clinical evaluation

Final practical exam sheet

For student clinical performance in antenatal unit

Student name :                                                                                                         Date:

Comment

Student mark

Total grade

Evaluating items

No

 

 

8

History taken

1

 

 

1

Personal history

2

 

 

1

Medical history

3

 

 

1

Surgical history

4

 

 

2

Menstrual history

5

 

 

2

Obstetric history

6

 

 

1

Family history

7

 

 

6

General examination

II

 

 

1

Head

1

 

 

1

Neck

2

 

 

1

Breast

3

 

 

1

Upper limb

4

 

 

1

Lower limb

5

 

 

1

Weight and Height

6

 

 

2

Vital signs

III

 

 

24

Abdominal examination

IV

 

 

1

Explain procedure

1

 

 

2

Empty the bladder

2

 

 

1

Hand washing

3

 

 

1

Prepare equipment

4

 

 

1

Positioning

5

 

 

1

Provide privacy

6

 

 

1

Warm the hand and stand in the right of the mother

7

 

 

3

Inspection: Signs of pregnancy, size, shape of abdomen, scares, fetal movement , umbilical hernia , and hair distribution

8

 

 

1

Palpation: level of fundus, week of gestation

9

 

 

2

Fundul grip: presentation

10

 

 

2

Lateral grip: Lie and position

11

 

 

2

Pelvic Grip: presentation

Pawlick,s grips ( Fixed , Floting )

12

 

 

2

Auscultation:Determine sites and hearing fetal heart sound 

13

 

 

1

Reassure mother and tell her about findings

14

 

 

1

Help mother to cover her self

15

 

 

1

Replace equipment

16

 

 

1

Hand wash/ record and report 

17

 

 

5

NCP( Ng, diagnosis , goal , intervention, and evaluation)

V

 

 

5

Oral question

VI

 

 

50

Total mark

 

 

Final practical exam sheet

For student clinical performance in postnatal unit

Student name :                                                                                                         Date:

Comment

Student mark

Total grade

Evaluating items

No

 

 

9

History taken

1

 

 

1

Personal history

2

 

 

1

Medical history

3

 

 

1

Surgical history

4

 

 

1

Menstrual history

5

 

 

1

Obstetric history

6

 

 

1

Family history

7

 

 

3

Delivery history

8

 

 

5

General examination

II

 

 

1

Head

1

 

 

1

Neck

2

 

 

1

Breast

3

 

 

1

Upper limb

4

 

 

1

Lower limb

5

 

 

2

Vital signs

III

 

 

24

Abdominal examination

IV

 

 

1

Explain procedure

1

 

 

2

Empty the bladder

2

 

 

1

Hand washing

3

 

 

1

Prepare equipment

4

 

 

1

Positioning

5

 

 

1

Provide privacy

6

 

 

1

Warm the hand and stand in the right of the mother

7

 

 

3

Inspection: Size, shape of abdomen, scares, umbilical hernia , and hair distribution.  

8

 

 

2

perineum, laceration, episiotomy   Inspection:

9

 

 

2

Palpation: breast ( size, discharge) 

10

 

 

1

Palpation: level of fundus, days postparum

11

 

 

3

Lochia ( color, type, amount, oder)

12

 

 

4

Newborn examination ( head circumference, chest circumference, height , weight)

13

 

 

1

Reassure mother and tell her about findings

14

 

 

1

Help mother to cover her self

15

 

 

1

Replace equipment

16

 

 

1

Hand wash/ record and report 

17

 

 

5

NCP( Ng, diagnosis , goal , intervention, and evaluation)

V

 

 

5

Oral question

VI

 

 

50

Total mark