THE UNITED REPUBLIC OF TANZANIA

MINISTRY OF HEALTH

NMT 06103: CARE OF ABNORMAL NEW BORN

SECTION B: ASSESSMENT OF LEARNERS’S COMPETENCE

Instructions
 This checklist is used to assess learners’ competences on every Module during end of semester II practical examination
 The setting of practical examination is in health care facility ((Maternity, Postnatal, Neonatal wards)
 This examination should not be conducted in skills laboratory
 Time allocated is 1 hour (50 minutes for procedure and 10 minutes for evaluation)
 The assessor is required to assign maximum score when sub-criteria is done/observed, if not done or done incorrectly assign zero (0) and
write comment in the comments ‘column
 Write the total score at the end of assessment

Formula:
Total sub criterion achieved in section (A + B) x 100%
Total sub-criterion in section (A+B)

 Write the final average score obtained by internal and external examiner at the top right corner after getting the average score from internal
and external examiner
 Write general comments below the checklist, if any, after the examination
 NOTE: Some of the steps/tasks may be performed simultaneously
 CHECKLIST 5: FOR EXAMINATION OF NEW BORN BABY TO IDENTIFY ABDOMALITIES
(To be used to assess performance)
S/N Description of criterion Sub-criterion Maximum Obtained Comments
Score Score
2.0 Building rapport and Prior 2.1 Greets guardian and introduces self 01
preparation 2.2 Tells the guardian (s) what is going to be done 01
2.3 Obtains guardian consent 01
2.4 Prepares hand washing/hygiene requirements 01
2.5 Performs hand washing/hygiene 01
2.6 Prepares conducive environment for procedure 01
(privacy)
2.7 Encourages guardian (s) to express any 01
concern/physical needs.
4.0 Preparation of equipment 4.1 Prepares new born baby’s file 01
and supplies 4.2 Prepares tray 01
4.3 Prepares observation chart 01
4.4 Prepares pen 01
4.5 Prepares clinical thermometer 01
4.6 Prepares gall port with swab 01
4.7 Prepares spirit 01
4.8 Prepares Cord ligature (in case of cord bleeding) 01
4.9 Prepares Spirit for cleaning the cord and wiping the 01
tape
5.0 Prepares Sterile cotton swabs for the eyes and the 01
cord
5.1 Prepares receiver 01
5.2 Prepares Weighing machine 01
5.3 Prepares Gall pot with normal saline for wiping the 01
baby eyes
5.4 Prepares sterile surgical gloves for touching the 01
cord (if necessary
6.0 Head to toe assessment 6.1 Screens the new born baby 01
Skin 01
6.2 Observes for jaundice, pallor and cyanosis
6.3 Examines for lanugo and vernix caseosa 01
6.4 Checks for Birthmarks 01
Head 01
6.5 Examines the vault of the skull
6.6 Measures head circumference 01
Eyes 01
6.7 Checks position of the eyes
6.8 Observes for discharge and any other abnormalities 01
Nose 01
6.9 Examines the nose to ensure that the baby has two
normal nostrils
6.10 Examines for nasal bridge angle and discharge 01
6.11 Checks for signs of respiratory difficulties (for 01
instance flaring of the nostrils).
Ears 01
6.12 Checks Position of ear
6.13 Examines the ears for discharge, bleeding and 01
other abnormalities
Mouth 01
7.0 Examines the mouth and lips for cleft lips and cleft
palate
8.0 Observes for excessive frothy mucus and “false 01
teeth
9.0 Observes for sucking reflex 01
10.0 Observes for tongue tie 01
11.0 Observes for Sucking reflexes 01
Neck 01
11.1 Observes for shortening
11.2 Palpates to exclude tumors 01
The arms and hands 01
11.3 Checks for asymmetrical 01
 11.4 Observes for extra digits and webbed fingers. 01
11.5 Observes for Grasping Reflexes 01
Chest 01
11.6 Observes for Shape and symmetry
11.7 Observes for Movement 01
11.8 Examines for Breath sounds 01
11.9 Examines for Heart sounds 01
Abdominal 01
11.10 Inspects abdomen for: Contour and shape
11.11 Palpates abdomen gently 01
11.12 Check the insertion of the cord and observe for 01
any bleeding
Legs 01
11.13 Observes for movement
11.14 Examines feet to check for asymmetrical 01
11.15 Observes for extra toes and webbing of the toes 01
11.16 Observes for talipes 01
11.17 Observes for Rooting reflexes 01
11.18 Examines the spine for curvature and any 01
abnormality (e.g. spina bifida)
11.19 Examines the genitalia for sex and abnormality 01
11.20 Checks anus for patency 01
13.0 Measurements 13.1 Measure the new born baby’s weight 01
13.2 Measures the new born baby’s length and 01
weight
15.0 Vital signs 15.1 Takes body temperature 01
15.2 Takes pulse rate 01
15.3 Takes respiratory rate 01
17.0 Documentation and 17.1 Thanks, the guardian and leaves them in a 01
Giving feedback comfortable position
17.2 Document the findings 01
17.3 Reports findings to senior staff 01
19.0 Caring equipment after 19.1 Removes equipment and clears tray 01
procedure 19.2 Washes hands after the procedure 01

Total score 0

General Comments:
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Name of the Internal Examiner: ………………………………………………Signature…………………………….

Name of the External Examiner: ………………………………………………Signature……………………………