NURS 368 Exam Two Questions And Correct Answers
Dysfunctional Labor
Ineffective labor due to abnormalities of the
- Powers (forces aka uterine contractions)
- Passenger (fetus)
- Passage (pelvis)
Dysfunctional Powers
Problems with the "powers" or contractile forces which involve abnormalities with
- Frequency
- Duration
- Intensity of contractions
- Resting tone of uterus between contractions
Hypertonic Labor
Often in the latent phase where resting tone of the myometrium increases
Contractions are painful (constant pain), erratic, poor intensity
Contraction may weaken, while frequency may increase
May lead to maternal exhaustion
Fetal Risks of Hypertonic Labor
Decreased placental perfusion
- May cause hypoxia/asphyxia
Nursing Care for Hypertonic Labor
, - Sleep/rest/relaxation
- PO/IV hydration
- Monitor FHR/contractions/vaginal exam
- Tocolytic (slows contractions) or pain medications administration
Fetal Risks of Hypotonic Labor
- Fetal intolerance of labor
- Decrease in variability
- Late decelerations
Hypotonic Labor
Often in the active phase with less than 2-3 contractions in ten minutes (expect to see
3-5 contractions)
Contractions may weaken in intensity and duration (not strong enough to result in
dilation or effacement)
Maternal risks: exhaustion, infection (if membrane ruptured)
Nursing Care for Hypotonic Labor
- Administer pitocin
- Amniotomy (artificial rupture of membranes)
- Encourage voids & prevent dehydration
- Encourage position changes
- Evaluate FHR/ contractions
- Limit vaginal exams if ROM
rest emotional support & sleeper sedative to promote rest
Abnormal Labor Processes
Pre-Term Labor
Dysfunctional Labor
Ineffective labor due to abnormalities of the
- Powers (forces aka uterine contractions)
- Passenger (fetus)
- Passage (pelvis)
Dysfunctional Powers
Problems with the "powers" or contractile forces which involve abnormalities with
- Frequency
- Duration
- Intensity of contractions
- Resting tone of uterus between contractions
Hypertonic Labor
Often in the latent phase where resting tone of the myometrium increases
Contractions are painful (constant pain), erratic, poor intensity
Contraction may weaken, while frequency may increase
May lead to maternal exhaustion
Fetal Risks of Hypertonic Labor
Decreased placental perfusion
- May cause hypoxia/asphyxia
Nursing Care for Hypertonic Labor
, - Sleep/rest/relaxation
- PO/IV hydration
- Monitor FHR/contractions/vaginal exam
- Tocolytic (slows contractions) or pain medications administration
Fetal Risks of Hypotonic Labor
- Fetal intolerance of labor
- Decrease in variability
- Late decelerations
Hypotonic Labor
Often in the active phase with less than 2-3 contractions in ten minutes (expect to see
3-5 contractions)
Contractions may weaken in intensity and duration (not strong enough to result in
dilation or effacement)
Maternal risks: exhaustion, infection (if membrane ruptured)
Nursing Care for Hypotonic Labor
- Administer pitocin
- Amniotomy (artificial rupture of membranes)
- Encourage voids & prevent dehydration
- Encourage position changes
- Evaluate FHR/ contractions
- Limit vaginal exams if ROM
rest emotional support & sleeper sedative to promote rest
Abnormal Labor Processes
Pre-Term Labor
