Labor & Delivery Skills Checklist This profile is for use by Labor and Delivery nurses with more than one year's experience in their discipline and specialty. After completing your skills checklist, click "Submit". "*" Indicates required field. First Name:* Last Name:* Social Security: Email Address: Date: Please indicate your level of experience A. Theory, no practice C. One - two years experience B. Intermittent experience D. Two plus years experience A. ANTEPARTUM   1. Assessment       a. Assess for comfort A B C D     b. Breathing/relaxation techniques A B C D     c. Coaching A B C D     d. Positioning A B C D   2. Equipment & procedures     a. Catheter insertion       (1) Foley catheter A B C D       (2) Straight catheter A B C D     b. Delivery table set-up A B C D     c. Sonogram       (1) Amniotic fluid index A B C D       (2) Assist with sonogram A B C D       (3) Biophysical profile A B C D       (4) Perform sonogram A B C D B. LABOR ASSESSMENT   1. Fetal assessment       a. Auscultate fetal heart rate         (1) Doppler A B C D       (2) Fetoscope A B C D     b. Determine fetal position A B C D     c. Document FHR patterns A B C D     d. Identify normal & treat abnormal FHR patterns       (1) Baseline A B C D       (2) Early decelerations A B C D       (3) Late decelerations A B C D       (4) Prolonged decelerations A B C D       (5) Variability A B C D       (6) Variable decelerations A B C D   2. Mental assessment     a. Deep tendon reflexes (DTRs) A B C D     b. Edema A B C D     c. Norms for perinatal vital signs A B C D     d. Perform admission risk assessment A B C D     e. Presence of clonus A B C D     f. Progression of labor       (1) Contraction characteristics A B C D       (2) Dilation A B C D       (3) Effacement A B C D       (4) Fetal presentation/position A B C D       (5) Station A B C D       (6) Status of membranes A B C D       (7) Sterile speculum exam A B C D       (8) Vaginal exam A B C D     g. Rupture of membranes       (1) Fern test A B C D       (2) Nitrazine A B C D   3. Equipment & procedures     a. Amnioinfusion (assist or perform)       (1) For meconium A B C D       (2) For variable decelerations A B C D     b. Artificial rupture of membranes (assist)       (1) Prolapsed cord A B C D       (2) Recognize potential complications A B C D       (3) Vasa previa A B C D     c. Collect blood/urine specimens A B C D     d. Collect vaginal cultures       (1) Chlamydia A B C D       (2) Fluid A B C D       (3) Group B strep A B C D       (4) Herpes A B C D     e. Document labor status/assessment & interventions       (1) Anticonvulsants A B C D       (2) Labor suppressants A B C D     f. External fetal monitor application       (1) Doppler A B C D       (2) Phono or abdominal, ECG transducer A B C D       (3) Tocotransducer, ultrasound A B C D     g. Internal monitoring (assist or perform insertion)       (1) Intrauterine pressure catheter         (a) Fluid filled A B C D         (b) Transducer tipped A B C D       (2) Spiral electrode A B C D     h. Perform Leopold's maneuvers A B C D     i. Toxicology studies A B C D   4. Medications     a. Administer IM/SC A B C D     b. Administer IV meds/monitor IV drips       (1) Antibiotics A B C D       (2) Antihypertensives A B C D       (3) Heparin A B C D       (4) Magnesium sulfate A B C D       (5) Narcotics A B C D       (6) Oxytocin A B C D     c. Assist with prostin gel A B C D     d. Cervidil insertion A B C D     e. Use of Cytotec A B C D     f. Use of prostin suppositories A B C D C. COMPLICATIONS OF PREGNANCY   1. Assessment       a. Identify common arrhythmias A B C D     b. Normal cardiac rhythms A B C D     c. Patient education - fetal movement counts A B C D   2. Equipment & procedures     a. Assist with external version A B C D     b. Assist with fetal scalp sampling A B C D     c. Assist with percutaneous umbilical sampling A B C D     d. Assist with umbilical blood sampling A B C D     e. Circulate for Cesarean delivery A B C D     f. Circulate, scrub for bilateral tubal ligation A B C D     g. Conduct contraction stress test       (1) Breast stimulation A B C D       (2) Oxytocin challenge A B C D     h. Conduct non-stress test       (1) Stimulate fetus A B C D       (2) Vibroacoustic stimulation A B C D     i. Draw umbilical blood samples A B C D     j. Glucose reflectometer A B C D     k. Lines/monitoring       (1) Central venous lines A B C D       (2) Invasive hemodynamic monitoring A B C D       (3) PICC lines A B C D       (4) Pulmonary artery catheters A B C D     l. Scrub for Cesarean delivery A B C D     m. Set up Cesarean delivery A B C D   3. Care of the patient with:     a. Abruptio placenta A B C D     b. Asthma A B C D     c. Cardiac disease A B C D     d. Chorioamnionitis A B C D     e. Chronic hypertension A B C D     f. Collagen vascular disease A B C D     g. Diabetes A B C D     h. Eclampsia A B C D     i. HBV A B C D     j. HELLP syndrome A B C D     k. Hemolytic anemias A B C D     l. Hemorrhage A B C D     m. HIV positive A B C D     n. Hypertension A B C D     o. Malpresentations A B C D     p. Multiple gestation A B C D     q. Other infections A B C D     r. Placenta previa A B C D     s. Preeclampsia A B C D     t. Premature labor A B C D     u. Pyelonephritis A B C D     v. RH disease A B C D     w. Sickle cell disease A B C D   4. Medications     a. Indomethacin A B C D     b. Insulin A B C D     c. Magnesium sulfate A B C D     d. Procardia A B C D     e. Ritodrine A B C D     f. Terbutaline       (1) IV A B C D       (2) PO A B C D       (3) Pump A B C D       (4) SC A B C D D. INTERVENTIONS DURING PREGNANCY   1. Cesarean section A B C D   2. Forceps vaginal delivery A B C D   3. Monitor patients with anesthesia     a. General anesthesia A B C D     b. Regional anesthesia         (1) Epidural A B C D       (2) Local infiltration A B C D       (3) Spinal A B C D   4. Spontaneous vaginal delivery A B C D   5. Vacuum extraction delivery A B C D E. INFANT INTERVENTIONS POST DELIVERY   1. Assessment       a. Apgar scoring A B C D     b. Initial vital signs A B C D     c. Intervention/risk factors for       (1) IDM A B C D       (2) LGA, SGA, IUGR A B C D     d. Newborn physical assessment       (1) Ballard A B C D       (2) Dubowitz A B C D       (3) Finnegan scoring A B C D   2. Equipment & procedures     a. Assist with initial breast feeding A B C D     b. Assist with interventions for meconium staining A B C D     c. Bath-perform and teach A B C D     d. Cardiac-respiratory monitor placement A B C D     e. Circumcision care A B C D     f. Cord care A B C D     g. Discharge teaching A B C D     h. Heelstick glucose determination A B C D     i. Infant identification A B C D     j. Neonatal resuscitation A B C D     k. Obtain hematocrit A B C D     l. Obtain neonatal toxicology screen A B C D     m. Phototherapy A B C D     n. Promote bonding behaviors A B C D     o. Suctioning         (1) Bulb A B C D       (2) Delee A B C D       (3) Wall A B C D   3. Medications     a. Eye prophylaxis A B C D   <