Hypertonic labor is labor that is characterized by short, irregular contractions without complete relaxation of the uterine wall in between contractions. Hypertonic labor can be caused by an increased sensitivity to oxytocin. What would the nurse do for a client who is in hypertonic labor because of oxytocin augmentation?Turn off the methotrexate. Turn off the oxytocin. Increase the oxytocin. Increase the methotrexate

Answers

Answer 1
Answer:

When a client experiences hypertonic labor due to oxytocin augmentation, the nurse's primary action is to turn off the oxytocin infusion to allow for uterine relaxation and safe labor progression. This intervention prioritizes the well-being of both the mother and the baby during the childbirth process.

In the scenario described, if a client is experiencing hypertonic labor due to oxytocin augmentation, the appropriate action for the nurse is to turn off the oxytocin infusion. Here's the rationale for this decision:

Hypertonic Labor: Hypertonic labor is characterized by contractions that are too frequent, too long, and often too strong, with inadequate relaxation of the uterine wall in between contractions. These contractions can be harmful to both the mother and the baby because they can lead to decreased oxygen supply to the fetus and increased stress on the uterine muscles.

Oxytocin Augmentation: Oxytocin is a hormone often used to induce or augment labor. It is administered through an intravenous (IV) infusion to stimulate uterine contractions. However, excessive administration or an overly sensitive response to oxytocin can lead to hypertonic contractions.

Nursing Intervention: When a client is experiencing hypertonic labor due to oxytocin augmentation, it's essential to discontinue or reduce the oxytocin infusion. This action allows the uterine muscles to relax and prevents further harm to both the mother and the baby. The nurse should closely monitor the client's contractions and fetal heart rate after discontinuing oxytocin to ensure that labor progresses safely.

Assessment and Follow-Up: The nurse should continue to assess the client's condition, uterine contractions, and fetal well-being to ensure that labor progresses normally. If necessary, the healthcare provider may make adjustments to the oxytocin infusion or explore other options to support labor progression without risking hypertonic contractions.

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Answer 2
Answer:

Final answer:

A nurse would turn off the supply of oxytocin if a client is experiencing hypertonic labor due to oxytocin augmentation. Continuous administration could intensify contractions and lead to more complications. Careful monitoring of the patient is essential.

Explanation:

In the case of a client experiencing hypertonic labor due to oxytocin augmentation, the nurse would need to turn off the oxytocin. Hypertonic labor is characterized by short, irregular contractions without complete relaxation of the uterine wall in between. This can occur due to an increased sensitivity to oxytocin. Therefore, in this scenario, additional oxytocin is contraindicated. Moreso, the continued administration of oxytocin may potentially make contractions more intense and could lead to further complications. Careful monitoring by the nurse is crucial.

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