CALAMBA DOCTORS’ COLLEGES

Parian, Calamba City, Laguna

Performance Evaluation Checklist

Name: VILLANUEVA JENA AIRA P. Date: 09/11/22

Year and Section: BSN 2B

Instruction: Rate the nursing skill performance of the student based as follows: 5 = Perfect (91-100), 4 = Very
Satisfactory (85-90), 3 = Satisfactory (80-84), 2 = Poor (79-75), 1 = Need Improvement (74 and below)

Measuring Fundic Height

Preparation 5 4 3 2 1 Rationale

1 Explain to the client what you are going to do, why it is necessary, For them to be
and how she can cooperate aware of what will
happen and not to
feel uncomfortable
with the procedure
that you will
perform . Always
ask for consent.

2 Wash hands and observe other appropriate infection control To avoid the
procedures spread of
microorganisms.

3 Provide for client privacy. Drape the client accordingly. For them not to
feel
uncomfortable.

4 Uncover the woman's abdomen. For them not to

feel
uncomfortable.

Equipment.

Tape measure Make sure to ready

the equipment to
Sheet (for draping). avoid interruption.

Procedure

1 Place the client in a supine position. Ensure she is relaxed and The supine
adequately positioned. position is one of
the most natural
positions for
patients and
usually allows for
all patient
anatomical
structures to
remain in natural
neutral alignment.
 The pregnanst
patient will be
more comfortable
and it is the
easiest position
for the both
patient and nurse.

2 Place the end of tape measure at the level of symphysis pubis. for accurate
measurement of
height we need to
start at the uterine
pubis because the
height of the baby
start there and we
can also
distinguish in
measuring height
how old if the baby
inside the patients
tummy.

3 Stretch tape to the top of the uterine fundus To have an

accurate
measurement

4 Fundic height is measured in centimeters which should be It helps confirm

approximately equal to the weak gestation. that your baby is
growing as they
Greater Fundic Height Indicates should. It can also
tell them how
A. Multiple pregnancy
much amniotic
B. Miscalculated due date fluid is in your
uterus. Too little or
C. Polyhydramnios too much amniotic
fluid can indicate a
D. Hydatidiform mole problem.

Lesser Fundic Height Indicates

A. Fetal growth rate retardation

B. Fetal death

C. Error in estimating AOG

D. Oligohydramnious

5 Provide opportunities for the woman to ask questions and express For the both
concerns patient and nurse
to share and
document the
information from
the patient and
have knowlegde
and for the nurse
to take or make a
document
information/concer
 n from patient

6 Document assessment findings according to agency policy Documentation

provides
information about
patient
characteristics
and care
outcomes.

Ave. Score =

Grade: __________
Evaluated by:

__________________________
Clinical Instructor

https://www.youtube.com/watch?v=nyfUh5zlB1U