Ocean County College School of Nursing
Student Labor and Delivery Observation - Student name:
Initial student observation: stage/ phase of labor or c-sect Concluding student observation stage/ phase of labor or c-
sect
Pt initials Pt age Allergies Date of Care
Prenatal Care? Gravida/Para TPAL Gestation
Medical History/OB History/Risk Factors
Maternal Assessment on admission (locate information in chart if pt admitted prior to clinical)
Time mother reports labor began (vaginal only) Time of admission to labor unit
Cervical dilation (cm) Cervical effacement (%)
Fetal presentation Fetal position Station
Membranes (intact or ruptured) SROM time Amniotic fluid color
Labor stage & phase on adm Support person?
First Stage of Labor (if applicable document for vaginal delivery. For Scheduled C-Sections skip to next section)
Progression of cervical dilation during clinical (cm) Progression of cervical effacement (%)
Membranes ruptured SROM AROM ROM time Amniotic fluid color
VS: Time(s): T P R B/P sPO2 pain FHR
Progression of contractions Frequency Duration Intensity
Time(s):
Scheduled Cesarean Sections and Vaginal Deliveries:
FHM? External or internal
Decelerations? Deceleration Treatment:
Maternal: Diet IVF & site Foley
Maternal activity/safety issues
1
This study source was downloaded by 100000900706475 from CourseHero.com on 10-07-2025 22:25:32 GMT -05:00
https://www.coursehero.com/file/251942600/StudentLaborandDeliveryFormdocx/
Student Labor and Delivery Observation - Student name:
Initial student observation: stage/ phase of labor or c-sect Concluding student observation stage/ phase of labor or c-
sect
Pt initials Pt age Allergies Date of Care
Prenatal Care? Gravida/Para TPAL Gestation
Medical History/OB History/Risk Factors
Maternal Assessment on admission (locate information in chart if pt admitted prior to clinical)
Time mother reports labor began (vaginal only) Time of admission to labor unit
Cervical dilation (cm) Cervical effacement (%)
Fetal presentation Fetal position Station
Membranes (intact or ruptured) SROM time Amniotic fluid color
Labor stage & phase on adm Support person?
First Stage of Labor (if applicable document for vaginal delivery. For Scheduled C-Sections skip to next section)
Progression of cervical dilation during clinical (cm) Progression of cervical effacement (%)
Membranes ruptured SROM AROM ROM time Amniotic fluid color
VS: Time(s): T P R B/P sPO2 pain FHR
Progression of contractions Frequency Duration Intensity
Time(s):
Scheduled Cesarean Sections and Vaginal Deliveries:
FHM? External or internal
Decelerations? Deceleration Treatment:
Maternal: Diet IVF & site Foley
Maternal activity/safety issues
1
This study source was downloaded by 100000900706475 from CourseHero.com on 10-07-2025 22:25:32 GMT -05:00
https://www.coursehero.com/file/251942600/StudentLaborandDeliveryFormdocx/
