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Exam (elaborations)

NURS 368 Exam Two Questions And Correct Answers

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  • NURS 368

NURS 368 Exam Two Questions And Correct Answers...

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  • October 10, 2024
  • 15
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 368
  • NURS 368
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Easton
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

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