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Placenta Checklist

The document outlines the 21 steps for evaluating a placenta examination performed by an obstetrical and gynecological nursing student. Key steps include explaining the procedure to parents, ensuring adequate lighting, preparing equipment, inspecting the umbilical cord and vessels, counting vessels, observing the fetal and maternal sides of the placenta for abnormalities, weighing and taking samples if needed, recording observations, and properly disposing of materials. The student's performance of each step is evaluated on a scale and an overall remark is provided.

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Nidhi Shivam Ahlawat
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6K views2 pages

Placenta Checklist

The document outlines the 21 steps for evaluating a placenta examination performed by an obstetrical and gynecological nursing student. Key steps include explaining the procedure to parents, ensuring adequate lighting, preparing equipment, inspecting the umbilical cord and vessels, counting vessels, observing the fetal and maternal sides of the placenta for abnormalities, weighing and taking samples if needed, recording observations, and properly disposing of materials. The student's performance of each step is evaluated on a scale and an overall remark is provided.

Uploaded by

Nidhi Shivam Ahlawat
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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IIMT UNIVERSITY

OBSTETRICAL & GYNECOLOGICAL NURSING DEPARTMENT

EVALUATION PERFORMA

placenta examination

STUDENTS NAME:

CLASS:

S.NO STEPS/ TASKS SATISFAC UNSATISFAC NOT


TORY TORY PERFORM
ED
1. Explain the procedure to the parents and ask if they want
to observe.
2. Ensure that there is adequate lighting to check the
placenta. If the lighting in the delivery room is dim, it is
advised that the placenta is examined in an alternative
location where there is adequate lighting.
3. Prepare a flat surface with protection to avoid blood
spillage.
4. Prepare syringe and needle if cord samples are required.
5. Wash hands; wear an apron and gloves
6. Lay out the placenta with the fetal surface uppermost –
noting shape, size, colour and smell.
7. Examine the cord, noting the length, insertion point and
presence of true knots or thrombi.
8. Inspect the umbilical cord vessels at the cut end at the
furthest point from the placenta as the arteries can be
fused around the insertion site making it difficult to
differentiate them.
9. Count the vessels in the cut end of the cord; the absence
of one of the arteries can be associated with renal
agenesis.

10. Observe the fetal side for irregularities such as


succenturate lobes, missing cotyledons, fatty deposits or
infarctions
11. By lifting the cord and holding the placenta up, you can
then observe the membranes and inspect for
completeness. There should be a single hole present
where the baby has passed through the membranes.
12. Return the placenta to the surface and spread the
membranes out in order to look for extra vessels, lobes,
or holes in the surface.

13. Separate the amnion from the chorion layer by pulling


the amnion back over the base of the umbilical cord to
ensure both are present.
14. Turn the placenta over to inspect the maternal side.
15. Examine the cotyledons, ensuring all are present, noting
the size and any areas of infarction, blood clots or
calcification. Retain the clots to make an accurate
assessment of blood loss. The lobes of a complete
placenta fit neatly together without any gaps with the
edges forming a uniform circle. Broken fragments of
cotyledon should be carefully replaced before making an
accurate assessment, e.g. succenturate lobes, missing
cotyledons, fatty deposits or infarctions.

16. Weigh, swab or take samples if indicated.


17. Check the length of umbilical cord.
18. Clean away equipment and the area
19. Dispose the placenta properly in dustbin.
20. Remove gloves and wash hands properly.
21. Note the further recordings.

Marks obtained:

Remarks…………………………………………………

Note: Satisfactory-2; Unsatisfactory-1; Not performed-0

Signature of Evaluator

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