CALAMBA DOCTORS’ COLLEGES

Parian, Calamba City, Laguna

Performance Evaluation Checklist

Name: ________________________ Date: _______________

Year and Section: _______________

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)

Auscultating Fetal Heart Rate

Preparation 5 4 3 2 1 Comments
1 Explain the procedure, the indications for it, and the information that
will be obtained.
2 Uncover the woman's abdomen.
Equipment and Supplies
Doppler device
Procedure - Clean Gloves
1 To use the Doppler:
Place ultrasonic gel on the diaphragm of the Doppler.
Gel is used to maintain contact with the maternal abdomen and
enhances conduction of sound.
Place the Doppler diaphragm on the woman's abdomen halfway
between the umbilicus and symphysis and in the midline.
Listen carefully for the sound of the fetal heartbeat.
The fetal heart rate (FHR) is heard most clearly through the fetal
back. Locate the fetal back using Leopold's maneuvers.
2 Check the woman's pulse against the fetal sounds you hear. If
the rates are the same, reposition the Doppler and try again. If
the rates are the same, you are probably hearing the maternal pulse
and not the FHR.
3 If the rates are not similar, count the FHR for 1 full minute.
Note that the FHR has a double rhythm and
only one sound is counted.
4 If you do not locate the FHR, move the Doppler laterally
5 When the fetal heartbeat is picked up by the electronic monitor the
sound can be heard by everyone in the room
6 Auscultate the FHR between, during, and for 30 seconds
following a uterine contraction (UC).
Low-risk women:
Every 1 hour in the latent phase
Every 30 minutes in the active phase
Every 15 minutes in the second stage
High-risk women:
Every 30 minutes in the latent phase
Every 15 minutes in the active phase
Every 5 minutes in the second stage
7 Document FHR data (rate and rhythm), characteristics of uterine
activity, and any actions taken as a result of the FHR.
Ave. Score =
Grade: __________
Evaluated by:

__________________________
Clinical Instructor
https://www.youtube.com/watch?v=voPoxY_a1_Q
https://www.youtube.com/watch?v=hl2hg_wZN9k