CANOSSA COLLEGE 

  College of Nursing

A Self Learning Module on Related Learning Experience

Focus: Care of Mother, Child, Adolescent, Well Clients

MODULE 6 (Partograph)

Course Code: NCM 107

Level Offering: 1st Semester, AY 2021-2022
Clinical Area of Assignment: Labor Room and Delivery Room/Lying-In Clinic
Date: November 18-19,2021, 2:00 pm–9:00 pm (Thursday, Friday, Saturday)

Module Overview:
 
This module is designed to develop your competencies regarding intrapartum care. You
will be designated in Labor Room and Delivery Room/Lying-In Clinic and be assigned in
giving health teaching and nursing care that focuses on the components and process of
labor and delivery of the pregnant mother and her family. 

In addition, the character of being a Canossian Nightingale must be developed in

delivering health care to establish a compassionate environment by providing
emotional, psychological, and spiritual support to pregnant mother and her family. 
Also, the application of nursing process to plan and provide care throughout the
stages of labor is explored.

Further, this module should not substitute the actual learning experience, however,
due to Covid pandemic, this is provided to create continuous learning and meet your
learning needs.

Desired Learning Outcome: at the end of a 7-hour virtual learning exposure, you are
expected to:

1. Utilize the nursing process

2. Perform a holistic assessment based on the scenario given
3. Apply bioethical moral principles, core values and standards of patient care
4. Document the care rendered
Learning Task 1: Preliminary questions: 

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 _______, 2021 thru Google Classroom.
You’re on your way!
Part 1 
Answer the following:
1. A tool to help in management of labor What is partograph?
2. 110-160bpm What is the normal fetal heart rate?
3. Progress of labor What are the 3 major parts of the partograph? (numbers 3-5)
4. Maternal well being
5. Fetal well being
6. 12 weeks aog What time you need to check the FHT?
7. Every 4 hours or more frequently as indicated What time will you assess the
blood pressure of the pregnant woman?
8. °C Nurse Yvonne is about to plot the temperature of patient Lizaneth. What
symbol should Nurse Lizaneth will use?
9. Active phase When should the nurse starts using partograph?
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. The symbol to be used in plotting the cervical dilatation is X.
16. Latent Phase Enumerate the 3 phases of cervical dilatation (numbers 16-18)
17. Active Phase
18. Transitional Phase
19. Relation presenting part to the ischial spine denoted in centimeters What is
the meaning of the “station”?
20. Softening and thinning of cervical canal 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. _B to C_ 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. Interval Using the diagram, what B to C means?

4. Duration 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.

1. Frequency: 8 minutes
2. Interval: 7 minutes and 30seconds
3. Duration: 30 seconds