A pregnant patient in labor is having contractions 2 minutes apart but rarely over 50 mmHg in strength; the resting tone is high, 20 to 25 mmHg. The patient asks what can be done to make contractions more effective
What should the nurse respond to the patient? A) Rest because contractions are hypertonic.
B) Receive oxytocin to strengthen contractions.
C) Hypotonic contractions of this kind will strengthen by themselves.
D) Walking around will make the contractions more regular.
A
Feedback:
A danger of hypertonic contractions is that the lack of relaxation between contractions may not allow optimal uterine artery filling; this can lead to fetal anoxia early in the latent phase of labor. The best intervention is to encourage the patient to rest between contractions. Oxytocin will not help strengthen hypertonic contractions. Walking will not help make the contractions more regular. These are hypertonic and not hypotonic contractions.
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