RLE Activity 1 (Partograph)

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Name: De Guzman, Cameron Josh B.

Section: 2BSN-A
RLENCM107

RLE Activity 1: Nursing Care of a Family During Labor and Birth (Partograph)
Instructions:

1. All questions apply to this activity pertains to the concepts and theories discussed. Your responses
should be detailed and direct to the point. When asked to provide several answers, list them in order
of priority or significance.
2. Please submit on or before _______, 2020 thru MS Teams and or to the designated place in your
barangay, and to be collected by PNC personnel.
You’re on your way!
Part 1
Answer the following:
1. What is partograph?
The partograph (Greek word that means labor curve) is an inexpensive, effective, and pragmatic
tool which presents a graphical depiction of labor “curve”, and which can be used to assess labor
and its process. It evaluates the progress of labor primarily in terms of cervical dilatation in
centimeters against duration of labor in hours, and to identify when management or intervention is
necessary
2. 120- 160bpm What is the normal fetal heart rate?
3. Progress of Labor What are the 3 major parts of the partograph? (numbers 3-5)
4. Fetal Condition
5. Maternal Condition
6. Every 30 minutes What time you need to check the FHT?
7. Record every 4 hours pr more frequently as indicated_ What time will you assess the blood
pressure of the pregnant woman?
8. °F or °C Nurse Yvonne is about to plot the temperature patient Lizaneth. What
symbol that she will use?

9. When should the nurse starts using partograph?


A partograph should be started when a woman is in active labor cervix dilated 4 cm or
more and uterine contractions of two or more in 10 minutes each lasting 20 secs or more
10. Antepartum Hemorrhage List down at least 5 reasons not to use partograph (numbers 10-14).
11. Severe pre-eclampsia and eclampsia
12. Fetal distress
13. Previous cesarean section
14. Multiple pregnancy
15. X The symbol to be used in plotting the cervical dilatation is X
16. Latent Phase: 0-3 cm Enumerate the 3 phases of cervical dilatation (numbers 16-18)
17. Active Phase: 4-7 cm
18. Transition Phase: 8-10 cm
19. It is the relationship of the presenting part to the ischial spine denoted in centimeters What is the
meaning of “station”?

20. It is the softening and thinning of cervical canal denoted in percentage Describe effacement
Part 2

Scenario: The uterine contraction is primary power in labor. As labor progresses, its duration and intensity
increase while its interval decreases.

1. A to D Given the following diagram, which correctly represents the interval period from
the beginning of increment to the end of the decrement of the same contraction?

2. Frequency Using the diagram above, what A to C means?

3. Period of Relaxation Using the diagram, what B to C means?

4. Contraction Using the diagram above, what A to B means?

Clinical Case:

Coleen, G5P4 is admitted to the labor unit and is active labor. Her cervix is 6 cm open, 75%
effaced, presentation: cephalic; bag of waters intact (BOW +) and station 0.
In monitoring her labor, you noted that the uterus contracted at 8 o’clock in the morning. This
contraction was mild-moderate in intensity and lasted 30 seconds. At 8:08 am, another contraction started
with mild-moderate intensity lasting for 30 seconds again.

Identify the characteristics of Coleen’s contractions.

5. Frequency: 8 minutes and 30 seconds


6. Interval: 8 minutes
7. Duration: 30 seconds

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