Cebu Institute of Technology

University
N. Bacalso Ave., Cebu City Philippines

COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES

Name: Level: _______ Evaluation Date:

Performance Evaluation

TAKING THE FETAL HEART TONE

DEFINITION:

PURPOSE:

EQUIPMENT:

 Stethoscope/Doppler
 Watch with second hand
 Drapes

PROCEDURE:

Performance rating
Procedure
Rationale 5 4 3 2 1
1. Explain to the patient the purpose of
the procedure.
2. Ask patient to void.
3. Screen and position the patient on the
examining table in a supine position
exposing abdomen.
4. Ascertain the presentation and position
of the fetus by (performing the 4 steps
of Leopold’s Maneuver) palpating the
abdomen of the mother.
5. Place the bell of the stethoscope over
the quadrant of the mother’s abdomen
where fetus back is located
6. Listen for and count the fetal heart tone
in one full minute.
7. Take note of the rate, regularity,
strengths and any deviation of the fetal
heart tone.
8. Assess for variability of the fetal heart
rate.
a. as it occurs spontaneously, and/or
b. as it occurs with fetal activity,
and/or
c. as it occurs with palpation of the
fetus.
 Performance rating
Procedure
Rationale 5 4 3 2 1
d. any irregularity of heart rate or of
heart sounds
e. loudness of the heart tones
relative to the position of the fetus
9. Make the patient comfortable.
10.Discuss the significance of any findings
with the woman
11.Chart the characteristics of fetal heart
tone along the position on the abdomen
where fetal heart tone was obtained.
12.Wash hands properly
SCORE (Actual score over Perfect score X 100%):

___________________________________ ___________________________________
Signature over printed name of Evaluator Signature over printed name of Student