TOMAS
CLAUDIO
COLLEGES
College
of
Nursing
Related
Learning
Experience
SKILLS
LAB
–
INTRAPARTUM
Performance
Evaluation
Check
list
NAME:
____________________________________________________________
SECTION:
________________
CRITERIA:
5
–
Able
to
perform
independently
and
correctly
4
–
Able
to
perform
with
less
supervision.
3
–
Able
to
perform
but
requires
supervision
2
–
Able
to
perform
but
requires
assistance
1
–
Unable
to
perform
Procedure
5
4
3
2
1
Remarks
Labor
and
Delivery
1.
Prepare
instruments
and
equipment
needed
2.
Proper
wearing
of
sterile
gloves.
3.
Coaches
mother
on
breathing,
pushing
and
bearing
down
technique.
4.
Once
the
head
is
crowning,
perform
Ritgen’s
Maneuver
properly
and
safely.
5.
Once
the
baby’s
head
delivers,
assess
or
check
for
Nuchal
Cord
(check
and
manage
cord
coil
correctly)
6.
Deliver
the
baby
safely
by
grabbing
the
newborn
downward
to
deliver
the
anterior
shoulder
and
upward
to
deliver
the
posterior
shoulder
to
the
rest
of
the
body.
7.
Call
time
of
birth
and
newborn’s
gender.
8.
Dry
the
baby
starting
from
the
face
to
clear
the
airway
and
secretions.
9.
Perform
cord
clamping
and
cutting:
a. Wait
for
the
pulsation
to
stop
before
clamping.
b. Apply
cord
clamp
at
least
2
cm
or
2
fingers
from
the
base
or
abdomen
of
the
newborn.
c. Clamp
the
cord
with
forceps
at
least
5
cm
away
from
the
newborn’s
abdomen.
d. Cut
the
umbilical
cord
with
surgical
scissors
near
the
cord
clamp
RATING
MECHANISMS
OF
LABOR
Identify
the
movement
in
the
mechanism
of
Labor:
1.
Engagement
–
widest
portion
of
the
fetal
head
passes
through
the
pelvis.
2.
Descent
–
recognize
progress
of
station.
The
baby’s
head
descend/
move
deeper
into
the
pelvis.
3.
Flexion
–
the
baby’s
head
flexes
to
present
the
smallest
diameter
of
the
baby’s
head
to
the
pelvis.
4.
Internal
Rotation
-‐
the
baby
rotates
internally,
aligning
the
widest
dimension
of
the
head
with
those
of
the
pelvis.
5.
Extension
–
the
baby’s
head
extends
as
it
follows
the
angulated
course
of
the
vagina
canal.
The
head
is
visible
“crowning”.
6.
External
Rotation
-‐
the
shoulders
rotate
externally,
aligning
their
widest
dimensions
with
those
of
the
pelvis.
7.
Expulsion
–
begins
with
delivery
of
the
anterior
shoulder
followed
quickly
by
the
posterior
shoulder
and
the
rest
of
the
body.
RATING:
DELIVERY
OF
THE
PLACENTA
1.
Explain
to
the
mother
that
she
will
have
contractions
after
the
birth
of
the
baby.
Contractions
signal
that
the
placenta
is
separating
from
the
uterine
wall.
2.
Perform
Brandt
Andrew’s
Maneuver:
One
hand
puts
gentle
traction
on
the
cord
upward
and
downward
motion,
while
the
other
hand
placed
on
the
mother’s
abdomen
over
the
anterior
surface
of
the
uterus
pressing
backward.
3.
Identify
signs
of
placental
separation:
Ø Vulva
sign
Ø Cord
sign
Ø Uterine
sign
4.
Note
time
of
placental
delivery
Ø After
delivery
of
the
placenta,
uterus
will
continue
to
contract
to
help
it
return
to
its
normal
size.
Ø Massage
the
abdomen
to
make
sure
uterus
feels
firm
and
well
contracted
5.
Inspect
the
placenta
Ø Check
for
completeness
of
cotyledons
Ø Look
for
malformations
Ø Look
for
areas
of
adherent
blood
clot.
6.
Estimate
the
blood
loss.
Ensure
the
bleeding
is
within
normal
limits.
7.
Check
vital
signs
every
15
minutes
for
first
hour
after
birth.
8.
Check
uterus
if
well
contracted,
it
should
be
firm
in
the
midline,
and
at
the
level
of
the
umbilicus.
9.
Asses
for
any
lacerations
and
assist
for
repair
by
the
doctor.
10.
Clean
and
assist
the
mother
into
a
comfortable
position
after
birth.
Perform
perineal
care
and
applies
pad
correctly.
11.
Evaluate
mother’s
condition
and
record
pertinent
data
accordingly.
12.
Assist
with
transfer
to
recovery
area.
RATING
TOTAL
SCORE:
____________________
Evaluated
by:
Student’s
Signature:
________________
____________________
Date:
______________
Clinical
Instructor
