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1. G1P1 (1001) PU
CEPHALIC DELIVERED
TO AN ALIVE BABY BOY
TEAM GENEROSITY — B
Canossa College San Pablo City Inc.
Delivery Room

2. Normal spontaneous delivery in the Philippines is generally
considered safe for most pregnancies and offers
advantages such as a shorter recovery time, less risk of
infection, and a reduced likelihood of certain
complications.
A vaginal delivery, also known as a normal delivery or a
spontaneous delivery, is a natural
birthing process in which the baby is born through the
mother's birth canal. It is the most common and
preferred method for childbirth, as it offers numerous
benefits for both the mother and the baby.
DEFINITION

3. ANATOMY AND PHYSIOLOGY

4. PATHOPHYSIOLOGY
Fertilization
Fertilized egg descend to the uterus
First Trimester
Implantation
Embryo becomes a blastocyst
Begins process of implantation
Respiratory System
Changes
Renal System
Changes
Gastrointestinal
System Changes
Cardiovascular
System
Dyspnea
Nocturia &
Urinary
Frequency
Nausea,
Heartburn,
Constipation and
Flatulence
Blood Volume
and Clotting
factors
increases.
Heart rate,
cardiac output
increases and
heart enlarges
Cardiovascular
System
Integumentary
System Changes
Reproductive
System Changes
Second Trimester
Cardiovascular
System
Renal System
Changes
Reproductive
System Changes
Endocrine
System Changes
Uterus Touches
Xiphoid Process
Third Trimester
Chadwick’s
Sign Blood Pressure
increases
Melasma, Striae
Gravidarum,
Linea Nigra
Braxton
Hicks
Contractions
Palpable
uterus at the
level of
umbilicus
(20-22 weeks)
Increased
Vascular
Permeability and
reduced
vasodilation
Vasospasm
Endothelial
Dysfunction
Decreased
renal blood
flow leads to
impaired
excretion of
waste
products
Human
placental
lactogen (hPL),
Progesterone,
and Cortisol
production
increases
Insulin
Resistance
Insufficient
insulin
production by
the pancreas
PREGNANCY INDUCED
HYPERTENSION
GESTATIONAL
DIABETES
Reproductive
System Changes
Goodell’s
Sign
Amenorrhea
First Stage: Cervical
Dilation
Regular uterine contractions
with increased frequency
Mucus plug
expelled (show)
Pain at the lower back and
abdomen
Softening and Ripening of Cervix
Rupture of Membrane (6am)
Start of Contractions
Latent Phase: 2- 3cm dilation
Active Phase: 4-5cm at the ER
(7:49am)
Transition Phase: 8-9cm
(9:30am) at the DR
Second Phase: Delivery of the
Baby
Hormonal Changes
Fluid
Retention
Labor
Pathophysiology
Stages of Labor
Trimester of Pregnancy
Final Diagnosis
Signs of Pregnancy
Signs of Placental
Delivery
Surgical Procedure
Blood
Pressure of
160/110mmhg
Headache and
Dizziness
Edema
OGTT of
200.87 mg/dl
Signs and Symptoms
GDM:
Advanced Maternal Age
Family History of Diabetes
Multiparity
Ethnicity: Asian
PIH:
Maternal Age
Primiparity
Family History of HTN
GDM:
Physical Inactivity
Dietary Habits
Obesity
PIH:
Obesity
Diabetes Mellitus
Lifestyle Factors
NON-MODIFIABLE RISK FACTORS
MODIFIABLE RISK FACTORS
Disease Diagnosed
during Pregnancy
Non-Modifiable Risk
Factors
Modifiable Risk
Factors
Endocrine
System Changes
Estrogen,
progesterone,
hCG, hPL, and
prostaglandin
produced by
placenta
FSH and LH
production
halted by
Pituitary
Gland
Darkened
Areola and
Montgomery
Tubercle
Musculoskeletal
System Changes
Lumbar Lordosis

5. PATHOPHYSIOLOGY
Cardinal Movements of Labor Right Mediolateral Episiotomy
Delivery of the Baby (9:50am)
Third Stage: Delivery of the Placenta
Sudden Gush of BloodLengthening of the umbilical cord Globular shape of the abdomen
Placental Delivery (Shiny Schultz)
Episiorraphy
Fourth Stage: Recovery Stage
G1P1 (1001) PU CEPHALIC
DELIVERED TO AN ALIVE
BABY BOY

6. COMPONENTS
OF NURSING
HEALTH
HISTORY
Biographic Data: A female patient named
V.C.M, 24 years old, lives in Brgy.
Santiago 1, San Pablo City, Laguna
Date of Admission: She was admitted on
November 20, 2024, at exactly 9:30 AM via
direct admission from E.R
Date of Discharge: She was discharged on
November 21, 2024
Admitting Diagnosis:
G1 P0 PU 37 2/7 weeks, AOG CIL
Final Diagnosis:
G1 P1 PU Cephalic Delivered to an Alive
Baby Boy

7. MATERNAL
HISTORY

8. MATERNAL
HISTORY
July

9. GORDON’S FUNCTIONAL PATTERN
HEALTH PERCEPTION AND HEALTH
MANAGEMENT
Readiness for Enhanced Self-Management
related to demonstration of knowledge regarding
postpartum care as evidenced by adherence to
prescribed health intervention.
Readiness for enhanced parenting related to the
expressed excitement of parenthood as
evidenced by recognition of responsibilities for
her baby.
NUTRITIONAL — METABOLIC PATTERN
ACTIVITY AND EXERCISE
COGNITION AND PERCEPTION PATTERN
SLEEP AND REST PATTERN
ELIMINATION PATTERN
Readiness for enhanced nutrition related to
willingness to adopt health-promoting
nutritional habits
Acute Pain related to impaired tissue integrity
as evidenced by pain during defecation.
Decreased activity tolerance
Labor Pain related to uterine contractions and
cervical dilation as evidenced by verbal
complaints of severe pain and grimacing.
Disturbed sleep pattern related to noisy
environment as evidenced by verbalization of
difficulty sleeping and not feeling rested.
ROLES AND RELATIONSHIP PATTERN:
COPING AND STRESS PATTERN
Readiness for enhanced coping

10. PHYSICAL
ASSESSMENT
Skin1.
Has tattoo on the left inferior clavicle
Has striae throughout the abdomen and inner
thigh.
Peripheral edema 2+
2. Nose and Sinuses
Nasal flaring with each contraction
3. Thorax and Lungs
•Rapid breathing when contractions occur
(26bpm)
4. Heart and Central Vessels
10 am HR: 101
5. Peripheral and Vascular System
Edema Grade 2+ Bilateral

11. LABORATORY

12. LABORATORY

13. LABORATORY

14. LABORATORY

15. ASSESSMENT AND DIAGNOSTIC
FINDINGS

16. VITAL SIGNS

17. COURSE IN THE D.R

18. Drug
Study
Oxytocin
Lidocaine HCL
Mefenamic Acid
co-amoxiclav
Ferrous Sulfate

19. NURSING CARE
PLAN #1
Labor Pain related to uterine contractions
and cervical dilation as evidenced by
verbal complaints of severe pain and
grimacing.
Domain 12: Comfort • Class 1: Physical
Comfort • Diagnosis Code 00256

20. NURSING CARE
PLAN #2
Risk for Excessive Bleeding
Domain 11: Safety/protection • Class 2:
Physical injury • Diagnosis Code 00374

21. NURSING CARE
PLAN #3
Risk for surgical site infection
Domain 11: Safety/protection • Class 1:
Infection • Diagnosis Code 00266

22. THEORY
APPLICATION
Ramona Mercer’s Maternal Role Attainment
Ernestine Wiedenbach

23. HEALTH EDUCATION AND DISCHARGE PLAN

24. HEALTH EDUCATION AND DISCHARGE PLAN

25. HEALTH EDUCATION AND DISCHARGE PLAN

26. HEALTH EDUCATION AND DISCHARGE PLAN

27. HEALTH EDUCATION AND DISCHARGE PLAN

28. HEALTH EDUCATION AND DISCHARGE PLAN

29. THANK YOU