Competency Validation Record (Includes Written Test)
Competency: Postpartum Maternal and Newborn Nursing Care
Name: _____________________________
Validator____________________________
Agency: ____________________________ Date:______________
Total number of correct responses of 87 postpartum maternal items: ____
Total number of correct responses of 52 newborn items:____
Total number of correct responses of 139 postpartum maternal and newborn
items: ____
A. Written Quiz
Number of correct answers on postpartum maternal 53 items: _______
Number of correct answers on newborn 31 items: _______
Number of correct answers on 84 items: ________
Circle the numbers of the items that were not correctly answered. Example: For item 11-22, lists 3 signs and symptoms as well as client education for the following: uterine infection, deep vein thrombosis and hemorrhage." If the person answered correctly for uterine infection and deep vein thrombosis but not for hemorrhage, circle 19-22, indicating the missing responses.
Postpartum maternal
1 2 3 4 5 6 7 8 9 10 11 12 13
14 15 16 17 18 19 20 21 22 23 24 25 26
27 28 29 30 31 32 33 34 35 36 37 38 39
40 41 42 43 44 45 46 47 48 49 50 51 52
53
Newborn
54 55 56 57 58 59 60 61 62 63 64 65 66
67 68 69 70 71 72 73 74 75 76 77 78 79
80 81 82 83 84
B. Skills demonstration through observation of home visit or role play or follow-up discussion
Number of correct answers on postpartum maternal 34 items: ______
Number of correct answers on newborn 21 items: _____
Number of correct answers on postpartum maternal and newborn 55 items: _____
C. Continuing Education Plan
A. Written Quiz
I. The nurse demonstrates knowledge of and ability to conduct a postpartum maternal assessment & develop a plan of care.
1-12. List 3 signs and symptoms as well as client education for each of the following (page 2, I.2.):
1-4. uterine infection
1. ___________________________
2. ___________________________
3. ___________________________
4. ___________________________
5-8. deep vein thrombosis
5. ___________________________
6. ___________________________
7. ___________________________
8. ___________________________
9-12. hemorrhage
9. ___________________________
10. ___________________________
11. ___________________________
12. ___________________________
II. The nurse demonstrates the ability to assess psychological adjustment of the family unit.
13-15. List 3 predisposing factors of postpartum depression (page 4, II.1.)
13. _______________________________
14. _______________________________
15. _______________________________
16-20. List 5 descriptors of normal maternal/infant attachment (page 4, II.2.)
16. _______________________________
17. _______________________________
18. _______________________________
19. _______________________________
20. _______________________________
21. Define reportable abuse and neglect according to state law (page 4, II.3.)
________________________________________________________________________
22-25. List one community resource for each of the following (page 4, II.4):
22. parent education _________________________________________________
23. treatment of substance abuse _______________________________________
24. mental health ____________________________________________________
25. domestic violence ________________________________________________
III. The nurse demonstrates the application of current information relating to the continuum of postpartum health maintenance.
26. Describe current recommendations for postpartum client using the food groups/food pyramid (page 6, III.1.)
___________________________________________________________________________
___________________________________________________________________________
27 - 32. List at least 2 adaptations of the diet for each of the following (page 6, III.2.):
27-28. breastfeeding
27. _____________________________
28. _____________________________
29-30. anemia
29. _____________________________
30. _____________________________
31-32 constipation
31. _____________________________
32. _____________________________
33-35. Identify at least 1 community resource for each of the following (page 6, III.3.):
33. nutrition information _______________________________________________
34. food supplementation _____________________________________________
35. breastfeeding support _____________________________________________
36-43. List 2 prevention or self-care measures for each of the following discomforts associated with postpartum (page 7, III.B.1.):
36-37. engorgement
36. _________________________________________________________
37. _________________________________________________________
38-39. uterine cramping
38. _________________________________________________________
39. _________________________________________________________
40-41. perineal discomfort
40. _________________________________________________________
41. _________________________________________________________
42-43. hemorrhoids
42. _________________________________________________________
43. _________________________________________________________
44-45. Describe 2 exercises that safely restore abdominal and pelvic floor tone during postpartum (page 7, III.C.1.)
44. _______________________________________________________________
45. _______________________________________________________________
46-48. List 3 factors that influence resumption of sexual relations (other than having no partner) (page 8, III.D.2.)
46. _______________________________________________________________
47. _______________________________________________________________
48. _______________________________________________________________
49-53. List 3 sexually transmitted diseases and 2 methods of preventing them (page 8, III.D.3.)
49. ______________________________________
50. ______________________________________
51. ______________________________________
52. ______________________________________
53. ______________________________________
IV. The nurse demonstrates knowledge of and ability to conduct a newborn physical assessment and develop a plan of care.
54. List acceptable low/high for newborn temperature (page 9, IV.A.2.)
__________________________________________________
55. Identify the maximum expected weight loss for normal newborns in the first week of life (page 9, IV.A.3.)
__________________________________________________
56-67. List 3 signs and symptoms for each of the following newborn problems (page 10, IV. B.1.):
56-58. sepsis
56. _________________________________
57. _________________________________
58. _________________________________
59-61. hypoglycemia
59. _________________________________
60. _________________________________
61. _________________________________
62-64. respiratory distress
62. _________________________________
63. _________________________________
64. _________________________________
65-67. dehydration
65. _________________________________
66. _________________________________
67. _________________________________
68-70. Describe physical findings of neonatal jaundice that would indicate a pediatric health care provider referral as it relates to (page 11, IV.B.2.):
68. onset __________________________________________________________
69. progression/course _______________________________________________
70. behavioral symptoms ______________________________________________
V. The nurse demonstrates the ability to support parents’ understanding and response to the newborn’s adaptation and health needs.
71. Describe adequate nutritional intake of both a formula fed and breastfed newborn (page 12, V.A.1.)
___________________________________________________________________________
72-74. List 3 cues of overstimulation of the newborn (page 12, V.B.1.)
72. _______________________________________________________________
73. _______________________________________________________________
74. _______________________________________________________________
75-77. List 3 techniques of supporting an infant in quieting and coming into an alert state (page 12, V.B.2.)
75. _______________________________________________________________
76. _______________________________________________________________
77. _______________________________________________________________
78. Identify factors that promote healthy brain development in the first 3 years of life (page 12, V.B.3.)
___________________________________________________________________________
79-82. List at least 1 preventive measure related for each of the following (page 13, V.C.1.):
79. car safety _______________________________________________________
80. environmental smoke______________________________________________
81. shaking or other inappropriate handling _______________________________
82. sleep safety (positioning, bedding & crib) ______________________________
83. List recommended immunizations for a 2 month old using the Vermont Department of Health Immunization Schedule (page 13, V.D.1.)
___________________________________________________________________________
84. List recommended well child care for a 6 week old using the Vermont Department of Health, Health Screening Recommendations for Children and Adolescents (page 13, V.D.1.)
___________________________________________________________________________
B. Skills demonstration through observation of home visit or role play or follow-up discussion
Place a check by each skill demonstrated correctly
I. The nurse demonstrates knowledge of and ability to conduct a postpartum maternal assessment & develop a plan of care.
___ 85-94. Physical assessment includes the following areas and evaluation of nurse’s ability to compare data with norms and report abnormal findings to physician or certified nurse midwife (page 1, I.1.):
___ 85. general health (temperature, heart rate, respirations, blood pressure, nutrition, weight, sleep/activity level, resources/support)
___ 86. breasts/nipples
___ 87. uterus
___ 88. lochia
___ 89. perineum
___ 90. cesarean delivery
___ 91. elimination
___ 92. circulatory (extremities)
___ 93. discomforts
___ 94. affect
___ 95. Demonstrates ability to create an environment of privacy for communication and/or physical assessment. Did the nurse suggest to client that exam be performed in private space; did the nurse perform the exam with a sensitivity to client exposure/vulnerability; and did the nurse ask permission of client before any part of the exam was performed? (page 2, I.3.)
___ 96. Clarifies information, definitions, medical jargon, and medical practice routines. Did the nurse use language that was clear and understandable; did the client demonstrate understanding of the material by asking questions that elaborate the material being presented; did the client demonstrate follow through and was the client was responsive in the interactions? (page 2, I.4.)
___ 97. The nurse is able to engage the client in sensitive topics such as sexual activity, birth control & nutrition (page 3, I.5.)
___ 98. Did the nurse review with client the signs and symptoms for which the physician or certified nurse midwife should be called? (page 3, I.6.)
___ 99-104. Describes the risk factors, physical findings and cultural/ethnic traditions which influenced the client’s plan of care (page 3, I.7.):
99-102. Risk factors
___ 99. health history
___ 100. psychosocial
___ 101. environmental
___ 102. lifestyle
___ 103. Physical findings
___ 104. Cultural and ethnic traditions
II. The nurse demonstrates the ability to assess psychological adjustment of the family unit.
___ 105. Was the nurse able to assist the client or family in identifying available support systems? (page 5, II.5.)
___ 106. Were the family members involved in problem solving and planning to meet the needs of self, baby, and family? (page 5, II.6.)
___ 107. Did the nurse review with client 3 signs and symptoms of postpartum depression for which she should call her physician or certified nurse midwife? (page 5, II.7.)
___ 108-111. Describe a factor related to parent/infant interaction, family dynamics, family support systems and community resources that influenced the plan of care? (page 5, II.8.)
___ 108. parent/infant interaction
___ 109. family dynamics
___ 110. family support systems (availability & quality)
___ 111. community resources
III. The nurse demonstrates the application of current information to the continuum of postpartum health maintenance.
___ 112-117. How did you adjust your teaching based on such factors as (page 6, III.A.4.):
___ 112. breastfeeding
___ 113. family resources (e.g. kitchen facilities, finances)
___ 114. food preferences
___ 115. eating habits
___ 116. eating disorders
___ 117. client goals
___ 118. Name the advantages, disadvantages and contraindications of at least one birth control method discussed with client (page 7, III.D.1.)
IV. The nurse demonstrates knowledge of and ability to conduct a newborn physical assessment and develop a plan of care
___ 119-125. Physical assessment includes the following areas and the ability to compare data with norms and report abnormal findings to physician or certified nurse midwife (page 9, IV.A.1.):
___ 119. general health (sleep, feeding, elimination, cry, alertness, respirations, temperature, apical pulse)
___ 120. newborn screening
___ 121. movement (muscle tone, symmetry)
___ 122. jaundice
___ 123. hydration
___ 124. umbilicus
___ 125. circumcision
___ 126-129. Demonstrates respect for parents' role as primary care giver/first teacher of the infant by (page 10, IV.A.4.):
____ 126. Did the nurse request permission of parent before beginning examination
____ 127. Did the nurse explain to the parent the process of the examination, and the findings of the assessment
____ 128. Was the language used with the client clear and understandable for the client?
____ 129. Was the nurse able to engage the parent’s curiosity and empathy?
___ 130-137. How did a risk factor, physical finding and culture/ethnic tradition influence the plan of care.? (page 10, IV.A.5)
130-137. Risk factors
____ 130. psychosocial
____ 131. environmental
____ 132. lifestyle
133-136. Physical findings
____ 133. gestational and chronological age
____ 134. birth weight
____ 135. behavioral state of newborn
____ 136. special needs of newborn (e.g., cleft palate, genetic abnormalities)
____ 137. Cultural and ethnic traditions
V. The nurse demonstrates the ability to support parents’ understanding and response to the newborn’s adaptation and health needs.
___ 138. Did the nurse review signs and symptoms with parent(s) for which the pediatric health care provider should be called? (page 11, IV.B.3.)
___ 139. Was nurse is able to engage the parent(s) in a discussion of one of the following topics: car safety, environmental smoke, shaking or other inappropriate handling and sleep safety? (page 13, V.C.2.)