Republic of the Philippines

CAMARINES SUR POLYTECHNIC COLLEGES

Nabua, Camarines Sur

College of Health Sciences

Name: ________________________________ Rating: ________________________
Year and Section: ______________________ Group: ________ Date: _________

PROCEDURE CHECKLIST:
ASSESSING FETAL HEART RATE
Instruction: Below is the grading scale which will be used in rating your performance.
5 - Excellent - 95-100
4 - Very Satisfactory - 88-94
3 - Satisfactory - 82-87
2 - Fair - 76-81
1 - Needs Improvement - 70-75

Performance 5 4 3 2 1
1. Wash hands.
2. Prepare equipment at the bedside.
3. Explain procedure to the mother.
4. Provide privacy. Screen the bed.
5. Drape the mother and expose the abdomen.
6. Place the mother in dorsal position.
7. Identify the fetal position and presentation
carefully by performing the Leopold’s
maneuver.
8. Determine the Fetal heart rate
 Using a stethoscope, auscultate the fetal heart
tones (FHT) based on fetal presentation.
 Using Doppler transducer, place water-soluble
conducting gel over the transducer, and turn the
instrument on. Place the transducer over the
fetal back and move until you clearly hear the
sounds.
9. Palpate the mother's radial pulse, to see if it is
synchronized with the sounds of the Doppler. If
so, try another location to get the fetal heart
sounds, which do not synchronize with the
maternal pulse.
10. Assess the FHR for 60 seconds. Average rate is
120 to 160 beats/min. Report non reassuring
signs: FHR outside the normal limit (120 to 160)
and slowing of FHR that persists after the
contraction end. Further evaluation is
necessary.
11. Document the findings.

REMARKS:
____________________________________________________________________________
______________________________________________________________________

Clinical Instructor: ______________________________ Date/Time: ____________

Reference: Maternal and Child Health Nursing 8th Edition by Silbert-Flagg and Pillitteri