Which intervention should be incorporated in a plan of care for a labor client who is experiencing hypertonic labor? Vaginal exam is unchanged from prior exam-3 cm, 80% effaced, and 0 station presenting part vertex.
A) Augmentation of labor with oxytocin (Pitocin)
B) AROM
C) Performing a vaginal exam to denote progress
D) Preparing the client for epidural administration as ordered by the physician

Question

Quizplus · Accepted Answer

The administration of an epidural may help relieve increased uterine resting tone by decreasing maternal pain sensation. Hypertonic labor pattern indicates increased uterine resting tone; therefore, augmentation would not be advised as this time because it would cause further uterine irritation in the form of contractions. Rupture of membranes would not be warranted at this time because the critical issue is to resolve the increased uterine resting tone. There is no indication that a vaginal exam is required at this time based on the information provided.

Which Intervention Should Be Incorporated in a Plan of Care