oriented to time, place and person. Well conscious, co-operative, slightly anxiety
and fear, pallor and anemic.
Pulse : 106b/min
Respiration : 24/min
Temperature : 37 degree celcius
Weight : 42kg
Height : 5 feet
mother has gain average weight with respect to height.
clear and wear clean cloths.
dry and smooth hair, no lice, no extra growth.
shape, no swollen glands, no valve discharge.
discharge, no swollen, normal vision, normal eye movement.
lips, moist, no cracks.
no dehydration, moist.
swelling and no bleeding.
pale, no redness, no any liaison.
visible and palpable.
shape and size of the chest, no shortness of breath, no any abnormal sound,
heart beat regular and normal.
breast are symmetrical in shape and size. No lump found.
and size normal, full range of motion, Edema + in ankle.
Ovoid shape, small in
size, no any scar, linea nigra present, no any visible dilated veins.
Fundal palpation: Fundal height is
small then gestation.
Pelvic palpation: On pelvic palpation
head is floating.
Pelvic grip palpation: The head is floating.
On auscultation FHS is
heard regular and 138bpm.
swelling, no redness, no any infection.
Motor and sensory reflex – good.
Corneal reflex – positive.
Biceps reflex – positive.
Triceps reflex – present.
Brachio-radial reflex – both forearm
Knee-jerk reflex – present.
Planter reflex – present.
Ankle reflex – present.