Universidad de Sta.

Isabel
Naga City
MIDTERM EXAMINATION (Skills)

Mr. Rhandy V. Salvani, MAN,RN

Name_________________________Yr./Sec.______Date____Score____
Test I. IDENTIFICATION. Identify the word/s being described/asked by the
following statements.
____________________________ 1. One of the oldest types of known surgical procedures
for delivery.
____________________________2. This is also known as Bikini Incision.
____________________________3. What do we mean by VBAC?
____________________________4. This is done to prevent laceration of the fourchette
during the
delivery process.
____________________________5. If the delivered placenta is shiny, it is considered as
what side?
____________________________6. Also known as Controlled-Cord traction with Counter
Traction.
____________________________7. This drug is injected intramuscularly on the mothers
upper arm for
uterine contraction and prevent bleeding after
placental delivery.
____________________________8. This is an injury to the cervix due to chronic passive
congestion.
____________________________9. When theres a need to suction the baby after
delivery, where will
you start?
___________________________10. HC, CC, AC, and Length are called?
___________________________11. Another term for wrapping the baby?
___________________________12. This hold is used for the burping of the baby.
___________________________13. EINC stands for?
___________________________14. Another term for the 1st breastfeeding of the baby on
the mother.
___________________________15. BEMONC stands for?
TEST II. SEQUENCING. Put in logical order the steps of the EINC (Unang Yakap) by
placing a letter (A-J) on the blank before each number.
_______1. Call out sex of baby and the time of birth.
_______2. Massage the uterus.
_______3. Provide immediate care to the mother-baby dyad.
_______4. Keep the baby warm.
_______5. Examine the lower vagina and the perineum.

_______6. Examine the placenta and the membranes.

_______7. Perform controlled cord traction (CCT) with counter-traction on the uterus.
_______8. Clamp and cut the umbilical cord 2-3 mins or as soon as the pulsation
stops.

_______9. Monitor the mother and the baby immediately after the placental delivery.
_______10.Administer 10 IU of oxytocin IM on the mother after the delivery of the
baby.

TEST III. PARTOGRAPH. Plot and record the findings of the following cases on the
partograph. ( 10 pts. each )
1.

Leony, G5P4 was admitted at 1 pm today due to watery vaginal discharge.

The cervix was 3cm dilated, cephalic, (+) BOW. BP=120/80, PR=80/min, T36.5.
At 5pm, contractions were moderate, 3 in 10 min. IE showed cervix 4cm
dilated. Vital signs remained the same.
At 9 pm, your IE showed 6cm dilated cervix, BOW ruptured with clear
amniotic fluid.
At 1 am, another IE done showed 8cm dilated cervix, meconium stained
fluid. BP-110/70, PR-92/min, T-37.5, FHT-140/min.

2.

Juana, a G3P2 was admitted today at 4 pm. IE showed a 6cm dilated

cervix, cephalic, intact BOW. BP=110/80mmHg, PR=90bpm, afebrile.
FHT=135bpm.
She had moderate contractions (4 in 10mins.). At 8:00pm, the BOW
ruptured with clear amniotic fluid, IE showed a full dilated cervix. Vital signs
were the same.
At 8:30 pm, she delivered spontaneously to live baby boy. 10U oxytocin
was given IM at the deltoid muscle. Placenta was delivered completely at
8:45pm.

TEST IV. FILL-IN the TABLE. Fill the table of APGAR Score. (
2 pts. each )
INDICATORS
Appearance
Pulse
Grimace
Activity
Respiratory

effort