.org/articles/10.3389/fgene.2021.685123
Videos, audiovisual and handouts in AS’
primary language.
20 to
30
minut
es
AS was
able to
explain
back why
genetic
testing is
important
and stated,
she will
from now
perform
genetic
testing so
her and the
husband can
plan
accordingly
(3) The learner will
Learn about
oligohydramnios how it
can affect the baby, and
how it can be managed.
Oligohydramnios is a decreased amount of amniotic fluid (less than
500 mL) between 32- and 36-weeks’ gestation that is associated with
poor pregnancy outcomes. The volume of amniotic fluid increases in a
linear fashion until 38 weeks’ gestation to a mean volume of 1,000 mL
and then starts to decrease. It occurs in approximately 4% of all
pregnancies. Oligohydramnios may result from any condition that
prevents the fetus from making urine or blocks it from going into the
amniotic sac. Oligohydramnios occurs in about four out of every 100
pregnancies. It is most common in the last trimester of pregnancy, but
it can develop at any time in the pregnancy. About one in eight women
whose pregnancies last 2 weeks past the due date develops
oligohydramnios. This happens as amniotic fluid levels naturally
decline. This condition puts the fetus at an increased risk of perinatal
morbidity and mortality (March of Dimes, 2019c). Reduction in
amniotic fluid reduces the ability of the fetus to move freely without
risk of cord compression, which increases the risk for fetal death and
intrapartal hypoxia.
Therapeutic Management
The woman with oligohydramnios can be managed on an outpatient
basis with serial ultrasounds and fetal surveillance through nonstress
testing and biophysical profiles. As long as fetal well-being is
demonstrated with frequent testing, no intervention is necessary. If
fetal well-being is compromised, however, birth may be planned along
with amnioinfusion (the transvaginal infusion of crystalloid fluid to
compensate for the lost amniotic fluid). The fluid is introduced into the
Audio visual, and pamphlets with information
on the function of amniotic fluid and how not
having enough fluid can affect the baby
This
teach
ing
took
about
20 to
30
minut
es
AS asked
questions
and stated
understandi
ng that her
baby is at
risk. She
also stated
she will
follow
recommend
ations and
will
undergo all
necessary
testing for a
healthy
baby.
uterus through an intrauterine pressure catheter. The infusion is
administered in a controlled fashion to prevent overdistention of the
uterus. Amnioinfusion is thought to improve abnormal fetal heart rate
patterns, decrease cesarean births, and possibly minimize the risk of
neonatal meconium aspiration syndrome, but more studies need to be
done to validate this (Jordan et al., 2019).
Maternity and pediatric nursing fourth edition, 2021
Susan Scott Ricci, Terri Kyle, Susan Carman page 694
REFERENCES
De Araújo Dos Santos, C. M., Heller, A. H., Pena, H. B., & Pena, S. D. J. (2021). A protocol for preconceptional screening of consanguineous couples using whole exome
sequencing. Frontiers in Genetics, 12. https://doi.org/10.3389/fgene.2021.685123
Hamamy H. Consanguineous marriages: Preconception consultation in primary health care settings. J Community
Genet. 2012 Jul;3(3):185-92. doi: 10.1007/s12687-011-0072-y. Epub 2011 Nov 22. PMID: 22109912; PMCID: PMC3419292.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3419292/
Keilman, C., & Shanks, A. L. (2022, September 12). Oligohydramnios. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK562326/
Ricci, S., Ricci, S. S., Kyle, T., Kyle, T., & Carman, S. (2021). Maternity and Pediatric Nursing. LWW.
