Your patient is a 28-year-old gravida 2 para 1 in active labor. She has been in labor for 12 hours. Upon further assessment, the nurse determines that she is experiencing a hypotonic labor pattern
Possible maternal and fetal implications from hypotonic labor patterns are:
a. Intrauterine infection and maternal exhaustion with fetal distress usually occurring early in labor.
b. Intrauterine infection and maternal exhaustion with fetal distress usually occurring late in labor.
c. Intrauterine infection and postpartum hemorrhage with fetal distress early in labor.
d. Intrauterine infection and ruptured uterus and fetal death.
ANS: b
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a. The risk of hypotonic labor occurs later in labor.
b. Hypotonic labor patterns increase risk for infection and maternal exhaustion, with fetal distress occurring late in labor as hypotonic patterns prolong labor.
c. There is not an increased risk of postpartum hemorrhage or fetal distress in early labor.
d. Hypotonic patterns do not result in rupture of the uterus.
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