Cebu Normal University
College of Nursing
                              MONITORING PROGRESS OF LABOR
 Labor Watch #                             1              Date                                Fundal Height:
                                                                                                               cm
 Name of Patient (Initial)                                LMP
 Age                                                      OB Score
 Hospital Registration No.                                EDC
 Diagnosis                                                              Name of Physician
                     Time of                                 Characteristic                              Fetal
  Date             Contraction Duration        Frequency          of          Effacement    Dilation   Heartbeat
                   s                                         Contractions
Physiologic Responses (Mother)
        Vital Signs:
                 BP ____________________ mmHg                                T _________________0C
                 PR _____________________ bpm                         RR _________________cpm
         Genito-Urinary: [ ] voided freely            [ ] dysuria                [ ] oliguria   [ ] anuria
                           [ ] catheterized, described the output: ____________________________________
                               ______________________________________________________________
         Musculoskeletal: [ ] bipedal edema                    [ ] Homan’s sign                       [ ]
deformities
         Neurologic:       [ ] seizures               [ ] oriented to person, place, time
         Fluid & Electrolytes: with IVF? [ ] Yes, please specify using matrix below           [ ] No
  IVF #                IV Fluid                    Rate           Level (in mL)            Medication Added
        Gastrointestinal: [ ] normal bowel movement                   [ ] constipated          [ ] watery stool
                          [ ] hemorrhoids                   [ ] others, please specify: ____________________
Psychological Responses (Mother)
        [ ] Fatigue                       [ ] Uncooperative
        [ ] Cooperative                   [ ] Anxious
        [ ] Fear of the Unknown           [ ] Others, please specify:
_____________________________________
_____________________________________                                 ___________________________________
             Name and Signature                                                          Name and Signature
                (Student)                                                       (Clinical Instructor)
                                   ___________________________________
Name and Signature
 (Nurse on Duty)