LABOR MONITORING RECORD

NAME:____________________________________________ AGE:_________________________________________
DATE OF ADMISSION:______________________________LMP:_________________________________________
EDC:____________________AOG:____________________________ EFW:__________________________________

DATE/TIME INTERNAL EXAMINATION UTERINE CONTRACTION FHT VITAL SIGNS

D E BOW S P D I F INTENSITY RATE LOC BP T CR PR RR

8- HOUR INTAKE AND OUTPUT MONITORING

TIM IVF/RATE INTAKE OUTPUT
E
IVF PO URINE STOOL EMESIS

TOTAL 8-HOUR INTAKE ___________TOTAL 8-HOUR OUTPUT_________

MEDICATIONS

DATE/TIME NAME OF DRUG DOSAGE ROUTE FREQUENCY

ORDERED

STUDENT NURSE: ___________________________________ CI: RODELIZA FAITH GUILLERMO, RN,MN

 LABOR MONITORING RECORD
NAME:____________________________________________ AGE:_________________________________________
DATE OF ADMISSION:______________________________LMP:_________________________________________
EDC:____________________AOG:____________________________ EFW:__________________________________

DATE/TIME INTERNAL EXAMINATION UTERINE CONTRACTION FHT VITAL SIGNS

D E BOW S P D I F INTENSITY RATE LOC BP T CR PR RR

8- HOUR INTAKE AND OUTPUT MONITORING

TIM IVF/RATE INTAKE OUTPUT
E
IVF PO URINE STOOL EMESIS

TOTAL 8-HOUR INTAKE ___________TOTAL 8-HOUR OUTPUT_________

MEDICATIONS

DATE/TIME NAME OF DRUG DOSAGE ROUTE FREQUENCY

ORDERED

STUDENT NURSE: ___________________________________ CI: RODELIZA FAITH GUILLERMO, RN,MN

 LABOR MONITORING RECORD
NAME:____________________________________________ AGE:_________________________________________
DATE OF ADMISSION:______________________________LMP:_________________________________________
EDC:____________________AOG:____________________________ EFW:__________________________________

DATE/TIME INTERNAL EXAMINATION UTERINE CONTRACTION FHT VITAL SIGNS

D E BOW S P D I F INTENSITY RATE LOC BP T CR PR RR

8- HOUR INTAKE AND OUTPUT MONITORING

TIM IVF/RATE INTAKE OUTPUT
E
IVF PO URINE STOOL EMESIS

TOTAL 8-HOUR INTAKE ___________TOTAL 8-HOUR OUTPUT_________

MEDICATIONS

DATE/TIME NAME OF DRUG DOSAGE ROUTE FREQUENCY

ORDERED

STUDENT NURSE: ___________________________________ CI: RODELIZA FAITH GUILLERMO, RN,MN