COLLEGE OF NURSING
Visca, Baybay City, Leyte, PHILIPPINES
Telefax: +63 53 563 7226
Email: nursing@vsu.edu.ph
Website: www.vsu.edu.ph
NAME: __________________________________________ Course & Year:__________ Date: _______
ESSENTIAL INTRAPARTUM AND NEWBORN CARE
SCALE OF ACHIEVEMENT
4
Exemplary (95-100%)
3
Proficient (89-94%)
2
Developing (82-88%)
1
Emerging (75-81%)
PURPOSE:





Performed the step with no prompting or input from the
faculty.
Performed the step with minimal (1 or less) prompting from
the faculty
Performed the step with multiple (2 or more) prompts from
the faculty
Did not perform the step. Faculty guided the student to
demonstrate the step.
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In advance, prepare decontamination solution by mixing 1 part 5% chlorine bleach to 9 parts water 0.5%
chlorine solution. Change chlorine at the beginning of each day or whenever solution is very contaminated
or cloudy.
MATERIALS/ EQUIPMENT NEEDED:
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STEPS
RATIONALE
PROCEDURAL STEPS
PRIOR TO WOMAN’S TRANSFER TO THE DELIVERY ROOM
1. Ensure that the mother is in her position of
It helps allow the
choice, while in labor
mother to achieve
her greatest
comfort during
labor.
2. Ask mother if she wishes to eat/drink or void.
To ensure the
mother's comfort
and well-being
Vision:
Mission:
A globally competitive university for science, technology, and environmental conservation.
Development of a highly competitive human resource, cutting-edge scientific knowledge
and innovative technologies for sustainable communities and environment.
4
3
2
1
REMARKS
Page 1 of 13
FM-VPA-03
v0 11-05-2021
No. 23-161
COLLEGE OF NURSING
Visca, Baybay City, Leyte, PHILIPPINES
Telefax: +63 53 563 7226
Email: nursing@vsu.edu.ph
Website: www.vsu.edu.ph
during childbirth
while minimizing
the risk of
complications.
Eating or drinking
may not be
advisable to
prevent
regurgitation
during delivery,
while voiding helps
maintain comfort
and prevent
interruptions
during the process.
This approach
supports a safe
and smooth
delivery
experience for
both the mother
and baby.
3. Communicate with the mother- inform her of
This practice
her progress of labor, give reassurance & assists the mother
encouragement
in staying informed
about her condition
and promotes
relaxation,
ultimately ensuring
a safe childbirth.
WOMAN IS ALREADY IN THE D.R PREPARING FOR DELIVERY
1. Check temperature in D.R area
Helps prevent
hypothermia or
overheating,
ensuring the wellbeing of the
mother and
promoting the
infant's stability
and health. The
recommended
temperature
should be between
25 – 28 degree
celsius.
2. Asked woman if she is comfortable in the This facilitates the
Vision:
Mission:
A globally competitive university for science, technology, and environmental conservation.
Development of a highly competitive human resource, cutting-edge scientific knowledge
and innovative technologies for sustainable communities and environment.
Page 2 of 13
FM-VPA-03
v0 11-05-2021
No. 23-161
COLLEGE OF NURSING
Visca, Baybay City, Leyte, PHILIPPINES
Telefax: +63 53 563 7226
Email: nursing@vsu.edu.ph
Website: www.vsu.edu.ph
semi-upright position.
3. Ensured the woman’s privacy.
4. Removed all jewelry.
5. Prepared
a
clear,
clean
newborn
resuscitation area on a firm and flat surface.
Checked the equipment if clean, functional
and within easy reach.
6. Arrange materials/supplies in a linear
sequence:
3 pairs of gloves, 2 dry linen, bonnet,
oxytocin injection, plastic clamp, instrument
clamp, scissors, 2 kidney basins.
Vision:
Mission:
mother in
achieving her
utmost comfort
during the delivery
process.
To provide privacy
and dignity to the
patient.
This action is
taken to avoid
disruption during
delivery, also
some jewelries
could fall inside or
be removed inside
the body of the
mother and to
minimize the
transmission of
microorganisms.
This is carried out
to arrange the
necessary
equipment for the
delivery, ensure
the safe
progression of the
delivery process,
and provide the
most optimal
method for
delivering a baby.
This procedure is
performed to
facilitate the quick
identification and
utilization of
instruments and
supplies during the
delivery. Also, it
can save time and
energy.
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Page 3 of 13
FM-VPA-03
v0 11-05-2021
No. 23-161
COLLEGE OF NURSING
Visca, Baybay City, Leyte, PHILIPPINES
Telefax: +63 53 563 7226
Email: nursing@vsu.edu.ph
Website: www.vsu.edu.ph
7. In a separate sequence, for after the 1st
breastfeed: Eye ointment, (stethoscope,
Vitamin K, Hepatitis B and BCG vaccines
(plus cotton ball, etc.)
This will separate
the materials that
will be used after
giving birth, to
avoid confusion
and to prevent
from committing
error during
delivery.
8. Clean the perineum with antiseptic solution.
To reduce the risk
of infection. This
practice helps
eliminate potential
pathogens on the
skin surface,
minimizing the
chance of
introducing harmful
microorganisms
into the birth canal
during delivery. It
is a preventive
measure to
promote a sterile
environment and
safeguard both the
mother and the
baby from
infections.
9. Washed the hands and put on two pairs of
- This practice is
sterile gloves aseptically.
carried out to
minimize the
spread of
microorganisms.
- When dealing
with both the
perineum and
cord, double
gloving is
recommended.
AT THE TIME OF DELIVERY
1. Encourage woman to push as desired.
To empower her to
follow her body's
natural instincts
and rhythms,
promoting a more
Vision:
Mission:
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and innovative technologies for sustainable communities and environment.
Page 4 of 13
FM-VPA-03
v0 11-05-2021
No. 23-161
COLLEGE OF NURSING
Visca, Baybay City, Leyte, PHILIPPINES
Telefax: +63 53 563 7226
Email: nursing@vsu.edu.ph
Website: www.vsu.edu.ph
2.
3.
4.
5.
1.
comfortable and
efficient delivery
process.
Draped the clean, dry linen over the
This area is
mother’s
abdomen
or
arms
in
designated for
preparation for drying the baby.
placing the
newborn and
preparing for the
drying of the baby.
Applied perineal support and did
This is performed
controlled delivery of the head.
to ensure the safe
handling of the
newborn as it
emerges from the
birth canal and
perineum.
Called out the time of birth and sex of
This is conducted
the baby.
to inform the
assigned
healthcare
provider
responsible for
documenting the
findings.
Informed the mother of outcome.
This is done to
inform the mother
about the sex,
condition of her
baby and urgent
medical attention
needed, if
necessary.
FIRST 30 SECONDS
Thoroughly dried baby for at least 30
- This action is
performed to
seconds, starting from the face and
encourage
the
head, going down to the trunk and
baby to initiate
extremities while performing a quick
breathing and
check for breathing.
safeguard against
hypothermia.
- It's advisable not
to remove the
vernix caseosa, as
it serves as a
natural shield for
the baby, guarding
against infections
Vision:
Mission:
A globally competitive university for science, technology, and environmental conservation.
Development of a highly competitive human resource, cutting-edge scientific knowledge
and innovative technologies for sustainable communities and environment.
Page 5 of 13
FM-VPA-03
v0 11-05-2021
No. 23-161
COLLEGE OF NURSING
Visca, Baybay City, Leyte, PHILIPPINES
Telefax: +63 53 563 7226
Email: nursing@vsu.edu.ph
Website: www.vsu.edu.ph
and assisting in
temperature
regulation, thus
preventing
hypothermia.
- Refraining from
washing the baby
during the initial 6
hours is
recommended, as
doing so could
result in
hypothermia and
the risk of
infection.
1. Removed wet cloth.
Vision:
Mission:
- The purpose of
evaluating the
baby's
appearance, pulse,
responsiveness,
muscle tone, and
breathing
(APGAR) score is
to assess whether
additional medical
attention or
emergency care is
necessary.
1-3 minutes
To prevent
hypothermia. Wet
clothing can lead
to a rapid loss of
body heat, and
newborns are
particularly
susceptible to
temperature
changes. Keeping
the baby dry helps
maintain their body
temperature within
the normal range
and reduces the
risk of
hypothermia,
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Page 6 of 13
FM-VPA-03
v0 11-05-2021
No. 23-161
COLLEGE OF NURSING
Visca, Baybay City, Leyte, PHILIPPINES
Telefax: +63 53 563 7226
Email: nursing@vsu.edu.ph
Website: www.vsu.edu.ph
2.
3.
4.
5.
Vision:
Mission:
which can be
harmful to a
newborn's health.
Placed baby in skin-to-skin contact on
It helps regulate
the mother’s abdomen or chest.
the baby's
temperature,
fosters emotional
bonding through
oxytocin release,
aids breastfeeding
initiation, and
contributes to the
establishment of a
healthy
microbiome, all
working together to
promote the
overall well-being
of both mother and
baby.
Covered baby with the cry cloth and the To provide warmth
baby’s head with a bonnet.
and comfort.
nd
Excluded a 2 baby by palpating the
This procedure is
abdomen in preparation for giving
performed to
oxytocin.
check for the
presence of a
second baby. If a
second baby is
detected, oxytocin
should not be
administered at
that time, and a
reassessment is
necessary to
prepare for the
delivery of the
second baby,
ensuring
appropriate and
safe care for both
infants.
Gave IM oxytocin within one minute of
To facilitate uterine
baby’s birth after wiping the soiled
contraction and
gloves with the wet cloth. Disposed of
prevent
wet cloth properly
postpartum
hemorrhage. IM
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Page 7 of 13
FM-VPA-03
v0 11-05-2021
No. 23-161
COLLEGE OF NURSING
Visca, Baybay City, Leyte, PHILIPPINES
Telefax: +63 53 563 7226
Email: nursing@vsu.edu.ph
Website: www.vsu.edu.ph
6. Removed 1st set of gloves after
positioning the baby for cord
clamping. Decontaminated the
gloves properly
Vision:
Mission:
oxytocin helps the
mother's uterus
contract, reducing
the risk of
excessive bleeding
after childbirth.
Cleaning the
gloves and
disposing of the
wet cloth properly
maintains aseptic
conditions,
minimizing the risk
of infection for both
the mother and the
newborn, ensuring
a safe and healthy
postpartum period.
To maintain
aseptic conditions
during the critical
moments after
childbirth. By
changing gloves
before handling
the umbilical cord
and
decontaminating
them, healthcare
providers reduce
the risk of
introducing any
harmful
microorganisms to
the baby or
mother. This
practice helps
ensure a safe and
hygienic transition
for the newborn
and minimizes the
potential for
infection or
complications in
the immediate
postpartum period.
A globally competitive university for science, technology, and environmental conservation.
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Page 8 of 13
FM-VPA-03
v0 11-05-2021
No. 23-161
COLLEGE OF NURSING
Visca, Baybay City, Leyte, PHILIPPINES
Telefax: +63 53 563 7226
Email: nursing@vsu.edu.ph
Website: www.vsu.edu.ph
7. Palpated umbilical cord to check for
pulsations
8. After pulsation stopped, clamped
cord using the plastic clamp or cord
tie 2cm from the base.
9. Placed the instrument clamp
10. Cut near plastic clamp
11. Wait for the strong uterine
contractions then applied controlled
cord traction and counter traction of
the uterus, continuing until placental
was delivered.
Vision:
Mission:
This is done to
check for cord
pulsations.
Waiting for the
pulsation to stop
before cutting it
helps to prevent
anemia and
protects preterm
from
intraventricular
hemorrhage.
The instrument
clamp is placed on
the umbilical cord
of a newborn baby
to prevent bleeding
and ensure a clean
separation of the
cord from the
baby. This helps
reduce the risk of
infection and
facilitates the
healing process.
Cutting the cord
near the plastic
clamp ensures
safety by
preventing
accidental tugs or
pulls that could
damage the cord,
reduce tripping
hazards, and
minimize wear and
tear on the cord.
This approach
minimizes the risk
of excessive
bleeding during
childbirth by
allowing the
uterine
contractions to
effectively
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Page 9 of 13
FM-VPA-03
v0 11-05-2021
No. 23-161
COLLEGE OF NURSING
Visca, Baybay City, Leyte, PHILIPPINES
Telefax: +63 53 563 7226
Email: nursing@vsu.edu.ph
Website: www.vsu.edu.ph
12. Massaged the uterus until it is firm.
13. Inspected the lower vagina and
perineum for lacerations/ tears and
repaired lacerations/ tears as
necessary.
14. Examined the placenta for
completeness and abnormalities
15. Cleaned the mother: flushed
perineum and applied
perineal/napkin/cloth.
16. Checked baby’s color and breathing;
Vision:
Mission:
separate the
placenta from the
uterine wall before
applying traction,
ensuring a
controlled and safe
placental delivery.
To promote uterine
contractions thus,
preventing PPH
To determine if
repairs are
needed. This step
also ensures
proper postpartum
care by identifying
and repairing any
vaginal or perineal
tears, reducing the
risk of infection
and promoting
faster healing for
the mother.
To ensure the safe
conclusion of
childbirth. It helps
confirm that no
fragments are left
behind in the
uterus, reducing
the risk of
infection, bleeding,
or other
complications for
the mother.
To maintain
hygiene and
comfort postpartum.
It removes blood,
secretions, and
waste material,
reducing the risk of
infection and
promoting the
mother's overall
well-being.
Checking the
A globally competitive university for science, technology, and environmental conservation.
Development of a highly competitive human resource, cutting-edge scientific knowledge
and innovative technologies for sustainable communities and environment.
Page 10 of 13
FM-VPA-03
v0 11-05-2021
No. 23-161
COLLEGE OF NURSING
Visca, Baybay City, Leyte, PHILIPPINES
Telefax: +63 53 563 7226
Email: nursing@vsu.edu.ph
Website: www.vsu.edu.ph
checked that mother was
comfortable, uterus contracted.
17. Disposed the placenta in a leakproof container or plastic bag.
18. Decontaminated instruments before
cleaning; decontaminated 2nd repair
of gloves before disposal
baby's color and
breathing is
essential to assess
the newborn's
immediate health
and ensure proper
oxygenation.
Simultaneously,
ensuring the
mother's comfort
and monitoring
uterine contractions
is vital for her wellbeing and to
address any
potential
complications
during the
postpartum period.
For infection control
and biohazard
management. This
method contains
any potentially
infectious material,
reducing the risk of
contamination and
ensuring a safe and
hygienic
environment.
To prevent the
spread of infections
and maintain
aseptic conditions
during medical
procedures,
minimizing the risk
of contamination for
both healthcare
providers and
patients.
19. Advised mother to maintain to skinto skin contact. Baby should be
prone on the mother’s chest/ in
between the breasts with head
turned to one side.
Vision:
Mission:
A globally competitive university for science, technology, and environmental conservation.
Development of a highly competitive human resource, cutting-edge scientific knowledge
and innovative technologies for sustainable communities and environment.
Page 11 of 13
FM-VPA-03
v0 11-05-2021
No. 23-161
COLLEGE OF NURSING
Visca, Baybay City, Leyte, PHILIPPINES
Telefax: +63 53 563 7226
Email: nursing@vsu.edu.ph
Website: www.vsu.edu.ph
1.
2.
3.
4.
5.
6.
7.
8.
9.
Vision:
Mission:
15-90 minutes
Advised mother to observe for
feeding cues
Supported mother, instructed her
on positioning and attachment.
Waited the FULL BREASTFEED
to be completed
After complete breastfeed,
Vital signs (1 and 5 mins after
the delivery)
Anthropometric measurements
Administered eye ointment, did
through physical examination,
then administer Vitamin K and
Hepatitis B and BCG injections.
Then place the baby on the drop
light.
Advised OPTIONAL/DELAYED
bathing the baby at least 6 hours
after delivery (and was able to
explain the rationale).
Advised breastfeeding per
demand.
In the first hour checked the
baby’s breathing and color; and
checked mother’s vital signs and
massaged uterus every 15
minutes.
In the second hour, checked
mother-baby every 30 minutes to
one hour.
Complete all RECORDS.
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Page 12 of 13
FM-VPA-03
v0 11-05-2021
No. 23-161
COLLEGE OF NURSING
Visca, Baybay City, Leyte, PHILIPPINES
Telefax: +63 53 563 7226
Email: nursing@vsu.edu.ph
Website: www.vsu.edu.ph
CLINICAL INTSRUCTOR’S COMMENTS
Skills: _______________
_________________
(50%)
Knowledge: ________________
(30%)
Attitude:
(20%)
STUDENT’S NAME & SIGNATURE: _________________________________
CLINICAL INSTRUCTOR’S NAME & SIGNATURE: _______________________
Vision:
Mission:
A globally competitive university for science, technology, and environmental conservation.
Development of a highly competitive human resource, cutting-edge scientific knowledge
and innovative technologies for sustainable communities and environment.
Page 13 of 13
FM-VPA-03
v0 11-05-2021
No. 23-161