SALAZAR COLLEGES OF SCIENCE AND INSTITUTE OF TECHNOLOGY

211 N. BACALSO AVENUE, CEBU CITY

COLLEGE OF NURSING

LABOR WATCH
Name of Patient: ___________________________ Age: _____ Case Number:_________

Time of Contractions

Effacement
Frequency

Dilatation
Intensity
Duration

Interval

BOW
FHR
Time Time
Started Ended

____________________________________ ____________________________________
D.R. Supervisor Nurse-On-Duty

____________________________________ ____________________________________
Name of Student Clinical Instructor
 SALAZAR COLLEGES OF SCIENCE AND INSTITUTE OF TECHNOLOGY
211 N. BACALSO AVENUE, CEBU CITY
COLLEGE OF NURSING

ASSISTED CASES
Assisted Case No.: ____________
MOTHER INFANT
Name Name
Age Gender
Address Date of Delivery
Hospital Time of Delivery
Case Number Case Number
OB Scoring: Measurements:
G Height
P Weight
T Head Circumference
P Chest Circumference
A Mid-Arm Circumference
L 1 min 5 mins 10 mins
APGAR
Time of Delivery of Placenta
Type of Placenta Ballard Score
LMP Crede’s Prophylaxis
EDC Handled by
AOG Assisted by
Diagnosis: Physician

Type of Delivery
Physician
Evaluated by:

______________________________________________________
Name and Signature
LR/DR Nurse Supervisor

___________________________________ ___________________________________
Name and Signature Name and Signature
Nurse-On-Duty Clinical Instructor

__________________________________________
Name and Signature
Student Nurse