Skills Lab

• Home Visit


  • it is a professional contact made by the nurse to or in behalf of a patient or in a family to further a special activity of the agency
  • delivery of a specialized nursing care
• Partograph


  • is a tool for monitoring and is a graphic record of vital observations for maternal and fetal wellbeing during the active phase of labor
  • developed on Africa and recommended by WHO
• Purpose of Partograph


  • Prevent and manage prolonged or obstructed labor
  • Prevent serious complications such as ruptured uterus, still birth
  • Monitor the vital signs of the client
• CIMBA


  • Clear
  • Intact
  • Meconium stained
  • Bloody
  • Absent
• Perineal Care


  • thorough cleansing of the perineum
  • performed during a bath
  • performed after and before a procedure
  • to remove perineal secretions and odors
  • prevent breakdowns of the perineum area, itching, burning and odor secretions
  • promote client comfort and good hygiene
• Assessment for perineal care

  BOPIES

  B- Blood

  O- Odor

  P- Pus

  I- Inflammation

  E- Excoriation

  S- Swelling
• Post partum Assessment


  REEDA

  R- redness

  E- Edema

  E- Ecchymosis

  D- Discharge

  A - Approximation
• Diamond Shaped Draping


  • for perineal care
• Dorsal Recumbent


  • female position
• Frog like position 


  • male position
• Vaginal Douching


  "douche"- french word means soak or wash

  help in any foul odor present
• Perilight Therapy


  • application of warmth or radiant heat to the client’s perineum.
  • 60 watts- normal
  • 100-150 watts- infrared
• Contraindications of perilight


  • CS delivery
  • Active bleeding
• 5 D's Perilight

  1. Doctors order
  2. Dorsal Recumbent position
  3. Diamond Fashion Draping
  4. Distance: 18-24 inches
  5. Duration: 5-15 minutes
• Indications of perilight


  • 24 hrs after NSD
  • Post perineal surgery
• Essential Intrapartal Newborn Care

  Evidence-based standards for safe, quality care of birthing mothers and their newborns within 48 hours of the intrapartum period and a week of life for the newborn.
• Unang Yakap (EINC)


  Administrative Order 2009 – 0025–December 2009
• 4 core steps of EINC

  1. Immediate and Thorough drying
  2. Early skin to skin contact
  3. Properly timed cord clamping
  4. Non separation of newborn from the mother for early breastfeeding
• APGAR Scoring

  • Appearance
  • Pulse
  • Grimace
  • Activity
  • Respiration
• Anthropometric Measurement


  1. Head- 33-35cm
  2. Chest- 31-33cm
  3. Abdomen- 31-33cm
  4. Length- 47-54cm
  5. Weight- 2.5- 4kgs
• Medications


  • Crede's prophylaxis (ERYTHROMYCIN OPHTHALMIC OINTMENT and TERRAMYCIN) to avoid ophthalmia neonatorum
  • BCG (Bacillus Calmette Guerine)- 0.05 deltoid, to prevent TB
  • Hepa B, .5ml IM, Vastus lateralis
  • Vitamin K- promote blood clotting

  Pre Term- 0.05 CC

  Full Term- 0.1 CC

  Post Term- 0.1 CC
• Preliminary Signs of Labor

  • Lightening
  • Sudden Weight Loss
  • Increase Activity Level
  • Braxton Hicks Contraction
  • Ripening of the cervix
  • Show/ Blood Show
  • Rupture of Membrane
• True Labor


  • pain intensified by walking
  • pain begins in lower back to abdomen
  • effacement and dilatation
• False Labor


  • Braxton Hicks
  • Pain relieved by walking
  • Confined by abdomen
  • No cervical changes
• Duration of Labor


  Primipara- 14 hrs but not more than 20 hrs

  Multipara- 8 hrs but not more than 14 hrs
• 5 P's of Labor

  1. Passenger
  2. Passageway
  3. Power
  4. Psyche
  5. Placental Factor
• 4 stages of Labor

  1. Dilatation stage
  2. Expulsion Stage
  3. Placental Stage
  4. Recovery Stage
• LOA


  most common and favorable position
• LOP and ROP


  most common malposition and most painful as well
• Mechanism of Labor


  DeFIREERE

  • Descent
  • Flexion
  • Internal Rotation
  • Extension
  • External Rotation
  • Expulsion
• Public Health Bag


  An essential and indispensable equipment of the public health nurse which he/she has to carry along when he/she goes out of home visit
• Bag Technique


  • A tool making use of a public health bag through which the nurse bring during a home visit.
  • Minimize or prevent the spread of any infection
• Benedicts Test


  simple and effective method of ascertaining the presence or the amount of glucose in the urine
• Acetic Acid Test


  A test that detects the presence of albumin/proteins in the urine