Lesson One Title: Introduction to Parenting Classes Theme(s): Reproductive Anatomy Review Using the Question Box The Menstrual Cycle and Conception Foetal Development Time: 75 minutes Materials: Prior to the lesson: ● Preconception, Conception and Foetal Development Teacher Guide (pages # 6-10) ● Anatomy Review - Teacher Guide (pages # 75-81) Activity One: ● Flipchart paper (optional) or chalkboard Activity Two: ● Using The Question Box - Teacher Guide (pages # 82-94) ● Question Box (not included, please create one) ● Question Box - Student Handout (page # 95) Activity Three: ● Anatomy Cards (in PVC bag) ● Overhead Pens ● Internal Female Anatomy - Quiz (page # 96) ● Internal Female Anatomy - Answer Sheet (page # 97) ● External Female Anatomy - Quiz (page # 98) ● External Female Anatomy - Answer Sheet (page # 99) ● Male Anatomy - Quiz (page # 100) ● Male Anatomy - Answer Sheet (page # 101) ● Colour Female Anatomy (pages # 102-103) ● Colour Male Anatomy (page # 104) Activity Four: ● The Menstrual Cycle (page # 105) ● Examples of a 28-day and a 35-day Menstrual Cycle (page # 106) Activity Five: ● The Process of Conception (page # 107) Activity Six: ● Foetal Development DVD ● Foetal Development DVD - Student Handout (page # 108) ● Foetal Development DVD - Answer Sheet (page # 109) ● Foetal Development: The Critical Weeks of Early Pregnancy (page # 110) Destination Parenthood: Arrive Prepared - A Resource For Educators: Grade 11 Parenting Peel Public Health: Family Health Division 905-799-7700 www.peelregion.ca 61 Lesson One Objectives ● to establish simple rules for acceptable behaviour in the classroom ● to increase comfort levels of students and teacher through discussions ● to give students the opportunity to ask questions they might otherwise feel too embarrassed to ask ● to identify the students’ areas of interest or curiosity ● to assess the level of student-understanding in the area of reproductive anatomy ● to review the menstrual cycle as a means of increasing fertility awareness ● to learn about the process of conception ● to emphasise the importance of health and well-being from preconception to conception and throughout pregnancy ● to learn about the stages of foetal development from conception to birth Curriculum Expectations 11p1 - describe factors that contribute to the healthy development of children before and during birth, and in the first few months after birth 11p4 - outline the stages in the biological process of conception, pregnancy, and birth; 11p9 - analyse behaviours, conditions, and environments that influence positive or negative growth and development of the foetus, infant, and young child (e.g., breast-feeding, bonding, infant stimulation; violence, addictions, neglect) 11p13 - demonstrate an understanding of the need for preparation to become a parent 4MAT Quadrants 1R: Making Connections and Integrating Experiences Destination Parenthood: Arrive Prepared - A Resource For Educators: Grade 11 Parenting Peel Public Health: Family Health Division 905-799-7700 www.peelregion.ca 62 Lesson One Procedure Talking with students about sexual health and reproductive anatomy can be difficult for many teachers. Since sexuality is intimately connected to our personal values, family backgrounds and spiritual beliefs, it can be a sensitive issue – one that can be difficult to teach. The best way for teachers to ensure their classes run smoothly is to take sufficient time to prepare for them. Spend some time familiarising yourself with the topics. Consider your own ideas, values and feelings about the material but remember that your primary role is to provide factually accurate answers to students’ questions and leave the job of assigning morals and judgement to the students and their families. Teaching your students about sexuality requires more than simply explaining anatomy and reproduction. It means talking to them about relationships, families, parenthood and good decision-making. Sexuality encompasses our physical development, sexual knowledge, attitudes, values and behaviours. It is shaped not solely by our biology and psychology, but also by our culture, family history, education and experiences. When you teach your students about sexuality, and not just about ‘sex’, you are giving them the skills they need to develop good relationships throughout their lives. Before beginning this unit, you may want to read through the Teacher Guides found in the section entitled, “Information for Teachers” on pages # 6-41. In particular, please see the Teacher Guides for Lesson One, Preconception, Conception and Foetal Development, on pages # 6-10 and for Using the Question Box on pages # 82-94. If the material on physiology is new to you or you require some review, please refer to the Anatomy Review-Teacher Guide that follows on pages # 75-81. These documents are meant to prepare you for teaching about these important subjects. Additionally, it is a good idea to screen the Foetal Development DVD prior to showing it to your students. Destination Parenthood: Arrive Prepared - A Resource For Educators: Grade 11 Parenting Peel Public Health: Family Health Division 905-799-7700 www.peelregion.ca 63 Lesson One Prior to this lesson, you will need to fabricate a question box for your classroom. Be sure it is located in an easily accessible area, and that it is labelled. Remember the box must be large enough to hold approximately thirty folded sheets of paper at one time. Activity One: Establishing Classroom Rules - 5 minutes The first part of this lesson is designed to ensure that all students know and respect the classroom rules. Since issues of boundaries, appropriate language and behaviour can surface when teaching about sexuality, it is wise to spend some time thinking about the rules you feel are important. Here are a few suggestions to consider. ● Everyone has the right to his/her own beliefs and opinions. ● Everyone has the right to be heard. ● Everyone will be treated with respect. ● We will use the proper terms for body parts and sexual activities. ● We will not make fun of our peers. ● We will not ask personal questions during our discussions. After you have chosen your rules, introduce them to the class. Students may also suggest rules they would like put in place. Ideas For Classroom Use Once all rules are complete, you could post them in the classroom. Students will then have a clear sense of what is expected of them during this course. Destination Parenthood: Arrive Prepared - A Resource For Educators: Grade 11 Parenting Peel Public Health: Family Health Division 905-799-7700 www.peelregion.ca 64 Lesson One Activity Two: Introduction to the Question Box - 5 minutes Tell your class that it is very common for students to have a lot of questions during a parenting class. Explain that sexuality remains a subject that is not often broached among families or with teachers. This can make it hard for some students to ask questions aloud in the classroom. The cultural, religious or family traditions of some teens may also discourage discussions about sexuality. Consider this when assessing student participation in class discussions and be sensitive to your students’ individual situations. Reassure your class that you have established classroom rules in order to create a safe space to talk about sexuality. Remind your students how important it is for them to understand how female and male reproductive anatomy works and what steps they need to take to protect their sexual health and fertility. Briefly explain the concept of a question box to your students. Ask them to spend a few minutes thinking about some questions they already have about sexuality, conception, pregnancy and birth. Tell them that they can place questions in the Question Box, as they come to mind, throughout the entire course. Encourage students to take a few blank forms for their use today or later. Tell them that you will address the questions periodically throughout the semester/term. Remind your students not to write their names on the top of the page, so their questions can remain confidential. Destination Parenthood: Arrive Prepared - A Resource For Educators: Grade 11 Parenting Peel Public Health: Family Health Division 905-799-7700 www.peelregion.ca 65 Lesson One Activity Three: Reproductive Anatomy Ice-Breaker Activity - 20 minutes As a warm-up, have your students participate in an ice-breaker activity. This exercise is diagnostic as it will help you gauge the amount of teaching you will need to do to familiarise your students with female and male reproductive anatomy. Place the Internal Female Anatomy-Quiz overhead on the projector. Randomly distribute the green Internal Female Anatomy Cards to students. Half of the cards list body parts and the other half list their functions. Tell the students that they need to match the body part to its description. Ask students to wander around the classroom in order to find their match. Once the students agree that their cards match, they can approach the overhead and write the name of the body part where it belongs. Once all the students have written their answers on the overhead, use the Internal Female Anatomy-Answer Sheet to check for accuracy. Repeat this process using the yellow cards (External Female Anatomy), the blue cards (Male Anatomy) along with the appropriate overheads. There are 46 anatomy cards in total. The body parts and their corresponding descriptions and functions are listed below. Internal Female Anatomy - 12 green cards fimbriae cervix Fallopian tubes ovary uterus vagina the fringe-like structure found at the opening of the Fallopian tubes the narrow lower part of the uterus that opens during childbirth the thin tubes that move the egg down into the uterus the oval-shaped organ that produces hormones and releases eggs the hollow muscular organ where menstrual flow begins or where a fertilized egg can develop the muscular tube that extends from the vaginal opening to the uterus Destination Parenthood: Arrive Prepared - A Resource For Educators: Grade 11 Parenting Peel Public Health: Family Health Division 905-799-7700 www.peelregion.ca 66 Lesson One External Female Anatomy - 14 yellow cards labia majora labia minora vaginal opening mons pubis clitoris urethral opening anus the outer folds of skin at the opening of the vagina the inner folds of skin at the opening of the vagina the entrance to the vagina the mound just below the abdomen where pubic hair grows the external female organ that provides females with sexual pleasure the opening below the clitoris where urine leaves the body the opening of the rectum where the body gets rid of feces Male Anatomy - 20 blue cards seminal vesicle rectum anus prostate testicle scrotum penis urethra vas deferens bladder the small gland that adds fluid to semen during ejaculation the last section of the digestive tract in which feces is stored for elimination from the body the opening of the rectum where the body gets rid of feces the gland that opens into the urethra and produces a milky fluid that mixes with sperm to create semen the organ that makes sperm and testosterone the sac located under the penis that holds and protects the testicles the external male organ that provides males with sexual pleasure the tube in the penis that carries urine or semen to the outside of the body the main duct through which semen is carried on its way to the urethra an organ in which urine is stored until it is discharged from the body Destination Parenthood: Arrive Prepared - A Resource For Educators: Grade 11 Parenting Peel Public Health: Family Health Division 905-799-7700 www.peelregion.ca 67 Lesson One Activity Four: The Menstrual Cycle - 10 minutes Place The Menstrual Cycle overhead on the projector. Tell your class that you are about to discuss the process of menstruation. First Graphic: This diagram shows the front view of a woman’s external reproductive anatomy. Point out the vaginal opening as the place where a woman’s menstrual blood exits her body. Mention that this is the location where tampons are inserted during menstruation. Ideas For Classroom Use While the hymen is not labelled on the diagrams, students often have questions about it. Consider sharing the following information with your class. The opening of the vagina is completely or partially covered by the hymen, a thin piece of tissue that has one or more tiny holes in it. Hymens are different from person to person. Some women have their hymens stretched or torn during vigorous physical activity as children or as young women, or when they insert tampons after they begin having their periods. Others find their hymens have torn after their first sexual experience. Either situation is completely normal. When the hymen is stretched or torn, it may bleed a little, but this usually causes little, if any, pain. Some people still believe that the existence of a woman’s hymen is proof of her virginity: This is a myth. Second Graphic: This illustration depicts a woman’s internal reproductive anatomy. Since you have already completed a review of the key body parts, simply point out where they are located. Destination Parenthood: Arrive Prepared - A Resource For Educators: Grade 11 Parenting Peel Public Health: Family Health Division 905-799-7700 www.peelregion.ca 68 Lesson One Third Graphic: Two hormones (estrogens and progesterone) cause the lining of the uterus to thicken just prior to ovulation. This way, if a sperm cell fertilizes the ovum in the fallopian tubes, the egg will attach to the soft spongy lining of the uterus where it will grow into a foetus. If the egg is not fertilized, it will simply shed away. Fourth Graphic: Due to hormonal messages, an egg (ovum) matures in the ovary each month. Estrogens cause the ovary to release the mature ovum. This process is called ovulation. Ovulation occurs approximately twelve to sixteen days after the first day of a woman’s menstrual period (if she has a 28-day cycle). Fifth Graphic: Once an egg is released, it enters one fallopian tube and begins the trip to the uterus. The egg is moved along by hair-like structures in the fallopian tube. Sixth Graphic: When the egg is not fertilized by a sperm cell, it simply disintegrates when it reaches the uterus. Then, the lining tissue and blood cells from the uterus leave the body through the vagina. This is called a menstrual period or menstrual flow. You may want to stress that an individual woman’s menstrual cycle can repeat itself every twenty to forty days. Only about ten percent of women experience a cycle that is consistent every month. Young women in particular often have unpredictable cycles: This means that ovulation, and menstrual cycles, will vary month to month. It also explains why it is extremely hard for young women to know when they are ovulating and, consequently, when they can become pregnant. Place the Examples of a 28-day and a 35-day Menstrual Cycle overhead on the projector. Explain that understanding the menstrual cycle is important to increase fertility awareness. Ask your students if they know when during her monthly cycle a Destination Parenthood: Arrive Prepared - A Resource For Educators: Grade 11 Parenting Peel Public Health: Family Health Division 905-799-7700 www.peelregion.ca 69 Lesson One woman is most likely to become pregnant. Use this overhead to illustrate a few key points. ● Women are most fertile for the few days before ovulation (release of the egg), the day of ovulation and the day after ovulation. Approximately twenty-four hours after ovulation, the egg quickly breaks down. ● The length and regularity of the menstrual cycle varies greatly between women, however the average duration of a complete menstrual cycle is twenty-eight days. Medical professionals consider the day that bleeding begins as Day 1 of the menstrual cycle. Around Day 7, the eggs in the ovaries ripen due to hormonal changes. Between Day 8 and Day 11, the lining thickens in the uterus. Sometime after Day 11, hormonal changes lead the ripest egg to be released into the Fallopian tube where it travels to the uterus. Most women notice an increase in cervical mucous (that resembles egg-white) around the time of ovulation. Being aware of these changes in the cervical mucous can help women determine when they are most likely to conceive. For women with a regular 28-day cycle, ovulation occurs around Day 14. For women with a 35-day cycle, ovulation typically occurs around Day 17. ● Sperm can live in the vagina anywhere from five to eight days. This means that even if a woman has unprotected sexual intercourse before ovulation, the sperm may linger long enough to fertilize the egg once ovulation occurs – sometimes days later. Given the unpredictable nature of a young woman’s menstrual cycle, and the fact that sperm can live up to eight days inside her body, it is best to assume that having unprotected intercourse may, at any time, lead to pregnancy. Destination Parenthood: Arrive Prepared - A Resource For Educators: Grade 11 Parenting Peel Public Health: Family Health Division 905-799-7700 www.peelregion.ca 70 Lesson One Activity Five: The Process of Conception - 10 minutes Having just reviewed the menstrual cycle, this activity will only take a few minutes to complete. You will be illustrating to your students how and when conception takes place in a woman’s body. Place The Process of Conception overhead on the projector. Tell your class that the first four steps in this process are the same as in the menstrual cycle so you will only review them quickly. First Graphic: This illustration depicts a woman’s internal reproductive anatomy. Second Graphic: Here we see the lining of the uterus thickening in preparation for either the implantation of a fertilized egg or for a woman’s menstrual period. Third Graphic: This illustration depicts the process of ovulation. Due to hormonal messages, an egg (ovum) matures in the ovary each month. Estrogens cause the ovary to release the mature ovum. Ovulation occurs approximately twelve to sixteen days before a woman’s menstrual period. Fourth Graphic: Once an egg is released, it enters one fallopian tube and begins the trip to the uterus. The egg is moved along by hair-like projections in the fallopian tube. Fifth Graphic: If sperm cells enter a woman’s vagina during this time, they can fertilize the egg. Conception occurs if a sperm cell penetrates and fertilizes the egg. The fertilized egg is then called a zygote. This diagram depicts this process of fertilization. Sixth Graphic: When the fertilized egg or zygote travels into the uterus, it attaches to the soft spongy lining where it begins to grow. This is called implantation. Destination Parenthood: Arrive Prepared - A Resource For Educators: Grade 11 Parenting Peel Public Health: Family Health Division 905-799-7700 www.peelregion.ca 71 Lesson One Seventh Graphic: Once implantation has occurred, the cells of the zygote continue to divide and grow into a foetus. A foetus takes approximately 38 to 40 weeks to grow into a full-term baby. Once you have reviewed the three overheads, be sure to allow a few minutes to answer any further questions students have about the menstrual cycle, ovulation or conception. Activity Six: Foetal Development DVD - 25 minutes Introduce the video to your class. Tell your students that this film includes actual footage taken from in utero. It illustrates the process of conception and foetal development. Just before you begin, distribute the Foetal Development DVD - Student Handout on page # 108, so students may write down their answers while viewing the film. Ideas For Classroom Use The content of the DVD may lead to further questions from your students. Remind them to use the question box if they want their questions answered anonymously. After viewing the DVD, you could take up the answers or allow students to complete the handout for homework. The answer sheet can be found on page # 109. Distribute copies of the handout entitled, Foetal Development: The Critical Weeks of Early Pregnancy (page # 110) to your students. Review the material presented on both sides of the handout – the critical weeks of early pregnancy and foetal development from the first to the fortieth week. Destination Parenthood: Arrive Prepared - A Resource For Educators: Grade 11 Parenting Peel Public Health: Family Health Division 905-799-7700 www.peelregion.ca 72 Lesson One The handout helps to emphasise the two key health messages that should be taken from this DVD. First, since the most crucial developmental period for the foetus occurs in the first fourteen weeks of the pregnancy and we know that half of pregnancies are unplanned, a mother’s preconception health is vital. It is important for all sexually active women to take folic acid, eat well and avoid smoking, drinking alcohol and taking drugs. Second, everything that a mother consumes is consumed by the foetus, and everything to which she is exposed, the foetus is also exposed. Possible Extensions You might consider using the question box after each lesson. This way, students can ask difficult questions throughout the entire semester or year. Leaving the question box out at all times encourages students to submit questions as they occur to them. If you think it would benefit your students, consider handing out copies of the anatomy review or the diagrams of female and male anatomy. Possible Assessment This lesson lends itself to diagnostic assessment. You will be able to tell how much information, or misinformation is possessed by your students when you watch them participate in the Reproductive Anatomy Ice-Breaker Activity and when you read their question box submissions. In addition, you could collect the Foetal Development DVD Student Handout and designate marks for its completion. Destination Parenthood: Arrive Prepared - A Resource For Educators: Grade 11 Parenting Peel Public Health: Family Health Division 905-799-7700 www.peelregion.ca 73 Lesson One Resources Beben, Alyson. (2003). Changes In Me: A Resource For Educators On Puberty And Adolescent Development. Region of Peel: Peel Health. Beben, Alyson. (2007). Human Reproduction, Sexuality and Intimacy as in Healthy Active Living: Keep Fit, Stay Healthy, Have Fun. Ted Temertzoglou. Toronto: Thompson Educational Publishing, Incorporated. Bolane, Jamie Eloise. (1997). Fetal Development: The Critical Weeks of Early Pregnancy. Waco, Texas: Childbirth Graphics - WRS Group Incorporated. Calgary Regional Health Authority: Sexual and Reproductive Health. (1999). The Question Box: An Effective Health Education Tool. Calgary: Author. Milner-Fenwick (Timonium, Maryland: Producer). (2003). Fetal Development: A Nine Month Journey, [DVD]. Woodstock: Canadian Learning Company. Destination Parenthood: Arrive Prepared - A Resource For Educators: Grade 11 Parenting Peel Public Health: Family Health Division 905-799-7700 www.peelregion.ca 74
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