Certificate in Midwifery - Year 3, Semester 1 Checklists

Certificate in Midwifery - Year 3: Semester 1 Checklists

UHPAB: Management of Cord Prolapse
UHPAB: Administering Polio Vaccine
UHPAB: Delivery of a Complete Breech
UHPAB: Taking Past Obstetric History
Demonstration of the Fetal Positions in a Breech...
Plotting a Partograph
Disconnecting an Intra Venous Infusion
Preparation of a Trolley for Inserting an IUD
Abdominal Palpation
UNMEB: Delivery of Extended Arms in Breech

UGANDA HEALTH PROFESSIONS ASSESSMENT BOARD

YEAR 3: SEMESTER 2: EXAMINATIONS

CERTIFICATE IN MIDWIFERY

Paper code: CM 224 OSPE

June 2025

Examiners' Checklist

STATION NO: 1

TASK: MANAGEMENT OF CORD PROLAPSE IN FIRST STAGE OF LABOUR

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score	Partially done
1	Re-assures the mother	½	x
2	Performs a quick history and physical examination including abdominal examination	3
3	Performs a quick vaginal examination to assess the degree of cervical dilatation	1
4	If cord is pulsating; • Puts the woman in Genu-pectoral (knee-chest) position as quickly as possible • Applies gauze socked in warm saline to the cord and puts it back in the vagina • Mentions that mother will be prepared for emergency caesarean section	2 2 1
8	Records in the mother's file	½	x
TOTAL		10

Examiner's Comments

UGANDA HEALTH PROFESSIONS ASSESSMENT BOARD

YEAR 2: SEMESTER 2: EXAMINATIONS

CERTIFICATE IN MIDWIFERY

Paper code: CM 224 OSPE

June 2025

Examiners' Checklist

STATION NO: 3

TASK: ADMINISTERING POLIO VACCINE

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score	Partially done
1	Creates rapport with the mother	½	x
2	Checks the child's health card for immunization status	1
3	Washes hands and wears gloves	½	x
4	Opens the vaccine carrier, checks temperature and picks vaccine	½	x
5	Prepares the correct oral polio vaccine under aseptic conditions	½	x
6	Instructs the caretaker to open the child's mouth for oral polio vaccine	½	x
7	Administers the two drops of OPV into the baby's mouth	1
8	Prepares and administers 0.5mls of PCV intramuscularly into the upper aspect of the right thigh. Applies a gentle press	2
9	Educates the mother on side effects of the vaccines	1
10	Documents on the child health card and indicates the return date	1
11	Thanks the mother for bringing baby	-
TOTAL		10

Examiner's Comments

UGANDA HEALTH PROFESSIONS ASSESSMENT BOARD

YEAR 2: SEMESTER 2: EXAMINATIONS

CERTIFICATE IN MIDWIFERY

Paper code: CM 224 OSPE

June 2025

Examiners' Checklist

STATION NO: 2

TASK: DELIVERY OF A COMPLETE BREECH

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score	Partially done
1	Creates rapport and prepares self	½	x
2	Performs a vaginal examination to confirm 2^nd stage	½	x
3	Drapes the mother	½	x
4	Encourages the mother to push with each contraction	½	x
5	When the breech distends the perineum at the peak of a contraction performs an episiotomy	½	x
6	Maintains hands off the breech until when its born	½	x
7	When the umbilicus is seen, draws a loop of a cord to prevent pressure from it	1
8	Covers the breech to prevent chilling	½	x
9	Confirms whether the arms are across the chest by carrying out a vaginal exam	½	x
10	Delivers the arms and shoulders appropriately	2
11	Allows the body to hang on its weight until the nape of the neck is seen	1
12	Delivers the head by Burns Marshall manouvre towards the mother's abdomen	2
TOTAL		10

Examiner's Comments

UGANDA HEALTH PROFESSIONS ASSESSMENT BOARD

YEAR 2: SEMESTER 2: EXAMINATIONS

CERTIFICATE IN MIDWIFERY

Paper code: CM 224 OSPE

June 2025

Examiners' Checklist

STATION NO: 5

TASK: TAKING PAST OBSTETRIC HISTORY

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score	Partially done
1	Greets the mother and introduces self	½	x
2	Provides privacy	½	x
3	Explains to the mother the whole process of taking obstetric history	½	x
4	States the importance for taking this history	½	x
5	Asks the mother the following information: • Previous pregnancy; - When did she have the pregnancy? - Was it normal or not? • Previous labour - was the labour spontaneous or not? • Mode of delivery - whether C/S, SVD or VE • Duration of labour • Condition of the baby at birth • Previous weight and health of babies • Breast feeding duration • Immunization status • Puerperium - whether normal or not	1 1 1 1 ½ ½ ½ ½ ½ ½	x x x x x x
6	Records down every information	½	x
7	Reassures the mother and gives feedback	½	x
TOTAL		10

Examiner's Comments

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 3: SEMESTER 1 EXAMINATIONS

CERTIFICATE IN MIDWIFERY

PAPER CODE: CM 314 OSPE

December 2022

Examiner's Checklist

STATION NO: 2

TASK: DEMONSTRATION OF THE FETAL POSITIONS IN A BREECH PRESENTATION

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score
1	Identifies the land-marks. • Ilio pectineal eminence (left and right) • Ilio pectineal line (left and right) • Sacro-iliac joint (left and right)	1 1 1
2	Demonstrates the position • Right and left sacro-anterior. • Right and left sacro-lateral. • Right and left sacro-posterior.	2 1 2
3	Identifies the engaging diameters in a breech. • Bi-trochanteric diameter 10 cm. • Sub-occipito frontal 10 cm in after coming head of a breech.	1 1
TOTAL		10

Examiner's Comments

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 3: SEMESTER 1: EXAMINATIONS

CERTIFICATE IN MIDWIFERY

Paper Code: CM 314 OSPE

December 2022

Examiner's Checklist

STATIONS NO. 5

TASK: PLOTTING A PARTOGRAPH

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score
1	Reads the summary of observations and plots the following: • Particulars of the mother • plots the time of admission rightly. • plots the cervical dilation accurately. • plots the descent of the presenting part. • records the uterine contractions. • plots the fetal heart rate. • records the state of membranes. • plots the moulding.	1 1 1 1 1 1 1 1
2	Interprets observations and comments on the descent and fetal heart which was a bit high (fetal distress).	2
TOTAL		10

Examiner's Comments:

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 3: SEMESTER 1: EXAMINATIONS

CERTIFICATE IN MIDWIFERY

Paper Code: CM 314 OSPE

December 2022

Examiner's Checklist

STATIONS NO: 4

TASK: DISCONNECTING AN INTRA VENOUS INFUSION.

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score
1	Greets the caretaker and baby	1
2	Explains the procedure to the care taker and baby	1
3	Washes hands and puts on gloves	1
4	Performs the following to disconnect infusion; • Clumps the infusion tube • Loosens the plaster while holding the cannula firmly and applying counter traction to skin. • Holds sterile gauze over the venipuncture site • Applies firm pressure for 2 to 3 minutes • Examines the cannula removed to see that its intact • Applies the sterile gauze over the site and fastens the plaster	1 1 1 1 1 1
5	Discards all disposable articles accordingly.	1
6	Washes hands	-
TOTAL		10

Examiner's Comments:

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 3: SEMESTER 1: EXAMINATIONS

CERTIFICATE IN MIDWIFERY

Paper code: CM 314 OSPE

December 2022

Examiners' Checklist

STATION NO: 1

TASK: PREPARATION OF A TROLLEY FOR INSERTING AN INTRA UTERINE DEVICE

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score	Partially done
1	Washes hands and prepares a sterile top shelf.	1
2	Top shelf: • Sterile gallipot of swabs. • Gallipot of gauze. • 2 sponge holding forceps. • 2 receivers. • 1 teneculum. • uterine sound. • Cuscos vaginal speculum. • a pair of scissors. • sterile pad in a receiver.	½ ½ 1 ½ 1 1 1 ½ ½	x x x x x
3	Bottom shelf: • 2 pairs of sterile gloves in their cover. • IUD in its pack on a small tray. • Mackintosh and draw sheet. • 2 receivers for used instruments.	½ 1 ½ ½	x x x
TOTAL		10

Examiner's Comments

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 2: SEMESTER 2 EXAMINATIONS

CERTIFICATE IN MIDWIFERY

Paper Code CM

December 2

Examiner's checklist

STATION NO: 5

TASK: ABDOMINAL PALPATION

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score	Partially done
1	Greets the patient and creates rapport	½	x
2	Explains procedure to patient and provides privacy	½	x
3	Confirms that she has an empty bladder	1
4	Places the woman in semi-recumbent position	½	x
5	Covers the mother from the hip downward with a sheet	½	x
6	Performs abdominal examination as follows: • Moves to the foot of bed/couch and inspects abdomen for; - Shape and symmetry - Fetal movements - Scars. - Striae gravidarum. - Linear nigra. • Performs; - Superficial palpation - Measures fundal height. - Determines fetal part at the uterine fundus. - Palpates side of abdominal for the lie and position. - Palpates above symphysis pubis for presenting part and assesses for engagement (fetal descent). - Assesses for cephalic versus breach presentation. - Places fetal scope appropriately to listen to fetal heart.	½ ½ ½ ½ ½ ½ ½ ½ ½ ½ ½ 1	x x x x x x x x x x x
7	Gives feed back and leaves woman comfortable.	½	x
TOTAL		10

Examiner's Comments:

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 2: SEMESTER 2: EXAMINATIONS

CERTIFICATE IN MIDWIFERY

Paper code: CM 224 OSPE

December 2020

Examiner's Checklist

STATION NO. 2

TASK: DELIVERY OF EXTENDED ARMS IN A BREECH PRESENTATION

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score
1	Creates rapport and positions the mother.	½
2	Washes hands and puts on gloves.	½
3	Performs a vaginal examination to confirm extended arms.	1
4	Mentions the Lovset manouvre method to be used in the procedure involving rotation and downward traction.	1
5	Grasps the baby by the sacrum and rotates the baby through an angle of 180° with the back uppermost while applying a downward traction.	2
6	Delivers the arm which has come anterior first by flexing it.	2
7	Rotates the baby again and delivers the 2^nd hand in the same way.	2
8	Leaves the baby to hang on its body.	½
9	Hands over the mother to the assistant to complete the delivery.	½
TOTAL		10

Examiner's Comments: