The document summarizes the labor and delivery of Mrs. A. On February 8th, she presented with labor pains rated an 8/10 and was given relaxation techniques to alleviate the pain, which was reduced to a 3/10. On February 10th, she was experiencing strong regular contractions and was fully dilated. She was prepped for delivery and gave birth to a baby girl at 1:59 AM, with a well contracted uterus and slight vaginal bleeding.
The document summarizes the labor and delivery of Mrs. A. On February 8th, she presented with labor pains rated an 8/10 and was given relaxation techniques to alleviate the pain, which was reduced to a 3/10. On February 10th, she was experiencing strong regular contractions and was fully dilated. She was prepped for delivery and gave birth to a baby girl at 1:59 AM, with a well contracted uterus and slight vaginal bleeding.
The document summarizes the labor and delivery of Mrs. A. On February 8th, she presented with labor pains rated an 8/10 and was given relaxation techniques to alleviate the pain, which was reduced to a 3/10. On February 10th, she was experiencing strong regular contractions and was fully dilated. She was prepped for delivery and gave birth to a baby girl at 1:59 AM, with a well contracted uterus and slight vaginal bleeding.
February 8, 2019 Labor Pain (Acute Pain) D: Complaints of Labor pain,
12:20 PM Patient verbalize “Parang manganganak na yata ako”. Pain scale 8/10, guarding behavior, facial grimacing. 12:26 PM A: Help the patient to take deep breath and relaxation techniques to release tension from the muscle. Keep patient comfortable and safe and position the client into supine lying position to alleviate the pain. And evaluate the client’s assessment of pain R: Client appears relaxed resting between contractions. Client 12:50 PM reports pain was relieved or controlled. Pain scale of 3/10 or below.
• February 10, 2019, Labor and Delivery D: strong regular contractions
1:00 AM observed, profuse perspiration noted, full cervical dilatation. 1:10 AM A: Inducted to delivery room, 1:11 AM Mounted on the delivery table, 1:12 AM Positioned in lithotomy position. Perineal preparation done. Aseptically placed leggings and baby's receiver on mother's abdomen, coached on how to bear down properly 1:59 AM Delivered an alive baby girl 2:20 AM R: With well contracted uterus and slight vaginal bleeding, and proceed with postpartum care
FDAR Nursing Chart
Client’s Data: Name: Mrs. A Birthdate: August 30, 1991 Age: 27 years Chart by: Sy, John Kenneth