Competency Validation Record (Includes Written Test)
Competency: Prenatal Nursing Care
Name: ____________________________ Validator Name:
____________________________
Agency: __________________________ Date: _____________
A. Written Quiz
Number of correct answers on 38 items: ______
B. Skills demonstration through case review, case study and discussion
Number of correct answers on prenatal nursing care 42 items: ______
Total number of correct responses out of 80 items: ______
C. Continuing Education Plan
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Written Quiz
I. The nurse demonstrates ability to assess, plan, intervene, and evaluate (with client & family) their goals and plan of care
1-3. List 3 physical and/or psychosocial risks associated with adolescent pregnancy (page 3, I.B.1.)
____________________________________________________________________
____________________________________________________________________
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4-6. List 3 benefits of prenatal care for the mother and /or baby (page 3, I.B.2.)
_____________________________________________________________________
_____________________________________________________________________
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7-12. List at least 1 warning sign for each of the following pregnancy complications (page 3, I.B.3)
preterm labor _________________________________________________________
placenta previa _______________________________________________________
Placenta abruptio ______________________________________________________
Premature rupture of membranes __________________________________________
Fetal demise __________________________________________________________
Preeclampsia _________________________________________________________
13-18. Identify the purpose and one implication for change in the client’s plan of care related to the following laboratory tests: (page 4, I.C.1)
13-14. HIV ______________________________________________________________
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15-16. Glucose Tolerance Test (GTT) _________________________________________
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17-18. Triple Marker Screen ________________________________________________
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19-24. Describe the purpose of and how to prepare the client for the following procedures: (page 4, I.C.2.)
19-20. Ultrasound ________________________________________________________
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21-22. Amniocentesis _____________________________________________________
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23-24 - Nonstress Test (NST)
II. The nurse demonstrates knowledge of and ability to assess client’s nutritional status, provide nutritional education and refer for nutritional counseling as indicated.
25-26. List the recommended dietary requirements during pregnancy by: (page 7, II.A.1.)
25. Servings for each food group of the food guide pyramid _______________________
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26. List 3 specific nutrients, their food sources and their function in supporting a healthy pregnancy ______________________________________________________________
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27. Assess weight gain, using a standard weight gain grid for a 15 year old G1P0 who is 16 weeks pregnant, pre-pregnant weight of 113 pounds and weighs 118 at 16 weeks (page 7, II.A.2.)
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III. The nurse demonstrates knowledge of an ability to provide prenatal & parenting education to client and family
28-33. List 1 self-care measure for the following common discomforts associated with pregnancy: (page 9, III.B.1.)
28. Backache ____________________________________________________________
29. Frequent Urination ____________________________________________________
30. Heart Burn ___________________________________________________________
31. Leg Cramps __________________________________________________________
32. Nausea & Vomiting ____________________________________________________
33. Varicose Veins ________________________________________________________
34-36. Describe the impact of 3 of the following on fetal growth and development; cigarette smoking, marihuana, cocaine, heroin, alcohol (page 9, III.A.3)
34. _____________________________________________________________________
35. _____________________________________________________________________
36. _____________________________________________________________________
37-38. List at least 1 preventative measure related to: (page 9-10, III.A.3.)
37. Care safety for pregnant women and infants _________________________________
38. Sleep Safety (positioning, bedding, and crib) ________________________________
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