ST. SCHOLASTICA’S COLLEGE TACLOBAN, INC.

Maharlika Highway, Brgy. Campetic, Palo, Leyte

COLLEGE OF NURSING

Name: _____________________________________ Year/Section_________

Date: ___________________ Score: ______________
PROCEDURE: ESSENTIAL INTRAPARTUM AND NEWBORN CARE
(IMMEDIATE NEWBORN CARE)

PERFORMANCE POINTS 2 1 0 CI’s

REMARKS
1 A. KNOWLEDGE

1. Concept of EINC
2. Thermoregulation (Mechanism
of Heat loss)
3. APGAR Scoring
4. Ballard’s Scoring
5. Naegele’s Rule

B. SKILLS/ABILITY CORRECTLY INCORRECTLY NOT CI’s

DONE (2) DONE (1) DONE REMARKS
(0)
2 ✓ Check the temperature of
the Delivery Room.

-25-28 degrees Celsius

-free from air draft

3 ✓ Prepare and pre-warm the

equipment needed:
• Radiant warmer/ drop
light
• Oxygen source and
appropriate nasal
cannula
• Suction source and
suction catheters
• Ambu bag, intubation
kit
• Stethoscope
• Bulb suction
• Tape measure
• Thermometer
• Baby’s clothing
(bonnet, mittens,
 booties, frock, diaper,
swaddling cloth)
• 2-3 warm linens
• Sterile gloves
• Erythromycin eye
ointment
• Vitamin K (0.1ml)
• Hepatitis B Vaccine
(0.5ml) kept in fridge
• Identification band

4 ✓ Perform hand hygiene.

5 ✓ Wear sterile gloves.
6 ✓ Within the 1st 3 minutes of
delivery:
Towel dry the newborn with
the 1st linen placed on top of
the mother’s abdomen and
stimulate the baby. (Dry the
newborn thoroughly for at
least 30 seconds.)

7 ✓ Do a rapid assessment while

drying the baby (APGAR
SCORING).

❖ Student must recite the

APGAR SCORING
8 ✓ Remove the wet cloth (1st
linen).

9 ✓ Initiate skin-to-skin contact.

Place the baby prone in the
mother’s abdomen or
between the breasts after the
umbilical cord is cut by the
one delivering the baby.

10 ✓ Place bonnet on head.

11 ✓ Use second linen to cover

the baby’s back.

12 ✓ Leave the baby in skin-to-

skin contact for 60-90
minutes in between
mother’s breasts.
13 ✓ Check for the newborn’s
vital signs (HR, RR,
temperature) every 15
minutes for the 1st hour then
every 30 minutes for the 2nd
hour.

14 ✓ Observe for feeding cues,

including tonguing, licking,
rooting. Encourage crawling
reflex.
15 ✓ Assist for breastfeeding.
Counsel the mother on
positioning, attachment and
sucking and benefits of
breastfeeding.

16 ✓ After 60-90 minutes of skin

to skin contact:
• Check the
newborn’s
anthropometric
measurements
(weight, length,
head, chest,
abdomen and mid
arm circumference
in centimeters).
• Put on baby’s
clothing.
• Carry out the eye
care and administer
the vaccine and
Vit. K as per
hospital’s protocol.
17 ✓ Put on identification band.
18 ✓ Swaddle the baby and keep
warm.
19 ✓ Room- in with the mother.
Educate the mother on
exclusive breastfeeding.
20 ✓ Document findings/ vital
signs in the proper records.
21 C. ATTITUDE
✓ Demonstrate preparedness,
readiness and confidence in
the performance of the
procedure.
 ✓ Answers questions politely
and tactfully.
✓ Observe proper decorum
and behave as a mature
student nurse.
✓ Accepts corrections /
suggestions and shows
willingness to improve
performance.

Score/ 42 x 50 +50 = grade

Evaluated by: Conforme:

___________________________ _______________________________
Clinical Instructor Name and Signature of Student