The Partograph

Question 1

Is a graphic representation of the progression of labor , condition of the mother and fetus and intervene in cases of abnormal labor.
Known as a “gold standard “recommended tool in monitoring active labor universally.

Answer 1

Partograph/ Partogram

Question 2

It also serve as a one-page visual summary of the relevant details of labor.
Prevents prolonged labor, reduces operative intervention, and improves neonatal outcome.

Answer 2

Partograph/ Partogram

Question 3

COMPONENT OF PARTOGRAPH

Answer 3

-Mother infrmation
-Fetal Well-being
-labour progress
-medication
-maternal well being

Question 4

I. PATIENT INDENTIFICATION:

Answer 4

Name: Gravida: Para: Hospital No.
Date of Admission Time of Admission:
Ruptured Membrane: Hours:

Question 5

for spontaneous: is the time of admission in the labor ward
: for induced labor is the time of induction (prostaglandin, oxytocin, ROM)

Answer 5

0 time:

Question 6

Fetal Well Being:

Answer 6

record fetal heart rate for 1 minute every 15-30 minutes afteracontraction in the first stage, every 5 minutes in the second stage. If abnormalitiesarenoted, urgently delivery can be considered.

Question 7

“R” ruptured
“I” intact
“I” intact

Answer 7

State of Membrane

Question 8

C” clear
“M” meconium stained
“B” black stained

Answer 8

Color of liquor

Question 9

“R”
“I”
“I”

Answer 9

“R” ruptured
“I” intact
“I” intact

Question 10

“C”
“M”
“B”

Answer 10

“C” clear
“M” meconium stained
“B” black stained

Question 11

IV. State of Membrane and color of Liquor

Answer 11

“R” ruptured
“I” intact
“I” intact
“C” clear
“M” meconium stained
“B” black stained

Question 12

Suture lines are separate

Answer 12

0

Question 13

Suture lines meet

Answer 13

+1

Question 14

-Suture lines overlap but can be reduced by gentle digital pressure

Answer 14

+2

Question 15

+3

Answer 15

• Overlap, irreducible

Question 16

Station of the Fetal Head
-4 or -3
Corresponding mark on the partograph
___

Answer 16

5

Question 17

Station of the Fetal Head
-2 or -1
Corresponding mark on the partograph
___

Answer 17

4

Question 18

Station of the Fetal Head
0
Corresponding mark on the partograph
___

Answer 18

3

Question 19

Station of the Fetal Head
+1
Corresponding mark on the partograph
___

Answer 19

2

Question 20

Station of the Fetal Head
+2
Corresponding mark on the partograph
___

Answer 20

1

Question 21

Station of the Fetal Head
+3
Corresponding mark on the partograph
___

Answer 21

0

Question 22

Should be recorded every 30 minutes.
Eachsquare represents one contraction, so if 2 contractions are felt in 10 minutes sho should shade2 squares.

Answer 22

Uterine contractions

Question 23

NOISE SHADE

Answer 23

<20s

Question 24

line shade

Answer 24

20-40s

Question 25

black shade

Answer 25

>40 s

Question 26

Assessment of the Maternal wellbeing

Answer 26

Assessment of the Maternal wellbeing

Question 27

help healthcare provider in determining abnormal progress of labor, fetal distress and signs of maternal distress.

Answer 27

Partograph

Question 28

It us to record maternal identification, FHR, Amniotic fluid color, moulding of the fetal skull, cervical dilatation, fetal descent,, uterine contractions, medications given, urine output and maternal vital signs.

Answer 28

Partograph

Question 29

Start recording in the partograph when labor is in

Answer 29

active first stage (4 cm orabove).

Question 30

are used to assess the progress of labor.

Answer 30

Cervical dilatation, descent of the head and uterine contractions

Question 31

1 cm/ hour cervical dilatation and 1 cm descent of head  in four hours indicate 

Answer 31

good progress of active labour.

Question 32

FHR and uterine contractions should be monitor every .

Answer 32

30 minutes

Question 33

Assess cervical dilatation, fetal descent and color of amniotic fluid (if ruptured)and the degree of moulding

Answer 33

every 4 hours

Question 34

Do ___ immediately if the membranes is ruptured and a gush of amniotic fluid comes out while the mother is in any stage of labor.

Answer 34

IE

Question 35

Refer patient to the hospital or center if the 

Answer 35

cervical dilatation mark crosses the alert line on the partograph.

Question 36

When you identify __ moulding in descent of the head with poor progress of labor, this indicates obstruction, so refer the mother urgently.

Answer 36

+3

Question 37

is indication of fetal distress  therefore mother needs to refer immediately to hospital unless the labor is progressing too fast.

Answer 37

FHR less than 120 and more than 160 beats per minute within 10 minutes or more

Question 38

Even the FHR is within normal range, refer if you found out that the amniotic fluid ____.

Answer 38

stained or thick with meconium unless the labor is progressing too fast,