1
A= Assist
O = Observe
Initials = RN preceptor or
Instructor
Name:__________________________________
OB Skills Check List: NSCC LPN TO RN Ladder Program
Labor and Delivery
1. Assist with admission to unit including:
- Review of medical history, allergies, EDD
- Note blood type and Rh, Rubella/Hepatitis/HIV status,
Group B strep status
- Review birth plan
- Vital signs, including pain assessment
- Height, weight, weight gain in pregnancy
- Electronic fetal monitor (EFM) application, pt teaching re:
EFM
- Basic interpretation of EFM strip, knowledge of appropriate
nursing interventions for indeterminate/abnormal findings
- Note results of lab tests
Urine dipstick results for protein, glucose
Blood tests as ordered
2. Palpate contractions. Auscultate fetal heart tones as indicated
3. Identify the stages and phases of labor
4. Provide support to patient as appropriate , after assessing pt
needs and role of significant others
5. Provide nursing care as indicated by stage of labor
6. Identify common medications and anesthetics given in labor
and for newborns: their action, dosage, side effects,
contraindication and fetal effects
7. Demonstrate knowledge and use of aseptic and sterile
technique in labor room and operating room environments.
Handwashing, knowledge of sterile field and appropriate attire
evident
8. Observe epidural/spinal placement and nursing care required
- Assess level of block
- Institute safety precautions
9. Participate in immediate nursing care of newborn as
appropriate. May include :
- Assigning Apgar scores
- Checking newborn vital signs
Date
A/O
Initials
2
- Erythromycin ointment instillation to eyes
- Injection of meds as ordered
- Identification (family banding)
- Newborn assessment including weight and measurements
- Assessment of need for glucose or sepsis protocols to be
used
- Preserve body heat of newborn
- Bath when stable
10. Assist with immediate post-partum care, including:
- Vital signs, including pain assessment
- Assessment of uterus: position and tone of fundus
- Assessment of color, amount of lochia
- Assessment of perineum
- Bladder assessment
- Monitoring related to anesthesia/analgesia
- Facilitate breastfeeding as desired
- Facilitate bonding
11. Chart all assessments/interventions/evaluations per facility
guidelines
Postpartum care
1. Assume care of patient as their status changes to post-partum.
Review history, labor summary. Continue assessment of :
- Vital signs, including pain assessment and need for pain
medication
- Uterine fundus, including position and tone
- Amount and color of lochia
- Perineal assessment and comfort measures
- Hygiene needs
- Bladder, bowel, breasts
- Level of anesthesia
- Teaching needs regarding parenting, breastfeeding, self-care
2. Care appropriately for postpartum patients recovering from
surgery. Address the following common concerns:
- Continue intake and output assessment, assess bowel
Date
A/O
Initials
3
function
- IV therapy and site assessment
- Foley catheter care and appropriate removal
- Surgical incision site assessment/staple removal
- Level of anesthesia, pain control
- Assist with gradual return to ambulation
- Assist/ encourage turning, coughing, deep breathing
- Dietary progression
- All concerns noted in section #1 above
3. Identify and administer (as appropriate) common medications
given in the postpartum setting: their action, dosage, side effects,
and contraindications.
4. Assist with discharge teaching regarding self-care, take home
medications, newborn care, referrals, and follow-up visits
5. Identify patient support network. Assess need for further
follow-up after discharge. Involve social work as appropriate.
6. Chart all assessments/interventions/evaluations per facility
guidelines
Ongoing Newborn Care
1.Confirm band identification of mother and baby
2. Continue newborn vital signs per institution policy
3. Give bath if not already done
4. Continue newborn assessments per facility guidelines; observe
for appropriate transition to extra-uterine life
5.Continue/ begin glucose and /or sepsis protocols as indicated
6. Assess, care for circumcised newborns
7. Assess feeding. Request lactation consultant as needed
8. Administer medications as ordered
9. Facilitate orders involving screening tests or lab work needed
before discharge
10. Observe circumcision
11. Model safe handling of infant
12. Chart all assessments/interventions/evaluations per facility
guidelines
Comments
Date
A/O
Initials