Name of student: _______________________________________________

Year/Section: ___________________________________________________

Marisol Cruz, 32 years of age, third pregnancy. She was admitted at 7:00 am on 22 June 2022 with the
complaint of labor pains since 4:00 am. She has two children of the ages of 4 y/o and 1y/o. On admission, her
cervix was 4 cm dilated. Her membrane was intact. The fetal head was in 0 station
Plot the following findings on the partograph:
HOSPITAL NO: 11172206
At 7am: started D5LR 1L, 31gtts/min, left arm as main line
At 08:00 am: • IE was done and the cervix is dilated at 8 cm.
 She had 3 contractions in 10 minutes, each lasting 20–40 seconds.
 The FHR is 120 beats per minute.
 The membranes have ruptured and the amniotic fluid is clear.
 Her BP is 120/70 mmHg.
 Her temperature is 36.8°C.
 Her pulse is 80 per minute.

8:30 am: FHR 120, contractions 3/10 each 30 seconds, pulse 80/minute, amniotic fluid clear
9:00 am: FHR 136, contractions 3/10 each 35 seconds, pulse 80/minute, amniotic fluid clear
9:30 am: FHR 140, contractions 3/10 each 40 seconds, pulse 88/minute, amniotic fluid clear
10:00 am: FHR 130, contractions 3/10 each 40 seconds, pulse 88/minute, amniotic fluid clear
At 10:00 am:
 Cervix fully dilated
 Amniotic fluid clear and BP 100/70 mmHg
10:20 am: Spontaneous birth of a live female infant weighing 2.6 kg.
Name Gravida Para Hospital Number
Name Name Name
Date of Admission Time of Admission Ruptured Membrane Hours

200
190
180
170
160
Fetal
150
Heart 140
Rate 130
120
110
100
90
80

Amniotic fluid
Moulding

10
9
Cervix 8
(cm)
Hours Alert Action
7
Plot X
6
5
4
Descent 3
of Head
(Plot 0) 2
1
0
Hours

Time

4
Contraction
per 10 mins 3

2
 1
Oxytocin U/L
drops/mins

Drugs given
and IV fluids

180

170

160

150

140
130
Pulse •
and 120
BP 110

100

90

80

70
60

Temp ◦ C

Protein
Urine Acetone

Volume
 PARTOGRAPH FORM
PATIENT’S NAME (LAST, FIRST, MIDDLE) DATE OF BIRTH AGE SEX HEIGHT CIVIL STATUS
MALE cm
WEIGHT
FEMALE
kg
ATTENDING PHYSICIAN MRN NATIONALITY ROOM/BED NO.

PIN

10 cm
*Start on the alert line
*Mark “X” for Cervical Dilatation
9 cm
Initial Examination: IF NOT NORMAL REFER.
Normal means Cephalic, Longitudinal, Singleton and > 37 weeks
8 cm
Presentation
7 cm
Lie
6 cm
Number of Fetus
5 cm
AoG
4 cm
*Record Time over the Line Corresponding to cervical dilatation. 1 2 3 4 5 6 7 8 9 10 11 12

FINDINGS:
TIME

Cervical dilatation (cm)

Hours since Ruptured Membranes (Times of the Rupture):

Amniotic Fluid

Vaginal Bleeding (0/+/++)

Fetal descent

Contractions in 10 mins

Fetal Heart Rate (120-160 bpm is in normal )

Temperature

Pulse (beats/minute)

Blood pressure (systolic/diastolic)

Urine Voided (Yes/No)

Delivery of the Newborn (time)

Oxytocin (doses & time given)

Delivery of placenta (time)

Problem (onset/description)

Management

Name and Signature of Nurse-on-duty