Self Instructional Module 2: THE BIRTH EXPERIENCE

Lesson 3

CARE OF THE WOMAN DURING THE FIRST STAGE OF LABOR

LEARNING OUTCOMES ASSESSMENT/S

PART 2. “Chart my Progress”. This task will enable you to apply the concepts

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learned in this lesson and to practice recording the progress of labor in the Labor Monitoring

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Record.

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Directions:

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1. Fill out the Labor Monitoring Record utilizing the scenario below.
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2. Maximum rating: 20 pts. (Refer to rubrics below).
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Date/Time: 09/08/2020 @ 10:30AM
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Admitted a case of Mrs. XAL, 27 years of age, married, from Cebu City, having her first baby
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at 38 & 2/7 weeks AOG by LMP (December 14, 2019). No history of abortion was reported. She
has come to the labor room at 9:00AM because she began to feel regular cramping pains about 3 hours
ago. She says that the pains start in her back and move forward to the front of her abdomen, each
contraction lasts about 50 seconds, and occurs 2– 3 times in every 10 minutes. Vital signs: T=
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37.2 C, PR= 84 bpm, RR = 22 cpm, BP = 120/80 mmHg. Pain Score = 10/10. Fundal height: 32 cm.
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Vaginal examination by Dr. XYZ revealed cervix 70% effaced, 4 cm dilated, intact bag of water
with fetus in cephalic presentation, station -3. voided freely.

Further monitoring of Mrs. XAL’s uterine contraction patterns reveal the following:
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Time Contraction Starts Time Contraction Ends

a. 10:01:08 am 10:02:01 am
b. 10:04:12 am 10:05:00 am
c. 10:07:42 am 10:09:54 am
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Diagnosis: PUFT, 38 weeks AOG, cephalic, in active labor,

Hospital #: 2020-8-20123

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 LABOR MONITORING RECORD

Labor Watch # 1 Date 09/08/2020 @ Fundal Height: 32 cm

10:30AM

Patient XAL LMP December 14, 2019

Initials

Age 27 years of age OB G1 P0 T0 P0 A0 L0 M0

Score

Hospital 2020-8-20123 EDC Sept 21, 2020

Registration
No.

Diagnosis: PUFT, 38 weeks AOG, cephalic, in active labor Initials of Physician: XYZ

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Date Time of Duration Frequency Intensity Effacement Dilatation Fetal Heartbeat

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Contractions

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09/08/2020 10:01:08 am 53 secs Strong 70% effaced 4cm 120

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09/08/2020 10:02:01 am rs e 3 min 4 Strong 70% effaced 4cm
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secs
09/08/2020 10:04:12 am 48 secs Strong 70% effaced 4cm 127
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09/08/2020 10:05:00 am Strong 70% effaced 4cm

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3 min 30
09/08/2020 10:07:42 am 132 secs secs Strong 70% effaced 4cm 133

09/08/2020 10:09:54 am Strong 70% effaced 4cm

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 Physiological Responses:

Vital Signs

BP: 120/80 mmHg T: 37.2 C

PR: 84 bpm RR: 22 cpm

Genito-Urinary: (√) voided freely ( ) Dysuria ( ) Oliguria ( ) Anuria

( ) catheterized, describe the output:

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Musculoskeletal: ( ) bipedal edema ( ) Homan’s Sign ( ) deformities

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Neurologic: ( ) seizures ( √ ) oriented to person, place, time
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Gastrointestinal: ( ) normal bowel movement ( ) constipated ( ) watery stool
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( ) hemorrhoids (√) Others please specify: Client verbalized

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complaints regarding back pains radiating

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towards the abdomen with a pain scale of

10/10
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Psychological Responses (Mother)

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( ) Fatigue ( ) Uncooperative

(√) Cooperative
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( ) Anxious
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( ) Fear of the Unknown ( ) others, please specify:

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SEAN B. SARIGUMBA Jillian Bejoc

Name and Signature Name and Signature
Student Clinical Instructor

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 RUBRICS FOR TASK: “Chart my Progress”

Best Work Good Work Could do better

CRITERIA (20) (14) (8)
Content All details in the given Some details in the given Substantial details in the
(80%) scenario are recorded in scenario are not recorded in given scenario were not
the labor monitoring the labor monitoring record recorded in labor monitoring
record record
Organization All details in the given Some details in the given Substantial details in the

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(20%) scenario are correctly scenario are erroneously given scenario were
recorded recorded erroneously recorded.

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Prepared by:

JILLIAN A. BEJOC, RN, MSN

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Facilitator

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