1. Orientation on
Maternity Knowledge,
Skills and Logbook
Instructions
AL GHAD INTERNATIONAL COLLEGE FOR MEDICAL SCIENCES, FEMALE CAMPUS
BURAYDAH, AL QASSIM, KSA

2. Topics:
 Orientation on Maternity Knowledge, Skills and Logbook Instructions Guidelines
 Assessment On Pregnant Women, Léopold’s Maneuver
 How to count Fetal Heart Tone, Baby Kick Count, Monitoring Stages of Labor
 Admission and Discharge, How to write Nurse’s Notes
 Drug Calculations
 Newborn Care, Phototherapy
 Post-Partum Care, Perineal Care and Hot Sitz Bath
 Importance of Breastfeeding and comparison of Bottle Feeding
 How to Sterilize Feeding Bottle
 Uses of Contraceptive Method as a Guide in Family Planning
 Importance in Understanding Laboratory Investigations and Imaging
 How to operate CTG, Doppler and Ultrasound Machine
 Post Laboratory Examinations

3. Assessments: An examinations from head to toe
Present/Past History:
 Menarche, Interval of Menstruation
 Length
 Recent birth control or lactation
 LMP -Sure of date?
- Normal in length & flow
 Other signs and symptoms:
 Date of conception
 ER sonogram
Serious illnesses
Any Hospitalizations
Any Surgery
Drug allergies or unusual reactions
What are the Medication taken since LMP
Obstetrical History:
 Dates of all pregnancies (include previous
miscarriage or termination)
 GA
 Gender, weight
 Length of labor
 Coping techniques
 Route of delivery
 Special events AP, IP, PP, Neo
Gynecological History:
 Last Pap
 Abnormal pap
 Gyn surgery or problems (e.g.
infertility)
 Family planning methods
 Sexually transmitted infections

4. Family History
Maternal
 Diabetes
 CAD
 Pre-eclampsia
 Preterm delivery
 Cancers (breast, ovarian, colon)
 Depression, bipolarity
 Twins
 Anesthesia reactions
Maternal or Paternal
 Birth defects
 Mental retardation
 Bleeding disorders
 Chromosomal abnormalities
(e.g. Dpwn Syndrome)

5. Prenatal Care:
 What are the vital signs?
-Temperature, Pulse Rate, Respiratory Rate, BP
 What are the measurement of the Patient?
-Height -Weight
 Any Observations?
-Clubbing – caused by chronic hypoxia
-Lines coincide with periods of acute illness or
stress. Caused by disruption of nail
plate growth.
-Koilonychia Spoon-shaped nails, a Chronic
iron deficiency anemia
-Cyanosis of nail beds
-HEENT – Lymph Nodes
-The mouth (B vitamin deficiency, Fungal infections
and Over-biting, Gingivitis of pregnancy
-Geographic tongue
-Superficial Nasal Sinuses
-Eyes

6. Cont.
-Chalazion (plugged sebaceous gland)
-Conjunctivitis – viral
-The eyes – icterus
-The Neck:
1. thyroid (watch for any s/s:)
a. Hypothyroid
-Cold intolerance, slow pulse, thin, dry hair &
dry, puffy skin, Fatigue, thick tongue,
delayed relaxation of Achilles reflex
b. Hyperthyroid
-Heat intolerance, Rapid pulse,
Flushed, sweating, Anxious,
Fine tremors, Exaggerated reflexes
-The Chest, Breast and the cardiac cycle
-The Back
-Auscultation of the lungs
*Normal breath sounds, Crackles,
Rhonchi, Wheezes
- Abdominal assessment
-Inspect abdomen for contour, asymmetry,
scars, rashes, or other lesions
-Listen for bowel sounds present, increased,
decreased, absent, high-pitched
-Light palpation for tenderness most sensitive
indicator is facial expression, voluntary or
involuntary guarding may also be present
-Deep palpation for masses
-Deep tendon reflexes and check for edema

7. Leopold’s Maneuver:
-First Maneuver: Fundal Grip
a. Use the pads of your fingers of
your both hands to feel and
palpate lightly the fetal part lying
in the fundus to determine
presentation.
b. Push a little to identify fetal lie.
Cephalic or Head -is more firm, hard
and round that moves independently
of the body.
Breech -is less well defined that
moves only in conjunction with the
body.
Third Maneuver: Pawlik Grip
a. Encouraged patient to perform breathing
exercise during palpation. Placed your right
hand, above the symphysis pubis with the thumb
and four fingers to grasp the lower portion of the
abdomen.
b. Slightly press and make a gentle movements
from side to side to identify the presenting part if
it is engaged or not and the degree of descent
in the pelvic canal.
Engagement- presenting part is not movable.
Floating- still movable.
-Second Maneuver: Umbilical Grip
a. Remain facing the patient’s head.
Place both palms on the side of the
abdomen at the level of the
umbilicus.
b. Use gentle but deep pressure on
palpating the opposite side of the
abdomen alternately to determine the
location of the fetal back and small
fetal parts that occupying the side wall
of the uterus.
Fetal Back -is felt as firm, smooth and
resistance surface.
Fetal Limbs–are felt as small, irregular, mobile
and slippery knobs or nodules.(These
are the knees and elbows)
Fourth Maneuver: Pelvic Grip
a. Face the patient’s foot part.
b. The two hands are placed on the lower part of
the uterus.
c. Gently move your fingertips down the sides of
the abdomen towards the pelvic brim, 2
inches above the inguinal ligament, and determine
the position and the flexion of the presenting part.
Good attitude- if brow correspond to the side
(Second Maneuver) that contained the elbows and
knees.
Poor attitude- if examining fingers will meet an
obstruction on the same side as fetal back
(hyperextended head).
d. Auscultate the fetal heart sound and compare it
with Maternal Heart Sound within 1 full minute.

8. Counting a Fetal Heart Tone:

9. Baby Kick Count:

10. Knowing Stages of Labor and Delivery Complications

13. How to Admit and Discharge Patient?

14. Caring for Newly Born Baby
 Suctioning the secretion
 Keeping warm
 Bathing
 Taking a anthrometric measurement
 Foot prints and ID band
 Immunization
 Feeding
 Bonding

15. Significant of Phototherapy?

16. Newborn Screening

17. Post partum Care

18. Perineal Care and Hot Sitz Bath

19. Writing a Nurse’s Notes an Easiest Way?

20. Writing a Nurse’s Notes an Easiest Way?

22. Writing a Nurse’s Notes an Easiest Way?

23. How to compute drugs and IV fluids?

24. Importance of Breastfeeding and comparison of Bottle Feeding

25. How to Sterilize Feeding Bottle

26. Uses of Contraceptive Method as a Guide in
Family Planning?

27. How to Operate a CTG Machine, Doppler, Jaundice
Machine and Ultrasound

28. Film Showing?
 The Joy of Birth
 Cesareans Section
 Apgar Scoring
 Breast Self Examination
 Circumcisions

29. Understanding Laboratory Investigation and Imaging

30. Post Laboratory Examinations

31. Thank You for Listening
and not Sleeping in my
class!