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Labor & Delivery RN Skills Assessment

Labor & Delivery Skills Assessment

Congrats on taking the necessary step to applying for a travel nursing position with us! Before we can offer you an amazing nursing assignment, the following skills assessment must be completed. Take your time and review your information before submitting. We look forward to seeing your results!


This checklist is for assessing your experience in specific clinical areas. It will not be a determining factor in accepting your application to become an employee of Trusted Nurse Staffing LLC.

Please rate your experience using the following scale (check the appropriate boxes below):

0 = No Experience / Observed Only
1 = Less than 1 year experience
2 = 1 - 2 years of experience
3 = Over 2 years of experience
Your Information: *This question is required.
This question requires a valid date format of MM/DD/YYYY.
MEDS/IV THERAPY *This question is required.
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Administer PO Medications
Administer IM & SQ Meds
Peripheral IV Insertion
Administer IV Medications
Mix IV Infusion w/ Additives
Use of Heparin/Saline Locks
Needle-less Systems
Administer/Monitor Oxytocin induction/augmentation
Administer/Monitor Magnesium Sulfate Therapy
Administer/Monitor Magnesium Sulfate Therapy Labor Suppressants -Ritordine
Administer/Monitor Magnesium Sulfate Therapy Antibiotics
Administer/Monitor Magnesium Sulfate Therapy Heparin
Discontinue Peripheral IVs
Administer Blood/Blood Products
Draw Blood for Lab Studies
Vital Sign Monitoring
Pulse Oximetry Setup
Pulse Oximetry Monitoring
INTRAPARTUM PHASE *This question is required.
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Contraction Characteristics
Determine Fetal Position
Status of Membranes
Doppler Ultrasound
External Monitor: Tocotransducer
External Monitor: Ultrasound
External Monitor: Phono
External Monitor: Abdominal ECG Transducer
Internal Monitor
Assessment for Deep Reflexes
Assessment for Clonus
Intake and Output
Assessment for Edema
Insert Straight/Foley Catheter
Bedside Clinical Testing: Urine Dipstick
Blood Glucose Monitoring
ASEPTIC TECHNIQUE RELATIVE TO L&D *This question is required.
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Set up a Delivery Table
Set up a Caesarean Section Table
Scrub for a Caesarean Section
Circulate/Scrub for a Postpartum Tubal Ligation
Assist with an AROM (Artificial Rupture of Membranes) Procedure
Assist with Placement of Fetal Scalp Electrodes for Internal Monitoring
Assist with Fetal Scalp Blood Sampling
Assist with Placement of Intrauterine Pressure Cath for Internal Monitoring
Perform a Vaginal Exam-Assess Dilation,Effacement,Station & Presentation
ANTE/INTRAPARTUM, CARE OF:  *This question is required.
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Pregnancy-induced HTN
Preeclampsia & Eclampsia
Multiple Gestation
Placenta Previa
Abruptio Placenta
Premature Labor
Diabetes Mellitus
Cardiac Disease
Infectious Disease
Sickle Cell Disease
Rh Incompatibilities
Oxytocin Challenge Test
INTERVENTIONS DURING LABOR *This question is required.
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Provide Physical Comfort Measures and Emotional Support
Coach Psycholprophylactic Breathing & Relaxation Tech.
Support, Guide, Labor Coach PRN
Change Woman's Position PRN
Perineal Prep
Provide Care & Monitor After Rupture of Membranes
Fetal Heart Rate - Doppler
Fetal Heart Rate - Auscultate
Variable Decelerations
Spiral Electrode
INTERVENTIONS DURING DELIVERY *This question is required.
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Spontaneous Vaginal Delivery
Emergency Delivery
Forceps Vaginal Delivery
Labor Room Delivery
General Anesthesia Monitoring
Epidural Anesthesia Monitoring
Spinal Anesthesia Monitoring
Local Infiltration (Preparation)
Immediate Care of Infant Post-birth (Suction & Weigh Infant)
Physically Examine Newborn (Anomalies, Respiratory Status)
Perform Cardiopulmonary Resuscitation: Adult
Perform Cardiopulmonary Resuscitation: Infant
Identify Infant Using Bracelet, Footprints, and Mother's Bands
Eye Prophylaxis
Collect Cord Blood Samples
Transfer to Newborn Nursery
Vacuum Extraction
Assist with High Risk Delivery
Shoulder Dystocia
Perineal Prep
Circulate for C-Section
Scrub for C-Section
Patient with General Anesthesia
Patient with Epidural Anesthesia
Circulate for Tubal Ligation
Scrub for Tubal Ligation
Assist with Placenta Delivery
Assist with Cervical Laceration Repair
Assist with Uterine Laceration Repair
Assist with Episiotomy Repair
POSTPARTUM PHASE *This question is required.
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Postpartum Assessment
Fundus Consistency/Location
Initiate Fundal Massage PRN
Bladder Distention
Insert Straight/Foley Catheter
Provide/Instruct Perineal Care
Episiotomy Care
Apply Ice to Perineum
C-section Incision Care
Assess Homan's Sign
Manage Postpartum Pain
Initiate Post-anesthesia Care: Spinal
Initiate Post-anesthesia Care: Epidural
Initiate Post-anesthesia Care:General
RhoGam Administration
Rubella Vaccine
Fundal Height
Fundal Massage
Maternal Vital Signs
Recovering Post-Op C-Section Patient
Recovering Post-Op Tubal Ligation Patient
Fluid Balance
Assessment for DVT
PARENT/INFANT BOND *This question is required.
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Foster Parent/Infant Bonding
Assist/Instruct Breastfeeding
Assist/Instruct Bottlefeeding
Discharge Teaching
AGE OF PATIENTS CARED FOR *This question is required.
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Newborn (birth-30 days)
Infant (30 days - 1 year)
Toddler (1 - 3 years)
Preschooler (3 - 5 years)
School Age (5 - 12 years)
Adolescents (12 - 18 years)
Young Adults (18 - 39 years)
Middle Adults (39 - 64 years)
Older Adults (64+ years)
1. Candidate Signature
Signature of