Name of Client: Melinda Espina f Patient:Gravida:
1
Para: __________ Hosp. #______________Patient:
Date of Admission:________________f Time of Admission:
Patient:
Patient:
Scenario
9 am_______
ROM + Time ________f
Patient:
Melinda Espina is a primagravida woman who came in to birthing center at 9am with complaints of
leaking BOW and pains due to uterine contractions. The nurse asssessed the client and revealed the
following findings:
a.
b.
c.
d.
e.
f.
g.
h.
FHR 120 bpm
Amniotic Fluid is clear
Felt soft at the sagittal suture
Cervix is 6cm
Descent of head is palpable at symphysis pubis for about 2-3 fingers
Contraction is moderate
Vital signs: BP 120/80. Temp: 37.3 deg., P: 85, RR: 15
Urine Output: 150 ml.
After the initial findings, the client was brought to LR for labor watch. The nurse continuously
monitored the client with the following updates of labor watch at 1pm.
i.
j.
k.
l.
m.
n.
FHR 130 bpm
Sagittal suture line not appreciated
Cervix is 10cm
Descent of head is non palpable at symphysis pubis.
Contractions more frequent at around 60 secs duration
Vital signs: BP 120/80. Temp: 37.3 deg., P: 85, RR: 15
At around 1:10pm, a healthy baby boy was delivered weighing 3.5 Kg. At around 1:20pm the placenta
was delivered completely.
Name of Client: Melinda Espina f Patient:Gravida:
1
Para: __________ Hosp. #______________Patient:
Date of Admission:________________f Time of Admission:
9 am_______
Patient:
Patient:
Using the partograph form, plot the information as described on the scenario.
ROM + Time ________f
Patient:
X
X
8
9
10
00
11
12
13
7am 8am 9am 10am 11am 12pm 1pm
9
0
0
C
mod
erate
120 bpm
erate
( ml
150
37.3 °
7
85 bpm
8
9
10
11
12
13
120/80 mmHg
6 cm
strong
130 bpm
0
37.3 °
85 bpm
7
8
9
10
11
12
13
120/80 mmHg
10 cm
1:20 pm