XAVIER UNIVERSITY

College of Nursing
NCM 107 – PARTOGRAPH

NAME: _____________________________________________ DATE: ___________________________

BLOCK A, B, C, D, E, F MRS. FLORENCE H. BALURAN, RN, MN

LEARNING ACTIVITY
On June 10, 2007, at 8:00 am, Mrs. AMB, a 36 – year old nulliparous, married from Cagayan de
Oro City, came in with chief complaints of labor pains and blood- stained discharge starting at
around 3:00 am. Initial assessment findings are as follows:

• LMP: September 3, 2006

• AOG: 37 weeks
• Intact BOW
• 5 cm cervical dilatation, 50% effaced cervix
• Voided freely 5 times in moderate amount since onset of uterine contractions
• Frequency of contractions: average of 2-3x in 10 minutes
• FHR: 132 bpm
• T – 36.7 C; PR – 86 bpm; BP – 120/80mmHg

At 12:00 noon, subsequent assessment was conducted which revealed the following
observations:

• Leakage of clear, watery discharge noted

• 9 cm cervical dilatation; 100% effaced cervix
• Voided freely once, in moderate amount
• Frequency of contractions: 3 – 4x in 10 minutes
• No changes in maternal vital signs
• FHR: 144 bpm

At 1:00 pm, cervix was fully dilated. Mrs. AMB was ushered to the DR and positioned
comfortably in the delivery bed, perineal preparation done and draped aseptically. At 1:30 pm,
Mrs. AMB delivered spontaneously a healthy baby girl, with APGAR score of 9, 10. Oxytocin 10
“IU” given IM at right deltoid at 1:32 pm. After five minutes, placenta was completely
delivered, Schultze presentation, with intact perineum. Uterine massage done, uterus is firm
and well – contracted.