#1 G1P0 30 y0 40 weeks,came in for labor pains at 10 pm aug15,2018. VS WNL. FH 32 cm….

longitudinal lie, cephalic –vertex presentation, ROT

IE on admission: Cervix -2 cm dilated, 60% effaced, vertex, ROT station -3, intact BOW

8-16-18

2AM: Cervix -3 cm, 70 % effaced, ROT, st -1 intact BOW

5AM: Cervix -4 cm 80%, ROT st-1 intact BOW

8AM: Cervix 6 cm, 80% , ROT, st 0 , intact BOW

10AM: BOW ruptured spontaneously, Cervix 9 cm, 90%,ROA, st +1

11AM: Cervix fully dilated 100% effaced, ROA, st+2, Rupt memb

12 PM: DOA, st +3

12:30 PM – delivered a live Bb girl AS 8,10

12:45 PM – placenta del, Schultz mech

A. Plot the labor curve

B. Label the stages of labor, the phases of labor
C. Duration of Labor? (1st stage, 2nd stage, 3rd stage and Total duration of Labor)
D. Diagnosis

#2 G4P3003 38 yo 39 weeks admitted for hypogastric pains radiating to the lumbosacral area, occurring
every 7-10 min, lasting for 30 sec. admitted at VSMMC at 4 pm Aug 15, 2018.

Vital signs WNL. Fundal height 35 cm; FHR – 150/min

IE : Cervix – 2cm dilated ,50% effaced, vertex, ROP, station -4, intact BOW

4 hrs after admission, repeat IE revealed Cervix 3 cm, 60% effaced ROP station -3

12 midnight (Aug 16) :Cervix - 3 cm, 60% , ROP, station -3, intact BOW

6AM: the same IE findings

10 AM : same IE findings

2 PM: same IE findings; Vital signs WNL; FHR- reassuring

A. Make the Friedman’s curve

B. What is your diagnosis ?
C. What is your plan ?
#3 G2P1001 admitted in active labor, normal vital signs, FH 36 cm, FHR – 144/min

Cervix – 6 cm , 80% effaced, LOT station -1, intact BOW

2hrs after admission, IE revealed: Cervix, 8 cm dilated, 80% , ROT st-1 intact BOW

2 hrs after (4 hrs after admission), cervix -10 cm, 100% effaced, ROT st -0, intact BOW

Amniotomy was done with clear AF.

2 hours after (6 hours after admission)- the same IE findings

A. Make the Friedman’s curve

B. What is your diagnosis
C. What is your management

#4 G1P0 came in for labor pains. She is 41 weeks AOG. On admission the Cervix - 4 cm dilated, 60%
effaced, LOP, station -2 intact BOW.

3 hours after admission: cervix – 5 cm 70% LOT st-2 intact BOW

6 hours from admission: cervix – 6 cm, 80%, LOT station -2 intact BOW

A. Plot the labor curve

B. What is your diagnosis?___________________
C. What should you assess at this time? ______________
(You may ask for addtl information/data )
D. Outline your management

#5 Draw the touch picture

a. LOT
b. DOA
c. ROP
d. LST
e. RMA