MIDWIFERY AND GYNECOLOGICAL NURSING

Placement- THIRD YEAR Time- 140 hours

Midwifery- 120 hours
Gynecological Nursing- 20 hours

MIDWIFERY

Course Description:-
This course is designed to help students acquire knowledge and gain skills to meet the needs of women during
pregnancy, labor and puerperium and care for the newborn.

General Objective:-
Upon completion of this course, the students shall able to:
1. Describe the health needs of women in pregnancy, labour and puerperium.
2. Identify deviation(s) from normal pregnancy, labour and puerperium and take appropriate action.
3. Demonstrate skills in providing antepartum, intrapartum and postpartum care to the mother as well as
care to the new born as per the SBA guidelines of Government of India.

Total Hours:120
Unit Learning Teching learning Assessment
Contents Hr
No. objectives Activities methods
I Describe the Introduction: 4 Lecture cum Short answers
scope and trends a) Definition of midwifery and obstetrical discussions
in midwifery nursing Objective type
b) Scope of midwifery Videos
c) Basic competencies of a midwife Essay type
d) History of midwifery
e) Trends of maternity services in India
f) Vital statistics related to maternal health
in India.
II Describe the Reproductive system 5 Lecture cum Short answers
anatomy and a) Review of structure and function of discussions
physiology female reproductive system Objective type
of female b) Female pelvis –structure, types and Demonstrations
reproductive diameters Essay type
system Charts,
Viva
Specimen

Models &
Objects

110
Unit Learning Teching learning Assessment
Contents Hr
No. objectives Activities methods
III Describe Embryology and foetal development 8 Lecture cum Short answers
the stages of a) Oogenesis, spermatogenesis, discussions
Embryological fertilization and implantation. Objective type
and fetal b) Embryology and Fetal development Charts
development c) Placenta and membranes: Essay type
- Structure Models &
- Functions Objects Oral presentation
- Abnormalities
- Liquor amni Specimens
- Umbilical cord
d) Fetal skull:
- Structure
- Diameters
- Fontanels and sutures
e) Fetal circulation
IV Describe the Normal pregnancy and its management 12 Lecture cum Short answers
physiological a) Pre-conception care discussions
changes in b) Genetic counseling Objective type
pregnancy and c) Physiological changes in pregnancy Demonstration
the management d) Diagnosis of pregnancy Essay type
of normal - History Clinical teaching
pregnancy - Signs & symptoms Assessment of skill
e) Antenatal care: Simulation using checklist
Demonstrate - History taking Charts & Videos
skill is caring for - Calculation of expected date of
pregnant women delivery, SBA module of
- Examination and investigations government of
- Health Education and counselling India, handbook
- Drugs and immunizations for staff nurses
f) Minor disorders and their management (Government of
India)
V Describe the Normal labour and its management 18 Lecture cum Short answers
various stages a) Definition and stages discussions
of labour and b) Causes and signs of onset of labour Objective type
the role of the c) True and false labour Demonstrations
midwife in d) First stage of labour: Essay type
caring for a - Physiology Case studies
woman in labour - Monitoring using partograph and its Assessment of skill
Demonstrate interpretation Simulation using checklist
skill in - Care of mother : physical and
conducting the psychological Videos
normal delivery - Pain management
- Setting up of the labour room Exercises SBA
including newborn corner module of
government of
India, handbook
for staff nurses
(Government of
India)

111
Unit Learning Teching learning Assessment
Contents Hr
No. objectives Activities methods
e) Second stage:
- Physiology and mechanism
- Monitoring
- Conduction of normal delivery
- Episiotomy
- Essential newborn care
f) Third stage:
- Physiology and signs
- Active management of third stage
- Examination of the placenta
- Episiotomy suturing
g) Fourth stage:
- Physiology
- Care of the mother and baby
- Postpartum family planing

VI Describe the Management of newborn 14 Lecture cum Short answers

management of a) Assessment discussion
normal newborn b) Physiological adaptation Objective type
c) Apgar scoring Demonstrations,
Development of d) Examination for defects Essay type
skill in caring e) Breast feeding- BFHI Clinical teaching
for the normal f) Care of newborn -Skin, eyes, Assessment of skill
newborn buttocksetc Chart using checklist
g) Bonding and rooming in
h) Minor disorders of new born: Videos
- Birth marks, rashes, skin
- Infections, sore buttocks, SBA module,
- Infection of eyes. ENBC, NSSK,
PPIUCD module,
handbook for
staff nurses of
government of
India
VII Describe normal Management of normal puerperium 10 Lecture cum Short answers
pureperium a) Definition and objectives of care discussion
and the role b) Physiological changes Objective type
of midwife c) Postnatal counselling Demonstration
in the caring d) Lactation and feeding Essay type
for woman in e) Care during puerperium – breast and Simulation
puerperium perineal care, postnatal exercise, Assessment of skill
postnatal examination, follow up, Role play using checklist
family welfare
f) Minor ailments and management. SBA module,
g) Family planning PPIUCD module,
handbook for
staff nurses of
government of
India

112
Unit Learning Teching learning Assessment
Contents Hr
No. objectives Activities methods
VIII Describe the Management of complications during 12 Lecture cum Short answers
complications pregnancy discussions
of pregnancy a) Bleeding in pregnancy Essay type
Demonstrate - Early and late Case presentation
skills in - Ectopic pregnancy Objective type
providing care - Abortion Clinical teaching
for women with - Antepartum hemorrhage
complicated - Vesicular mole Videos Assessment of skill
pregnancy b) Hyperemesis gravidarum using checklist
c) Gestational diabetes mellitus Simulation
d) Pregnancy inducedhypertension
- Pre eclampsia Case studies and
- Eclampsia exercises SBA
e) Hydromnios – poly and oligo module
f) Pelvic inflammatory diseases
g) Intra uterine growth retardation
h) Post maturity
i) Intra uterine death
High risk pregnancy:
- Monitoring- NST, USG
- Anemia
- Jaundice
- Viral
- Urinary tract infections
- Hearts diseases
- Diabetes
- AIDS and STD’s
- Osteomalacia,
- Teenage pregnancy
- Elderly Primigravida
- Multipara
- Multiple pregnancy
IX Describe the Management of high risk labour 10 Lecture cum Short answers
management a) Malposition, malpresentations discussion
high risk labour b) Contracted pelvis Objective type
Demonstrate c) Abnormal uterine actions Demonstration
skills in early d) Cervical Dystocia Essay type
detection e) Premature rupture of membranes, Bed-side clinic
and prompt precipitate and prolonged labour, Assessment of skill
management of induction of labour obstructed labour, Videos & Charts using checklist
high risk labour f) Obstetrics Emergencies-Cord prolapse,
cord presentation, amniotic fluid Clinical teaching
embolism, obstetric shock,rupture of
uterus, shoulder dystocia, vasa previa. IMPAC module
of WHO

MCPC module of
Government of
India

113
Unit Learning Teching learning Assessment
Contents Hr
No. objectives Activities methods
g) Complications of third stage
- PostpartumHemorrhage
- Atonic uterus
- Injuries to the birth canal
- Retained placenta and membranes
- Inversion of uterus

X Describe the Management of complications of 4 Lecturer cum Short answers

puerperal puerperium discussion
complications - Puerperal pyrexia Objective type
Demonstrate - Puerperal Sepsis Demonstration
skill in the - Thrombophlebitis and Embolism Essay type
management of - Breast engorgement, Mastitis, Breast Clinical teaching
complications of abscess
puerperium - Puerperal psychosis MCPC module of
Government of
India
XI Describe the High risk and sick newborn 10 Lecturer cum Short answers
management of a) Assessment discussion
high risk and b) Nursing care Objective type
sick newborn c) Management of newborn with: Demonstration
Demonstrate - Hyperbilirubinaemia Essay type
skills in caring - Neonatal hypoglycemia Clinical teaching
for high risk and - Hypothermia Assessment of skill
sick newborns - Neonatal Convulsions IMNCI module using checklist
- Rh incompatability
- Small for dates SBA module
- Low birth weight
- Preterm NSSK module
- Asphyxia,RDS
- Sepsis
- Birth injuries Cephal hematoma Caput
succedaneum Facial &Erb’s palsy
Torticollis Hemorrhage
- Congenital anomalies
d) Newborn of HIV positive mother,
diabetic mother
e) Levels of care in NICU

114
Unit Learning Teching learning Assessment
Contents Hr
No. objectives Activities methods
XII Describe Obstetric operations 10 Lecture cum Short answers
the obstetric a) Definition, indication and care of discussion
operations and women undergoing Objective type
midwife role in - Induction of labour Clinical teaching
assisting with - Manual removal of placenta Essay type
each one - Version Videos
- Forceps delivery Assessment of skill
- Vacuum extraction Post abortion care using checklist
- Caesarean Section module of GoI
- Sterilization
- Destructive surgeries
- Amnio infusion
- Manual Vaccum Aspiration, Dilatation
and Evacuation, Dilatation and
Curettage
b) Post abortion care.

XIII Describe the Drugs used in obstetrics 4 Lecture cum Short answers
midwife’s a) Indication, dose, action, discussion
role in the contraindication, side effects and Objective type
administration responsibilities in the administration of : Drug presentation
of drugs for - Oxytocin Essay type
women during - Uterotonics
pregnancy. - Tocolytics
labour and post - Antihypertensives
parturn period - Anticonvulsants
- Anesthesia and analgesia
b) Drugs used for newborn
c) Teratogens – effects of drugs on mother
and baby.

XIV Describe the Ethical and legal aspects related to 2 Lecture cum Short answers
ethical & legal midwifery discussion
issues related to a) Maternal and newborn death review Objective type
midwifery b) Mother and child tracking system Presentation

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GYNECOLOGIAL NURSING

Course objective
The students shall be able to identify different gynecological disorders and diseases and gain skills in
providing nursing care to women suffering from them.

General Objective:-
Upon completion of this course, the students shall able to:
1. List different gynecological problems and demonstrate skills in providing nursing care to women
suffering from these disorders and diseases.
Total Hours:20

Teaching
Unit Learning Method of
Content Hours learning
No objectives assessment
activities
I Define the Introduction 2 Lecture cum Short answers
terms used in a) Definition of terms discussion
gynecology b) History Objective type
c) Examination Demonstration
Demonstrate d) Investigation Essay type
the skills of Videos
gynecology Return
history taking, demonstration
conducting
examination &
investigation
II Describe the Puberty 3 Lecture cum Short answers
physiology, a) Definition discussion
psychology and b) Development of sex organs in Objective type
pathology of females and sexuality Clinical teaching
puberty c) Review of menstrual cycle Essay type
d) Premenstrual syndrome Videos
e) Disorders of menstruation,
dysmenorrhoea, cryptomenorrhoea, Charts
dysfunctional uterine bleeding
III Describe the Fertility and infertility 2 Lecture cum Short answers
management a) Definition discussion
of couples with b) Causes-both in male and female Objective type
fertility related c) Investigation Clinical teaching,
problems. d) Management Essay type
e) Artificial reproductive techniques Videos

Role play

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 Teaching
Unit Learning Method of
Content Hours learning
No objectives assessment
activities
IV Demonstrate Pelvic infections 4 Lecture cum Short answers
skills in the a) Vulva – vulvitis, bartholinitis discussion
management b) Vagina - Vaginitis, Trichomonas Objective type
of clients with vaginitis, Moniliasis, Clinical teaching
various pelvic c) Metritis,Salpingitis, Oophritis Essay type
infections. d) Cervical erosions Videos
e) Pelvic Abscess
f) Chronic infection Prevention of STI
g) Pelvic inflammatory disease module of NACO
h) Pelvic tuberculosis
i) Sexually Transmitted Diseases
- Syphilis
- Gonorrhea
- Warts
- HIV
j) Syndromic case management
V Describe the care Gynaecological disorders 5 Lecture cum Short answers
of women with a) Retroversion, retro flexion discussion
gynaecological b) Fistulas Objective type
disorders c) Uterine displacement & prolapse Case
(Procidentia) Presentation Essay type
d) Uterine malformations
e) Cysts and fibroids Demonstration
f) Uterine polyps
g) Tumors of the reproductive tract –
benign and malignant
h) Palliative care and rehabilitation
VI Describe the care Breast disorders 2 Lecture cum Short answers
of the woman a) Review mastitis, breast engorgement, discussion
with breast breast abscess Objective type
disorders b) Tumors of the breast benign and Clinical teaching,
malignant Essay type
Videos

Role play
VII Describe the care Menopause 2 Lecture cum Short answers
of women with a) Definition and physiological changes discussion
menopause b) Signs and symptoms Objective type
c) Health education and counselling Case histories.
d) Hormone replacement therapy Essay type
e) Surgical menopause

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MIDWIFERY & GYNAECOLOGICAL NURSING- PRACTICAL
Placement: THIRD YEAR (PART – I) Time: 560 hours
Internship: 384 hours

Assessment
Area Duration Objectives Skills Assignment
methods
Antenatal 3 weeks • Assessment of - Diagnose pregnancy using • Conduct Verification of
clinic / ward pregnant women pregnancy detection kit antenatal the findings
• Counselling of (preg-card) examinations of antenatal
AAntenatalmo- - Antenatal history taking – 20 examinations
thers - Physical examination • Health talk – 1
- Antenatal examination – • Case study – 1 Assessment
abdomen and breast of skills using
- Recording weight and BP checklist
- Hemoglobin estimation
- Urine testing for sugar and
albumin
- Immunization
- Assessment of risk status
- Antenatal counselling
- Maintenance of antenatal
records
- SBA module
Labour room 6 weeks •Assess the woman - Assessment of woman in • Perform Assessment
in labour labour pervaginal of clinical
• Carry out - Vaginal examinations (PV) examinations performance
pervaginal (PV) and their interpretation –5 with rating scale
examinations - Monitoring women in • Conduct normal Assessment of
• Monitor women labour using the partograph deliveries – 20 each skill with
in labour - Caring for women in labour • Perform checklist.
• Conduct normal - Setting up of the labour and suture Practical
deliveries unit including the newborn episiotomies – 5 examination
• Perform corner • Resuscitate
episiotomy and - Conduct normal delivery newborns – 5
suture it including active • Witnessing
• Resuscitate management of third stage abnormal
newborns of labour (AMTSL) deliveries - 5
- Provide essential newborn • Case book
care recording
- Immediate newborn
assessment
- Resuscitation of the
newborn.
- Assessment of the risk
status of the newborn
- Episiotomy and suturing

118
 Assessment
Area Duration Objectives Skills Assignment
methods
- Administration of
uterotonic drugs – oxytocin
, misoprostol
- Administration of
magnesium sulphate.
- Maintenance of labour and
birth records
- SBA module
Operation 2 week • Prepare and assist - Preparation for caesarean • Assist with Assessment
theatre with caesarean section and other surgical caesarean of skill with
section, MTP, procedures section – 2 checklist.
tubectomy and - Assist in caesarean section • Case book
other surgical - Prepare and assist in MTP recording
procedures procedures
- Prepare and assist for
tubectomy
Postnatal 5 weeks • Provide nursing - Examination and • Provide Assessment
ward care to postnatal assessment of mother and postnatal care of clinical
mother and the the baby to mothers and performance
baby - Identification of deviations babies – 20 with rating scale
• Counsel and - Care of postnatal mothers • Health talks – 1 Assessment of
teach mother and baby • Case study – 1 each skill with
and family for - Perineal care • Case checklist.
parenthood - Breast care presentation - 1 Practical
- Lactation management examination
- Breast feeding
- Kangaroo mother care
(KMC)
- Immunization
- Teaching postnatal
mother on mother craft,
post natal care, exercise,
immunization
NICU 4 weeks • Provide nursing - Newborn assessment • Case study - 1 Assessment
care to newborns - Admission of neonates of clinical
at risk - Feeding of high-risk • NSSK Module performance
newborn :- katori spoon, with rating scale
paladai, tube feeding, total Assessment of
parentral nutrition each skill with
- Thermal management of checklist.
newborns – kangaroo Practical
mother care, care of baby examination
in radiant warmer and
incubator.
- Monitoring and care of
neonates

119
 Assessment
Area Duration Objectives Skills Assignment
methods
- Administration of
medications
- Intravenous therapy
- Assisting in diagnostic
procedures
- Assist in exchange
transfusion
- Care of baby in ventilator,
phototherapy,
- Practice infection control
protocols
- Health education and
counselling of parents
- Maintenance of records and
reports

Family 2 week • Counsel for and - Family planning • IUCD insertion Assessment
welfare clinic provide family counselling techniques –5 of clinical
welfare services. - Insertion of IUCD • Family planning performance
- Teaching by demonstration counselling – 2 with rating scale
on the use of different Assessment
family planning methods of each skill
- Arrange for and assist with with checklist.
family planning operations Practical
- Maintenance of records and examination
reports

Gynaeco- 2 weeks • Provide care for - Assist with gynecological • Provide care • Assess each
logy ward patients with examination. to assigned skill with
gynecological - Assist and perform patients. checklist.
disorders. diagnostic and therapeutic • Nursing care • Assess
• Counsel and procedures. plan- 1. performance
educate patient - Teach women on breast self • Menopause with rating
and families. examination (BSE) counseling – 1 scale.
- Health education on • Evaluation of
perineal hygiene and care plan.
prevention of sexually
transmitted infections
- Pre and post operative care
of women undergoing
gynecological surgeries
- Menopause counseling

120
 COMMUNITY HEALTH NURSING-II
Placement: THIRD YEAR (PART – I ) Total Hours: 90

Course Description:-
This course is designed to help students to practice community health nursing for the individual, family and groups
at both the urban and rural settings by using concepts and principles of health and community health nursing.

General Objective:-
Upon completion of this course, the studentsshallbeable to:
1. Describe the health system and health care services in India.
2. Identify major health problems, national health programmes and specialized community health
services.
3. Explain the concept of health team and describe the nurses’ role at various levels of health care
setting.
4. Demonstrate skills in rendering effective nursing care to the individual, family and groups in all
community health settings.
Total Hours: 90

Teaching
Learning Assessment
Unit Contents Hr learning
objective methods
Activities
I Explain the Heath system in India 10 Lecture cum Short answer
health system in Organization and administration of health discussion
India system in India at Objective type
a) Central level Organizational
- Union Ministry chart of various Essay type
- Directorate General of Health Services levels
- Central Council of Health
b) State level Visit to
- State Health Administration Municipality
- State Ministry of Health Office, Panchayat
- State Health Directorate office, Health
c) District level block office,
- Sub Divisions CHC
- Tehsils/ Talukas
- Villages
- Municipalities & Corporation
- Panchayats

121
 Teaching
Learning Assessment
Unit Contents Hr learning
objective methods
Activities
II Describe the Health care delivery system 8 Lecture cum Short answer
health care a) Heath care concept and trends discussion
services in India b) Health care services - Public sector, Rural, Objective type
and discuss the Urban Visit to different
role of the nurse c) Private sector health care Essay type
in these services d) Public Private Partnership (PPP) agencies
e) Other agencies
f) Indigenous systems of medicine Ayurvedha,
yoga, unani, siddha and homeopathy
(AYUSH)
g) Voluntary health services
h) National Health Programmes
i) Nurse role in health care services
III Describe health Health planning in India 10 Lecture cum Short answer
planning in India a) National health planning discussion and
b) Five year plans reports Essay type
c) Health Committees and reports
d) National health policy

IV Describe Specialized community health services and 18 Lecture cum Short answer
the different nurse’s role discussion
specialized a) RCH (reproductive health and child care) Objective type
community b) National Health Mission (rural/ urban) Visit to different
health services c) Janani Sishu Suraksha Karaykaram (JSSK) agencies of Essay type
and the nurse’s d) Emergency ambulance services. specialized
role in these e) Government health insurance schemes services, factory,
services f) School health Services Old age home,
g) Occupational health nursing (including Homes for the
health care providers) differently abled
h) Geriatric nursing
i) Care of differently abled- Physical and
mental
j) Rehabilitation nursing
V Describe the National health problems 5 Lecture cum Short answer
major health Health Problems in India discussion
problems in India a) Communicable diseases Objective type
b) Non communicable diseases Quiz
c) Nutritional problems
d) Environmental sanitation
e) Population
VI Describe the National Health programme: 15 Lecture cum Short answer
national health - National ARI program discussion
and family - Revised national tuberculosis control Objective type
welfare programs program (RNTCP) Government of
in India and the - National anti-malaria program India program
role of the nurse - National filarial control program flyers.

122
 Teaching
Learning Assessment
Unit Contents Hr learning
objective methods
Activities
- National guinea worm eradication
program
- National leprosy eradication program
- National AIDS control program
- STD control program
- National program for control of blindness
- Iodine deficiency control program
- Expanded program of immunization
- National family welfare program
- National water supply and sanitation
program
- Minimum needs program
- National diabetes control program
- Polio eradication : pulse program
program, NPSP
- National cancer control program
- Yaws eradication program
- National nutritional anemia prophylaxis
program
- 20 point program
- ICDS program
- Mid –day meal program
- National mental health program
- Adolescent health program
- Role of nurse in the national health
programme.

VII Explain the Demography and family welfare 18 Lecture cum Short answer
meaning of a) Demography discussion
demography - Concept Objective type
and describe - Trends in the world and in India Show and
the national - Concept of fertility and infertility explain family Essay type
family welfare - Small family norm planning devices
programmes b) Family Welfare
. - Concept, importance, aims & objectives Role play
- Family planning methods
- Family planning counseling Demonstration
- National family Welfare Policy
- National family Welfare Programme
- Role of a nurse in the family planning
programme

123
 Teaching
Learning Assessment
Unit Contents Hr learning
objective methods
Activities
VIII Describe the Health Team: 7 Lecture cum Short answer
concept and a) Concept discussion
functions of - Composition Objective type
health team - Functions Interaction with
and the role b) Role of Nursing personnel at various levels: health team Essay type
of nursing - District Public Health Nursing Officer members: Job
personnel at - Block health Nurse description as per
various levels. - Public Health Nurse the Indian Public
- Lady Health Visitor/ health supervisor Health Standards
- Health worker female/ ANM (IPHS)

IX Explain the Health Information System 6 Lecturer cum Short answer

concept and a) Concepts, components, uses , sources. discussion
uses of health b) Vital Statistics: Objective type
information - Important rates and indicators Exercises
system c) Vital health records and their uses. Exercises
d) Basic statistical methods
e) Descriptive statistics

X Describe the Health Agencies 3 Lecture cum Short answer

national and a) International: discussion
international - WHO Objective type
health agencies - UNFPA Seminar
- UNDP
- World bank
- FAO
- UNICEF
- DANIDA
- European commission (EU)
- Red cross
- USAID
- UNESCO
- ILO
- CARE
b) National:
- Indian Red Cross
- Indian Council for child welfare
- Family Planning association of India
- Other NGOs

124
 COMMUNITY HEALTH NURSING II- PRACTICAL
Placement: THIRD YEAR- PART I Time: Practical – 160 hours

Assessment
Area Duration Objectives Skills Assignments
Methods
Community 4 wks • Organize and conduct - Assisting in set-up and • Health talk- 2 - Internal
Health urban / clinics conduct of the clinics: • Family examina-tion
Nursing II- rural - Antenatal - Providing domiciliary Health (1st& 2nd
- Postnatal care to the antenatal and Nursing care term)
- Family welfare. postnatal cases using plan-2 - Pre Council
- Under five. bag and / or Domiciliary • Group examina-tion
• Diagnose health Obstetric Kit. project-1 - Assessment
needs and provide - Performing nursing care • Daily of performa-
domiciliary care for at home. Dairy-1 nce with
antenatal and postnatal • Report on rating scale
mothers. - Preparing and conducting school health - Evaluation of
• Assess health needs Health Teachings on program - Assignme-nts
of family; plan and Reproductive and Child - Field visit
carry out treatment Health ( RCH) Care reports
for minor ailments; Issues. - Daily diary
identify need for - Assisting in organizing
referral and refer. Camps.
• Plan, conduct and - Maintaining records and
follow up health reports at Primary Health
education. Centre.
• Assist in conducting - Assisting in activities of
camps and participate. Family Welfare.
• Maintain records and - Participating in School
reports in PHC. Health Services.
• Assist in family
welfare services and
conduct need based
health education.
• Participate in school
health programme.
• Counsel and educate
eligible couple, family
and community.

Placement- INTERNSHIP (THIRD YEAR PART-II) Time- 288 Hours

Area Duration Objectives Skills Assignments Assessment Methods

Urban / 6 weeks Provide Comprehensive nursing Integrated Assessment of
rural comprehensive care to care to the individual , practice and clinical performance
individual family and family and community group project with rating scale
community Health talk – 2 Evaluation of group
Nursing care plan project.
–2

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