Labor and Delivery – Evaluate Your Skills with our Checklist

Check out our free labor and delivery skills checklist for nurses.

Assess your expertise, identify areas for growth, and ensure you’re meeting industry standards.

Evaluate Your Skills Here!

Name*
First Last
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Date
MM slash DD slash YYYY
Skills Checklist
This Skills Checklist is for use by nurses with more than one-year experience in their discipline and specialty. Please be accurate with your assessment.
DIRECTIONS: Please indicate your level of experience by placing a check (X) in the box.
Experience level:
1 NO EXPERIENCE
2 MINIMAL EXPERIENCE - requires supervision/assistance
3 MODERATELY EXPERIENCED - requires initial review, then performs independently
4 VERY EXPERIENCED - proficient
Medication Administration
Interactions, incompatibilities, and side effects*
Administer IM, SC medications*
Monitor IV Drips*
Please rate your average skill level for the following:
•Oxytocin induction, augmentation
•Magnesium sulfate therapy (& other anti-convulsants for pre-eclampsia)
•Labor suppressants (e.g. Ritrodrine)
•Antibiotics
•Heparin
IV Therapy*
Please rate your average skill level for the following:
•Start IV lines
•Regulate IVs
•Mix IV infusion using additives
•Discontinue peripheral IVs
•Use IV infusion pumps
•Use heparin locks
•Institute and monitor blood/blood products
•Draw blood for lab studies
Aseptic Technique Relative to L&D*
Please rate your average skill level for the following:
•Set up a delivery table
•Set up a cesarean section table
•Circulate for cesarean section
•Scrub for a cesarean section
•Circulate, scrub for a post-partum tubal ligation
•Assist with an Artificial Rupture of Membranes
•Assist with placement of fetal scalp electrodes for monitoring
•Assist w/ fetal scalp blood sampling
•Insert a straight or Foley catheter
•Perform a vaginal exam & assess effacement, dilatation, station, presentation
Provide Intrapartum Care to Patient With:*
Please rate your average skill level for the following:
•Pregnancy – induced hypertension
•Preeclampsia
•Eclampsia (seizures)
•Placenta previa
•Abruptio placenta
•Multiple gestation
•Malpresentations
•Premature labor
•Diabetes mellitus
•Cardiac disease
•Asthma
•Infectious diseases
•Hemorrhage
•Pyelonephritis
•Cystitis
•Sickle Cell Disease
•Rh incompatibilities
Obsteric Techniques and Procedures:
Stress test (oxytocin challenge test)*
Assess & document progression of labor*
Please rate your average skill level for the following:
•Contraction characteristics
•Changes in behavior, appearance
•Status of membranes
•Assess and document fetal status
•Determine fetal position
•Auscultate FHR (fetal heart rate) using:
(1) Fetoscope
(2) Doptone (Doppler Ultrasound)
Escort Patient to Assist with*
Please rate your average skill level for the following:
• Pelvimetry
• Ultrasound scan
Immediate Care of Infant Post-Birth*
Please rate your average skill level for the following:
• Assign Apgar scores
• Physically examine newborn (anomalies, respiratory status)
• Suction infant
• Weigh infant
• Identify infant using bracelet, footprints, and mother’s bands
• Eye prophylaxis
• Collect cord blood samples
• Transfer to newborn nursery
Conduct Fetal Activity Determinants*
Monitor Uterine Activity & FHR Patterns*
Please rate your average skill level for the following:
•External monitor(tocotransducer, ultrasound, phono or abdominal ECG transducer)
•Internal monitor (including connecting leads/calibrating machine)
•Identify FHR patterns
(1) Variability reactivity
(2) Decelerations - early, late, variable
(3) Tachycardia – Brachycardia
Interventions During Labor*
Please rate your average skill level for the following:
• Provide physical comfort measures
• Provide emotional support
• Support, guide labor coach
• Change woman’s position
• Do a perineal prep
• Coach in psychoprophylactic breathing and relaxation technique
Postpartum Assesment*
Please rate your average skill level for the following:
• Fundus consistency
• Lochia
• Bladder distension
• Episiotomy
• Incision (for Cesarean delivery)
• Vital signs
Perform Cardiopulmonary Resuscitation*
Please rate your average skill level for the following:
•Infant (assist intubation)
•Infant (umbilical artery catheter)
•Infant (mix resuscitation drugs)
•Infant (administer IM narcan)
Assess & document maternal status*
Please rate your average skill level for the following:
•Vital signs (BP, P) according to stage of labor and patient stability
•Deviations from the norm (edema, deep reflexes, clonus)
•Vital signs (BP, P) according to stage of labor and patient stability
•Deviations from the norm (edema, deep reflexes, clonus)
•Intake and output (testing urine for glucose, protein, specific gravity, ketones)
Interventions During Delivery*
Please rate your average skill level for the following:
• Spontaneous vaginal delivery
• Provide care and monitor after rupture of membranes (spontaneous or artificial)
• Cesarean section
• Labor room delivery
• Obstetric anesthesia – monitor those requiring:
○ Special surveillance
○ General anesthesia
○ Regional anesthesia
○ Epidural
○ Spinal
○ Local infiltration
Postpartum Intervention*
Please rate your average skill level for the following:
• Initiate fundal massage
• Provide perineal care
• Apply ice to perineum
• Foster parent-infant bonding
• Initiate post-anesthesia recovery precautions
○ Epidural
○ General
○ Spinal
Computerized Charting
Cerner*
Meditech*
Others:
Please name other systems you've used, if applicable.
McKesson*
Epic*
Skill level for other*
Eclipsys*
Experience With Age Groups:
Please check the boxes below for each age group for which you have expertise in providing age-appropriate nursing care.

A. Newborn/Neonatal (birth – 30 days)
B. Infant (30 days – 1 year)
C. Toddler (1 – 3 years)
D. Preschool (3 – 5 years)
E. School Age Children (5 – 12 years)
F. Adolescent (12 – 18 years)
G. Young Adults (18 – 39 years)
H. Middle Adults (40 – 64 years)
I. Older Adults (64 + years)
Able to assess age appropriate behavior, motor skills and physiological norms.*
- Select All
- A
- B
- C
- D
- E
- F
- G
- H
- I
Able to adapt care according to normal growth and development.*
- Select All
- A
- B
- C
- D
- E
- F
- G
- H
- I
Able to communicate and instruct patient according to their age, maturity and comprehension ability.*
- Select All
- A
- B
- C
- D
- E
- F
- G
- H
- I
Able to provide a safe environment according to the specific needs of various age groups.*
- Select All
- A
- B
- C
- D
- E
- F
- G
- H
- I
My Experience is Primarily In:
Neurology*
Please enter a number from 0 to 100.
Surgical*
Please enter a number from 0 to 100.
Cardiac Care*
Please enter a number from 0 to 100.
Pulmonary*
Please enter a number from 0 to 100.
Medical*
Please enter a number from 0 to 100.
Telemetry*
Please enter a number from 0 to 100.

Current Certifications:*

Type	Date Earned	Date Expired

E-Signature*
I agree:
The information I have provided in this knowledge and skills checklist it true and accurate to the best of my knowledge.
Name*
First Last
Date*
MM slash DD slash YYYY

Labor and Delivery – Evaluate Your Skills with our Checklist

Evaluate Your Skills Here!

Skills Checklist

Medication Administration

Obsteric Techniques and Procedures:

Computerized Charting

Experience With Age Groups:

My Experience is Primarily In:

Services

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