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WESLEYAN

AN AUTONOMOUS METHODIST UNIVERSITY

COLLEGE OF NURSING AND ALLIED MEDICAL SCIENCES

MATERNAL AND CHILD NURSING

CONAMS
A.Y. 2021-2022
WESLEYAN
AN AUTONOMOUS METHODIST UNIVERSITY

COLLEGE OF NURSING AND ALLIED MEDICAL SCIENCES


PERFORMANCE EVALUATION TOOL
NCM 107 – CARE OF MOTHER, CHILD, AND FAMILY

DIRECTIONS:
 The evaluation tool will be discussed by the clinical instructor/s.
 During the discussion, the instructor/s may demonstrate the procedures or may use video viewing for
students’ orientation.
 The students should be given sufficient time to prepare for the return demonstration.
 The students will do the return demonstration based on the checklist given.
 The following rating scale shall be used in grading student’s performance:

2 points - able to perform


Perform the procedure safely and accurately in a very consistent and independent manner
without supportive assistance from the instructors.
Perform a difficult action quickly and skillfully
Spends minimal time on task
Focuses on client while giving care

1 points - able to perform with assistance


Perform the procedure safely and accurately with frequent guidance and supervision from
the instructor.
Demonstrate incomplete skills in some part of the procedure.
Takes longer time to complete the procedure.

0 point - unable to perform


Unable to perform procedure even under close supervision of guidance
Require continuous, supportive and directive cues
Performs in unskilled manner

 At the end of each laboratory session, the instructor/s will give remarks based on the student’s
performance in accordance to the procedures indicated.
WESLEYAN
AN AUTONOMOUS METHODIST UNIVERSITY

COLLEGE OF NURSING AND ALLIED MEDICAL SCIENCES


PERFORMANCE EVALUATION TOOL
NCM 107 – CARE OF MOTHER, CHILD, AND FAMILY

NAME OF STUDENT:
BLOCK:

PROCEDURE: CLAMPING AND CUTTING THE UMBILICAL CORD

PURPOSE: RATIONALE 2 1 0 REMARKS


1 1. To determine the separation of the infant from the
mother
2 2. To reduce anemia among newborns. Most of the
blood — which
contains
hemoglobin,
highly rich in iron
— can flow back
to the child as an
extra blood
transfusion.
ASSESSMENT:
3 Wait for the cord to stop from pulsation. This allows for
more blood to
transfer from the
placenta to the
baby.
PLANNING:
4 Prepare the following materials and arrange in linear
arrangement
5 a. Newborn model with umbilical cord attached from
the infant’s abdomen to the placenta
6 b. 1 Abdominal pack
7 c. 1 flannel
8 d. 1 kidney basin with:
> 2 kelly /metz
> 1 cord clamp
> 1 scissor
9 e. 1 Bonnet or head cap
10 f. 1 pair of sterile gloves
PROCEDURE:
11 1.Perform handwashing and wear sterile gloves.
WESLEYAN
AN AUTONOMOUS METHODIST UNIVERSITY

COLLEGE OF NURSING AND ALLIED MEDICAL SCIENCES


12 2.Once delivered, place the newborn in between the
mother’s legs in a horizontal position, with the baby
lying on his side
13 3.Wrap and wipe the infant’s mouth and nose with This is to clear
abdominal pack right after the delivery, discard the excess secretions
and stimulate
abdominal pack and change it with the flannel, cover respiration.
the infant thoroughly
14 4.Put on the bonnet or head cap on the infant’s head
15 5.Wait for the cord to stop pulsation within 2-3 This allows for
minutes more blood to
transfer from the
placenta to the
baby.
16 * Use forefinger and middle finger by placing them in
between the cord
17 *Do not use thumb, you might appreciate your own it has its own
pulse pulse that you
may feel
18 6.Clamp the cord two fingerbreadths from the infant’s
abdominal skin or base of the cord with the use of
cord clamp.
19 7.Support the cord clamp with your left forefinger and Milking helps to
thumb and milk the cord away from the baby, then increase the
transfusion of
kink the cord. blood from the
cord to the baby in
a short amount of
time.
20 8. Get the Kelly and clamp the cord.
21 9.Still supporting the cord clamp and Kelly with your
left hand (this supports the baby during the cutting
procedure), get the scissor and cut the cord
approximately few centimeters away from the cord
clamp.
22 10.Count the number of blood vessels from the
surface of the cord: 2 arteries and I vein.
23 11.Handle the Kelly that is attached to the cord
through the placenta to your classmate to facilitate
the delivery of the placenta.
24 12.Place the infant now on the mother’s chest in The baby is
supine position, observing the SKIN TO SKIN stimulated to move
CONTACT with the infant’s head turned to side, still to mom’s breast,
with the flannel completely covering the infant’s back attach and begin
feeding
WESLEYAN
AN AUTONOMOUS METHODIST UNIVERSITY

COLLEGE OF NURSING AND ALLIED MEDICAL SCIENCES


25 13.Do aftercare. Remove gloves, do hand washing,
and document the procedure and findings on the
baby’s chart.
TOTAL SCORE (Highest score is 50):

Student’s Signature: Instructor’ Signature :


Date: Date:

Comments/Suggestions:

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