OUR LADY OF FATIMA UNIVERSITY

College of Nursing

PROGRAM Bachelor of Science in Nursing STUDENT NAME

NCM-101 YEAR & SECTION
COURSE (Maternal and Child Nursing INSTRUCTOR
procedures) DATE

ASSESSMENT RUBRICS FOR RETURN DEMONSTRATION

Write the score on the corresponding box on the following grading criteria:
5-Activity performed accurately with evident ease without supervision
4-Activity performed but needs minimal supervision
3-Activity performed with slight difficulty, needs supervision most of the time
2-Activity performed inaccurately
1-Activity not performed

PROCEDURE : Immediate Care of the Newborn

EXPECTED OUTCOME: The student should be able to perform immediate care of the newborn
ASSESSMENT TASK : Return Demonstration

Assessment Dimension (5) (4) (3) (2) (1)

1. Prepare the materials.
2. Do handwashing
3. Put on sterile gloves.
4. Call for the baby out, time and gender.
5. Immediate drying of the newborn while doing the APGAR scoring
6. Remove the wet blanket and replace it with dry one and put on the
bonnet.
7. Initiate skin to skin contact.
8. Put on the identification bracelet.
9. Nudge the baby to the breast of the mother
10. Do the anthropometric measurement:
a. Head circumference
b. Chest circumference
c. Abdominal circumference
d. Body length
e. Weight
11. Check for the patency of the anus
12. Administer ophthalmic ointment
13. Administer Vitamin k
14. Administer Hepa B vaccine
15. Keep the baby warm.
16. Remove the gloves.
17. Do hand washing.
18. Document the procedure done.

SCORE: (_______/90)*100 = ________Target Raw Score: 68 out of 90 If raw score is less than 68, repeat the
demonstration.

______________________________________________________
CI SIGNATURE OVER PRINTED NAME

Prepared by: EVANGELINE F. ORATA, RN, RM, MAN Noted by: FRANCIS S. VASQUEZ, RN, MAN
ROSANNA P. SUVA, RN, MAN Coordinator

Approved by: LURCELI L. SANTOS, RN, MAN

Dean, College of Nursing