URDANETA CITY College of Health Sciences

UNIVERSITY
Owned and operated by the City Government of Urdaneta
Bachelor of Science in Nursing

CHECKLIST ON ESSENTIAL INTRAPARTUM NEWBORN CARE

Name: ___________________________________ Date: ____________________

Year and Block: ____________________________ RLE Group: _______________

Able to Able to Unable

perform perform to
PROCEDURE with perform
Assistanc
e
ADMISSION TO LABOR ROOM
1. Identify the Patient
2. Explain the procedure to the mother or significant other
3. Obtain consent from the mother or significant other
4. Gather all the equipment’s needed
5. Perform hand hygiene and wear clean gloves
6. Lay the baby on a clean table with drapes
7. For Head Circumference
 is typically measured using a flexible but non-stretch tape
 Check for correct assembly of the tape measure and any
damage before each use.
 The tape should then be placed over the child’s head above the
ears and eyebrows on the most anterior protuberance of the
forehead (frontal bone) and around the occipital prominence at
the back of the head.
8. For Chest Circumference
 The measurement is taken at the level of the middle of the
sternum (breast-bone), with the tape passing under the arms
once the tape has been positioned, the arms are then relaxed
by the side, and the measurement is recorded at the end of a
normal expiration as the position of the diaphragm could
influence the accuracy of the measurement.
9. For Abdominal Circumference
 taken at the level of the umbilicus, with the tape passing under
the arms once the tape has been positioned, the arms are then
relaxed by the side, and the measurement is recorded
10. For Weight
 Remove shoes, clothing, and diaper from the infant.
 Place the scale in the “zero” position before you place the
infant on the scale.
 Make sure the child is on the center of the platform.
 Record the measurement to the nearest decimal fraction.
 Remove the child from the scale.
11. For length
 Place the zero point of the tape measure on top of the baby’s
head up to the bottom of one of their heels
12. For Credes prophylaxis
 Before administering local prophylaxis, each eyelid should be
wiped gently with sterile cotton.
 A 1-cm ribbon of 0.5% erythromycin ointment should then be
placed in each lower conjunctival sac.
 The eyelids should then be massaged gently to spread the
ointment.
13. For Hepatitis B Injection
 URDANETA CITY College of Health Sciences
UNIVERSITY
Owned and operated by the City Government of Urdaneta
Bachelor of Science in Nursing

 Clean the anterolateral thigh of the newborn with antiseptic

solution
 DOSE: 0.5 mL
 Use needle gauge 22-25
 Insert needle at a 90 degree angle to the skin. Pinch up the
newborns thigh to prevent tracking (leakage) of the medication
into the subcutaneous tissue
14. For Vitamin K Injection
 The same procedure on giving hepatitis B
Injection but on different site.
 DOSE: 0.5 mg (for babies weighing 1,500 g or less at birth) or
1.0 mg (for babies weighing more than 1,500 g at birth)
EVALUATION
15. Obtain the newborns vital signs and observe for any abnormalities
after the procedure
DOCUMENTATION
16. Document pertinent data
FINAL GRADE:

Remarks:

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Rating Scale:

Excellent: 96-100% Good: 80-84%

Very Satisfactory: 90-95% Fair: 75-79%
Very Good: 85-89% Poor: 74% and below

______________________________ _____________________________
_
Clinical Instructor Student’s Signature