The characteristics of hypertonic uterine dysfunction include:
a. Weak, coordinated, and infrequent contractions
b. Rapid cervical dilation and effacement
c. Painful, frequent, and uncoordinated contractions
d. Occurrence in women who have had four or more pregnancies
ANS: C
Hypertonic uterine contractions are painful, frequent, and uncoordinated; do not cause dilation or effacement; and are more common with first pregnancies. Hypotonic contractions tend to be weak, coordinated, and infrequent and do not cause labor to progress.
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