APPENDIX A

Questionnaire
on
SELF PERCEIVED LEVEL OF COMPETENCE AMONG NURSING
STUDENTS IN THE DELIVERY ROOM
Profile of the Respondent
Direction: Please answer the following question put check for some question.
NAME: __________________________________
RLE grade during 1st DR exposure:________

GENDER: male( ) female( )

Grade in NCM102 final:____

Direction: Below are statements that will describe your level of competence in handling
labor and delivery. Kindly check ( )the number that will correspond to your
answer by using the code below.
5 Always

(A)

2 Seldom

(SD)

4 Often

(O)

1 Never

(N)

3 -- Sometimes

(SS)

Safe and Quality Nursing Care

1. Obtain obstetrical history and onset of true labor.
2. Conduct physical examinations.
3. Check vital signs, fetal heart tone, fetal movement and uterine
contractions.
4. Recognize maternal complications (cardio-vascular, pulmonary,
bleeding tendencies.
5. Perform Leopolds Maneuver.
6. Observe for timely rupture of membranes.
7. Recognize active signs for transitional phase of second stage of
labor.
8. Place mother in appropriate delivery position.
9. Perform RitgensManeuver by supporting babys head as it
emerges preventing rapid delivery with gentle pressure.
10. Check for natal cord, slip one over head if possible.

11. Clamp umbilical cord and cut between sterile scissors.

12. Assess uterine contractions.
13. Recognize signs of early postpartum bleeding.
Management of Resources and Environment
1.Uses consumable such as cottons, butadiene, and other needed
supplies appropriately.
2. Check the proper functioning of equipment such as the BP
apparatus, thermometer and penlight.
3. Observes proper disposal of wastes particularly sharps.
Health Education
1. Teach client basic preparations for labor and delivery.
2. Listen attentively to client and family queries and request.
3. Participate in the conduct of educational activities related to
health promotion.
Legal Responsibility
1. Secure informed consent in all procedures related to labor and
delivery.
2. Checks the completeness of informed consent and other legal
forms.
3. Introduces self and verify client identity.
Record Management
1.Demonstrate accuracy and honesty in recording and reporting
gender of newborn, type and time of placental presentation.
2. Ensure proper identification of client.
3. Complete and correct record and report all pertinent data.
Quality Improvement
1. Identify deviation of practice from standard expectations.
2. Solicits feedback from client and significant others regarding care
rendered.
3. Evaluate nursing performance based on curriculum standards.
Communication
1.Utilize forms of communication, verbal and non verbal.
2.Assess the patients affect and ability to understand direction.
3.Coach mother on breathing and pushing technique.
Collaboration and Teamwork
1.Refer to physician informing clients signification.

2.Participates endorsement practices in the delivery unit.

3.Demonstrate leadership role as a team player in the delivery
unit and relates effectively with others.
Ethic-Moral Responsibilities
1.Acknowledge clients cultural, religious and ethnic practice of the
family.
2.Maintain privacy and confidentiality.
3.Establish working relationship with client.
Personal and Professional Development/Research
1.Promote professional growth for self and others.
2.Use updated review of literature with latest trend and development
inmaternal and child related to health promotion and disease
prevention.
3.Development and implement nursing care plan.