Antepartum/Postpartum Skills Checklist

First name:	Last name:
Phone:	Email:
SSN (last 4 only):	Date: (MM/DD/YYYY)

Key - for each box mark:

Limited or no experience
Somewhat experienced but may need review
Can function independently
Competent to supervise

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STAGES OF PREGNANCY
Pregnancy/Antepartum
Assessment
Comfort of Normal Changes of Pregnancy
Breathing/Relaxation Techniques
Vital Signs
BP
Heart Rhythms
Fetal Heart Tones
Fetal Development Measures
General Systems Assessment
Knowledge Deficits re:
Pregnancy Issues
Lab Values
Blood Glucose
Ketones
Edema
Deep Tendon Relexes
Procedures
Sonogram
Amniotic Fluid Index
Assist with Sonogram
Biophysical Profile
Stress Testing
Non-stress Testing
Vaginal Examination
Pelvimetry
Equipment
Sonogram Machine
Glucose Reflectometer
Care of Patient with
Abruptio Placenta
Asthma
Care of Patient with continued
Cardiac Disease
Chorioamnionitis
Collagen Vascular Disease
Diabetes
Eclampsia
Hepatitis B
HELLP Syndrome
Hemolytic anemias
Hemorrhage
HIV Positive
Hypertension
Malpresentations
Multiple gestation
Infections
Placenta Previa
Preeclampsia
Premature Labor
Pyelonephritis
Rh Disease
Sickle Cell Disease
Medications
Indomethacin (Indocin)
Insulin
Magnesium Sulfate
Nifedipine (Procardia)
Ritodrine (Yutopar)
Terbutaline (Brethine)
Betamethasone
Dexamethasone (Decadron)
Antihypertensives

	1	2	3	4
Infant Care Post-Delivery
Assessment
Apgar Scoring
Newborn Physical Assessment
Dubowitz/Ballard Exam
Finnegan Scoring
Procedures
Cord Care
Heelstick Glucose Determination
Infant Identification
Neonatal Resuscitation
Phototherapy
Suctioning
Bulb
Wall
Equipment
Infant Warmer
Isolette
Care of Infant with
Circumcision
Phototherapy
Diabetic Mother (IDM)
Large for Gestational Age (LGA)
Small for Gestational Age (SGA)
Intrauterine Growth Restriction (IUGR)
Medications
Eye Prophylaxis
Vitamin K
Mother Care Post-Delivery
Assessment
Bladder Distention
Breast Feeding
Knowledge Level
Positioning
Latch-on
Deep Vein Thrombosis (DVT)
Episiotomy
Fluid Balance
Assessment continued
Fundal Height
Lochia
Vital Signs
Procedures
Fundal Massage
Baby Care Teaching
Breast Feeding Instruction
Catheterization
Equipment
Breast Pump
Catheter Tray and Bag
Care of Mother with
Vaginal Delivery
with Epidural Anesthesia
with Spinal Anesthesia
Cesarean Delivery
with General Anesthesia
with Spinal Anesthesia
Precipitous Delivery
Perineal Lacerations
Medications
Antibiotics
RhoGAM
Oxytocin
Analgesics

The information I have provided in this skills checklist is true and accurate to the best of my knowledge. I hereby authorize Fortus Group to release this information to client facilities in relation to consideration of my employment.