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RLE Activity 2 Monitoring Active Labor Using PARTOGRAPH

This document contains two clinical cases documenting the monitoring of active labor using a WHO partograph form. For Case 1, Angel Locsin was admitted at 3PM dilated at 4cm. By 7PM she was 6cm dilated with normal vital signs. For Case 2, Mary Eloize Ayala was admitted at 10AM at 4cm dilation. By 2PM she was 6cm dilated and her membranes were ruptured. At 6PM she was 8cm dilated with thick meconium-stained amniotic fluid and a decreased fetal heart rate.

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Cameron De Guzman
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227 views

RLE Activity 2 Monitoring Active Labor Using PARTOGRAPH

This document contains two clinical cases documenting the monitoring of active labor using a WHO partograph form. For Case 1, Angel Locsin was admitted at 3PM dilated at 4cm. By 7PM she was 6cm dilated with normal vital signs. For Case 2, Mary Eloize Ayala was admitted at 10AM at 4cm dilation. By 2PM she was 6cm dilated and her membranes were ruptured. At 6PM she was 8cm dilated with thick meconium-stained amniotic fluid and a decreased fetal heart rate.

Uploaded by

Cameron De Guzman
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Name: De Guzman, Cameron Josh Section: 2BSN-A

RLE Activity 2: Monitoring Active Labor Using the WHO Form


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.
Keep going.
Use the 2 Partograph Forms for monitoring active labor.
Clinical Case 1

Angel Locsin was admitted, at 3:00 pm this morning, internal examination, or vaginal examination (IE)
showed 4 cm dilated cervix, cephalic, intact membrane. She had w contractions in 10 minutes each lasting
20 seconds. Fetal head 4/5 palpable and the bones were separated, and the sutures can be felt easily. BP
120/80 mmHg, PR 90 bpm, T 36.7°C, and FHT 130 bpm.

At 7:00 pm, the membrane was still intact, IE showed 6 cm dilated cervix. She had 2 contractions in 10
minutes each lasting 20 second, the fetal head 4/5 palpable and the bones were separated, and the suture
can be easily palpated. BP 120/80 mmHg, PR 87 bpm, T 36.8°C and FHT 140 bpm.

Patient Name: ANGEL LOCSIN

Time of Admission: 3:00pm

X
3PM 7PM

O O
I I
2 contractions in 10 min; 20sec each
130 bpm 140 bpm

36.7° 36.8°
90bpm 87bpm
120/80 120/80
4cm 6cm
ANGEL LOCSIN
3:00pm

4/5 4/5

. .

I I
O O

3PM 7PM

. .
36.7° 36.8°
Clinical Case 2

Mary Eloize Ayala, G4P3 was admitted in active labor at 10:00 am. IE showed cervix 4 cm dilated, cephalic
and with bag of water (BOW). BP 120/70, PR 89 bpm. T 36.9°C, FHT 150 bpm. She had 3 contractions in
10 minutes each lasting 20-40 seconds. The Fetal bones are separated; sutures can be felt easily.

After 4 hours, cervix dilated 6 cm at the right of alert line. Three contraction in 10 minutes each lasting 20-
40 seconds. Artificial rupture of membrane (amniotomy), clear amniotic fluid (AF). The bones are just touching
each other. Vital signs the same. FHT 130 bpm.

At 6:00 pm, IE done showed 8 cm, negative BOW, amniotic fluid draining is with thick meconium. FHR 92
bpm. Four contractions in 10 minutes each lasting more than 40 seconds. The bones are overlapping
severely.

Patient Name: MARY ELOIZE AYALA

Gravida: 4 X
Para: 3

Time of Admission: 10:00am


X
Time of Ruptured Membranes:
2:00pm via Amniotomy

X
10AM 2PM 6PM

O + +++
I C M

150 bpm 130 bpm 92 bpm

36.9° 36.9°
89 bpm 89 bpm
120/70 120/70
89 bpm
4cm 6cm
89 bpm 8cm
MARY ELOIZE AYALA 4 3

10:00 AM

.
.
.
I C M
O + +++

10AM 2PM 6PM

. .
36.9° 36.9°

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