Unang Yakap 1

Christ the King College
College of Nursing
Calbayog City
ESSENTIAL INTRAPARTUM AND NEWBORN CARE CHECKLIST: UNANG YAKAP
NAME OF STUDENT: _____________________________ TOTAL SCORE: _______________
DATE: ______________________
In advance, prepare decontamination solution by mixing 1 part 5% chlorine bleach to 9 parts water 0.5%
chlorine solution. Change chlorine at the beginning of each day or whenever solution is very contaminated
or cloudy.
PRIOR TO WOMAN’S TRANSFER TO THE DR
Weight Score
1. Ensured that the mother is in her position of choice while in labor 2
2. Ask the mother if she wishes to eat/drink or void. 2
3. Communicated with the mother-informed her of progress of labor, gave 2
reassurance and encouragement.
WOMAN IN THE DR
PREPARING FOR DELIVERY
1. Checked for temperature in DR area to be 25-28°C eliminated air draft. 2
2. Asked woman if she is comfortable in the semi-upright position (the 2
default position of delivery table).
Standard Position Lithotomy Postion
3. Ensured the woman’s privacy. 2
4. Removed all jewelry. 2
5. Prepared a clear, clean newborn resuscitation 2

( BVM B- Bag, V- Valve, M-Mask) ( Endotracheal Tube ) area on
a firm and flat surface. Checked the equipment if clean, functional and
within easy reach.
6. Arranged materials/supplies in a linear sequence: 2
7. 3 pairs of Gloves, 2 dry linen, bonnet, oxytocin injection, plastic clamp, 2
instrument clamp, scissors, 2 kidney basins.
8. In a separate sequence, for after the 1st breastfeed: 2
9. Eye ointment, (stethoscope to symbolize PE), Vitamin K, Hepatitis B and 2
BCG vaccines (plus cotton ball, etc.)
10. Clean the perineum with antiseptic solution. ( Using Clean Gloves ) 5
Perineal Care Procedure:
Clitoris to anus, Labia Majora, Labia Minora, Clitoris.
11. Washed the hands and put on two pairs of sterile gloves aseptically. (If 5
same worker handles perineum and cord).
Medical Handwashing Technique
Donning and Doffing PPE
Gloving
AT THE TIME OF DELIVERY
1. Encouraged woman to push as desired. 2
2. Draped the clean, dry linen over the mother’s abdomen or arms in 5
preparation for drying the baby.
3. Applied perineal support and did controlled delivery of the head. 5
4. Called out the time of birth and sex of baby. 5
5. Informed the mother of outcome. 5
FIRST 30 SECONDS
6. Thoroughly dried baby for at least 30 seconds, starting from the face 5
and head, going down to the trunk and extremities while the
performing a quick check for breathing.
Pat Drying
Avoid Removing the Vernix Caseosa
1-3 MINUTES
1. Removed the wet cloth. 5
2. Placed baby in skin-to-skin contact on the mother’s abdomen or chest. 5
3. Covered baby with the dry cloth and the baby’s head with a bonnet 5
4. Excluded a 2nd baby by palpating the abdomen in preparation for giving 5
oxytocin.
5. Gave IM oxytocin within one minute of baby’s birth after wiping the 5
soiled gloves with the wet cloth. Disposed of wet cloth properly.
6. Removed 1st set of gloves after positioning the baby for cord clamping. 5
Decontaminated the gloves properly (in 0.5% chlorine solution for at
least 10 mins.
7. Palpated umbilical cord to check for pulsations. 5
Avoid Milking the Cord
8. After pulsations stopped, clamped cord using the plastic clamp or cord 5
tie 2cm from the base.
9. Placed the instrument clamp 5cm from the base. 5
3cm from the First Clamp
10. Cut near plastic clamp (not midway). 5
11. Performed the remaining steps of the AMTSL:
12. Wait for strong uterine contractions then applied controlled cord 5
traction and counter traction on the uterus, continuing until placenta
was delivered.
13. Massaged the uterus until it is firm. 5
14. Inspected the lower vagina and perineum for lacerations/tears and 5
repaired lacerations/tears as necessary.
15. Examined the placenta for completeness and abnormalities. 5
Two Sides of the Placenta:
Schultz: Shiny Side ( Facing the Baby )
Duncan: Dirty Side ( Attached to the Uterus )
16. Cleaned the mother: flushed perineum and applied 5
perineal/napkin/cloth.
PNSS Solution
17. Checked baby’s color and breathing; checked that mother was 5
comfortable, uterus contracted.
18. Disposed of the placenta in a leak-proof container or plastic bag. 2
19. Decontaminated (soaked in 0.5% chlorine solution) instruments before 2
cleaning; decontaminated 2nd repair of gloves before disposal, stating
that decontamination lasts for at least 10 mins.
20. Advised mother to maintain to skin-to-skin contact. Baby should be 2
prone on mother’s chest/ in between the breasts with head turned to
one side.
15-90 minutes
1. Advised mother to observe for feeding cues and cited examples of 5
feeding cues.
2. Supported mother, instructed her on positioning and attachment. 2
3. Waited the FULL BREASTFEED to be completed. 2
30min each breast
4. After a complete breastfeed, 5
Vital Signs ( 1 and 5mins after the Delivery )
Vital Statistics
administered eye ointment (first), did through physical examination,
then administer Vitamin K ( Vastus lateralis ) and Hepatitis B and
BCG injections (simultaneously explained purpose of each intervention).
Then place the baby on the Drop Light, Make sure the Drop
light is in the head because the Hypothalamus is Located
thereeee.
5. Advised OPTIONAL/DELAYED bathing of baby at least 6 hours after 2
delivery (and was able to explain the rationale).
6. Advised breastfeeding per demand. 2
7. In the first hour checked the baby’s breathing and color; and checked 2
mother’s vital signs and massaged uterus every 15 minutes.
8. In the second hour, checked mother-baby every 30 minutes to one 2
hour.
9. Complete all RECORDS. 2
CLINICAL INSTRUCTOR’S COMMENTS
Clinical Instructor’s Name and Signature: _____________________________

Unang Yakap 1

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Christ the King College

ESSENTIAL INTRAPARTUM AND NEWBORN CARE CHECKLIST: UNANG YAKAP

NAME OF STUDENT: _______________ TOTAL SCORE: _

5. Prepared a clear, clean newborn resuscitation 2

CLINICAL INSTRUCTOR’S COMMENTS

Clinical Instructor’s Name and Signature: _____________________________

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