Page 50 - 2023 Elctronic Book (3) Normal Labor_Neat

• Explain to mothers and other members of the community the

significance of the Partograph

Observations and recordings Charted in the Partograph:

 The progress of labor:

- Cervical dilation

- Descent of the fetal head

- Abdominal palpation of the fifths of head felt
above the pelvic brim

 Uterine contractions

- Frequency per 10 minutes

- Duration by differential shading

 The fetal condition

- Fetal heart rate

- Membranes and liquor

- Molding of the fetal skull

 The maternal condition

- Pulse, blood pressure and temperature

- Urine (volume, protein, acetone)

- Drugs and IV fluids

- Oxytocin regime.
 Nursing Diagnosis

• Alteration in comfort: acute pain related to uterine contraction.

• Anxiety related to impending labor and delivery.
• Alteration in tissue perfusion. Placental perfusion to the
• fetus decreases due to supine position.

• Fluid volume deficit related to decreased fluid intake.
• Sleep pattern disturbances related to labor process.

• Knowledge deficit related to process of labor, appropriate relaxation techniques,
and hospital procedures.

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