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Labor Assessment: First Stage Analysis

Maria is in the first stage of labor, specifically the latent (preparatory) phase. She is 40 weeks pregnant with an expected date of confinement of October 8, 2020. The nurse's assessment found Maria to be 4 cm dilated with a fetal head palpable above the symphysis pubis. Vital signs were normal. The nurse will monitor Maria's vital signs, fluid intake and output, and fetal heart rate hourly to ensure normal progress of labor.

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Angela Mae Diestro
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10 views1 page

Labor Assessment: First Stage Analysis

Maria is in the first stage of labor, specifically the latent (preparatory) phase. She is 40 weeks pregnant with an expected date of confinement of October 8, 2020. The nurse's assessment found Maria to be 4 cm dilated with a fetal head palpable above the symphysis pubis. Vital signs were normal. The nurse will monitor Maria's vital signs, fluid intake and output, and fetal heart rate hourly to ensure normal progress of labor.

Uploaded by

Angela Mae Diestro
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Name: DIESTRO, ANGELA MAE BSN 2B

A. After your assessment of the patient, at what stage of labor is Maria? Support your answer.

- Maria is in the first stage of labor which is the latent (Preparatory) phase. The patient is G1PO at
40 weeks of gestation with no known factors was admitted to the labor and delivery unit on
labor at 4-5 minutes of contraction with the chief complaint of labor pain since 4am. The patient
is in the first stage of labor because after several hours there is no progress of cervical dilatation.

B. Compute the expected date of confinement of Maria (EDC)

- The expected date of confinement of Maria is October 8, 2020

C. ANSWER THE FOLLOWING QUESTION:


Q: What is your diagnosis?

- First stage of labor which is the latent phase, fetal descent 5/5 fetal head palpable above the
symphysis pubis, cervix is 4cm dilated, frequency: 2 contractions in 10 minutes, duration: less
than 20 seconds, fetal heart rate- 140, membrane intact, no history of drug allergy, diabetes,
hypertension, coronary artery and heredofamilial disease. Vital signs checked. BP-100/70mmHg,
T- 36.2 C, PR-80, RR-22.

Q: what action will you take?

- I will monitor the vital signs, the fluid volume and the urine output of my patient to ensure that

there is no fluid overload, I will also observe the reflexes and fetal heart rate hourly and record

the time, frequency, intensity and the duration, I will also ensure the comfort of my patient.

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