The nurse is preparing to care for a client with hypertonic labor. The nurse is told that the client is experiencing uncoordinated contractions that are erratic in their frequency, duration, and in-tensity
The priority nursing intervention in caring for the client is to: 1. Provide pain relief measures.
2. Promote ambulation every 30 minutes.
3. Prepare the client for an amniotomy.
4. Monitor the oxytocin (Pitocin) infusion closely.
1
Rationale: Management of hypertonic labor depends on the cause. Relief of pain is the primary intervention to promote a normal labor pattern. Therapeutic management for hypotonic uterine dysfunction includes oxytocin augmentation and amniotomy to stimulate a labor that slows. The client with hypertonic uterine dysfunction would not be encouraged to ambulate every 30 minutes but would be encouraged to rest.
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