DAVAO DEL SUR PROVINCIAL HOSPITAL

“PHILHEALTH ACCREDITED”
Lapu-Lapu Street, Digos City

Name: Gomez Pia ________________________________________ Age: 25_____ Ward: _OB WARD__

Address:____Poblacion, Matanao, Davao del Sur Case No.:__2___________

NURSES NOTES

Date and Time Focus D.A.R

08/23/21 Labor pain related to cervical Data:
dilation The patient reported increased frequency, duration
and intensity.
-Grimaced face noted
-Bag of water ruptured, reported
-Vs :
4pm
BP- 120/80 110/70
HR- 100Bpm 93Bpm
RR- 24Cpm 22Cpm
Temp- 37.9c 37.2c
FHT- 148 Bpm

Action:
-Monitored the vital signs of the mother and the heart
rate of the baby
-Communicated with the doctor to provide timely and
accurate information
-Assisted the doctor in inducing labor by
administering Pitocin & Cytotec.
-Monitored the potential danger in complication of
medication during the labor and delivery.

Response:
-The patient delivered the baby healthy and
normally.
-The patient now rates the 0/10 – 7/10 pain scale.
-Patient demonstrate the skill of relaxation
-The patient breath at the normal depth.