CENTRO ESCOLAR UNIVERSITY

Malolos, Makati, Mendiola

College of Nursing

BSN LEVEL II Performance Checklist

NCM 103 (RLE) – Partograph Monitoring

Name of Student Score

Year/Section/Group/Number

5 4 3 2 1
1. Identify pregnant client.
2. Explain the procedure to the client.
3. Position client on dorsal recumbent.
4. Monitor during labor
Progress of labor: Cervical dilatation, Contraction pattern
Maternal well being: Pulse, temperature, blood pressure, urine voided
Fetal well being: Fetal heart rate and pattern, Color of amniotic fluid
5. Conditions that does not need the use of partograph
• Antepartum hemorrhage
• Severe pre-eclampsia and eclampsia
• Fetal distress
• Previous cesarean section
• Multiple pregnancy
• Malpresentation
• Very premature baby
• Obvious obstructed labor
6. Recording the findings in the partograph
• Label the record with pertinent patient identifying information.
7. Plotting the progress of labor
• Plot cervical dilatation using the symbol “X”
• Start when woman is in active labor (4 cm or more) and is
contracting adequately (3-4 contractions in 10 minutes)
8. Distinguish normal from abnormal labor pattern
9. If plotting passes alert line …
• Reassess woman and consider criteria for referral.
• Alert transport services.
• Empty bladder.
• Ensure adequate hydration but omit solid foods.
• Encourage upright position and walking if woman wishes.
• Monitor intensively. If referral long, reassess in 2 hours and refer if
no progress.
10. If partograph passes action line,
11. Refer urgently If plotting reaches the action line
12. Other findings to note (and record) during IE
• Status of membranes, write “ I ” if intact
13. If ruptured, note color of amniotic fluid, write
• “ C ” if clear, “ M ” if meconium stained, “ A ” if absent, “ B ”
if bloody
14. Monitor every 4 hours and record the findings
• Blood Pressure, Pulse rate, Temperature, Urine voided
 15. Monitor more frequently and record the findings
• Number of contractions in 10 minute period
• Fetal heart rate in 1 full minute
16. If the pregnant is admitted in latent phase of labor (less than 4 cm
dilated) record only other findings (BP, FHT etc).
17. If she remains in latent phase for next 8 hours (labor is prolonged),
transfer her to hospital.

Remarks:
____________________________________________________________________________________
____________________________________________________________________________________
________________________________________________________________________________

Student’s Signature Clinical Instructor’s Date

Printed Name & Signature