A woman reports feeling uterine contractions that are strong,but on subsequent cervical checks,the nurse does not note any changes.What action by the nurse is most appropriate?

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This woman is experiencing hypertonic labor (strong but ineffective contractions).Because maternal anxiety is a major causative factor,the nurse should first assess for anxiety and help to relieve it.A fetal occiput-posterior malposition is also a cause of hypertonic labor,and the nurse should assess for this condition using Leopold maneuvers; however,the health-care provider would perform any attempt at version.Nipple stimulation and oxytocin would be used in hypotonic labor.

A Woman Reports Feeling Uterine Contractions That Are Strong,but on Subsequent