FDAR
DATE & TIME FOCUS DATA, ACTION & RESPONSE
D> Received client, conscious and oriented to time,
person, and place with grimaced face noted; kept on
massaging her back; strong regular contractions
observed; profuse perspiration noted; full cervical
dilatation and effacement noted; increased respirations
noted; vital signs: T=37.6˚C, PR=84bpm,
BP=120/80mmHg, RR=25cpm.--------------------------------
A>Ushered to delivery room, mounted on the delivery
November 23, 2020 table, positioned in lithotomy position, perineal
Safe Delivery
12:30 pm preparation done, aseptically placed leggings and
baby’s receiver on mother’s abdomen, coached mother
on how to bear down properly, supported perineum
properly.-------------------------------------------------------------
R>with well contracted uterus and slight vaginal
bleeding, still for continuous postpartum care.-------------
GWYNETH KIM DEGAMO
CNU-CN Batch 2023