Evaluation of labor
OBBody
#Evaluation of labor, term - Reports contractions q***min starting at ***. Denies*** LOF, VB. Endorses*** good fetal movement. She {DESC; REPORTS/DENIES:21568} a history of rapid labor. - SSE {DESC; WITH/WITHOUT:18785} evidence of rupture - Toco {DESC; WITH/WITHOUT:18785} regular contractions - SVE ***/***/*** Option 1:*** - The patient was not having regular contractions (at least every 5-7 minutes) and is dilated < 3cm. She was discharged home with labor precautions.*** Option 2:*** - The patient is having regular contractions and is dilated 2-4 cm. We recommend repeat cervical exam in 1-2 hours to assess cervical change. We encouraged the patient to walk around during this time period.*** Option 3:*** - The patient is having regular contractions and is dilated >5 cm. Plan to admit to L&D.*** # FWB - NST: {reactive/ non reactive/ unknown:24043} - GBS: {status; positive negative unknown:34698}
Yellow *** markers = placeholders you fill in or delete per case.