OSCE –NON STRESS TEST

REMARKS
S.NO
S.NO YES NO
STEPS IN PROCEDURE

1. Explain the procedure to the patient

2. Enquire whether she has taken food.

3. Advice the mother to void and come

4. Provide privacy

5. Position the patient

6. Wash hands

7. Turn on the monitor and press the TEST button

8. Perform an abdominal palpation.

9. Confirm the presence of fetal heart tones with a fetoscope or stethoscope and
note the area of maximum intensity.

10. Position the women in semi-Fowler’s or lateral till position and place the
monitor belts under her back so that they are flat against her skin

11. Connect the ultrasound transducer and the co-transducer to the to the fetal
monitor.

12. Apply ultrasound gel to the ultrasound transducer.

13. Place the ultrasound transducer on fetal back Movie the transducer until clear,
audible fetal heart tones are heard and the signal light is flashing steadily.
Secure the device in place with belt

14. Place the toco-transducer on the fundus of the uterus and secure in the place
with the belt.

15. Run the monitor and evaluate the quality of the tracing to determine if it is
adequate for interpretation. If it is not, reposition the transducer until
interpretable, data is obtained.

16. Give the hand button to the woman and ask her to press the button every time
she feeds fetal movement
17. Run the monitor and a tracing, for at least 20 minutes

18. On completion, put off the monitor and take out the strip of paper

19. Remove the abdominal straps and wipe off the gel from the abdomen and
transducer

20. Make the women comfortable and give relevant instruction.

21. Document the findings with the following,

⮚ Data and time

⮚ Response of the mother

⮚ Fetal reactivity

22. Interpretation

• Reactive

• None reactive

OSCE- POSTNATAL EXAMINATION

REMARKS
S.NO STEPS IN PROCEDURE
YES NO

1. Explain the procedure to the patient

2. Arrange the articles near the bedside

3. Ensure the patient bladder is empty.

4. Provide privacy

5. Position the patient in supine

6. Wash the hands & wear gloves

7. Check anthropometric measurement

8. Perform head to foot examination

9. Assess BUBBLERS

10. B-Inspect the both breast to check

 Size and symmetry

10and 20 areola

Montgomery tubercle

Distended vein

11. Palpate the breast to assess the softness, lymph node, lactation.

12. U- Check the fundal height and condition of the uterus

13. B-Ask about bladder pattern

14. B-Ask about urinary pattern

15. L-Assess the perineal pad for colour, amount, type, clots and for any foul odour

16. E-Assess the episiotomy type and wound site by using REEDA scale

17. R-Assess the response of the mother

18. S-Check the homan’s sign in both extremities

19. Make the women comfortable and give relevant instruction.

20. Document the findings