Student Nurse Laura

Orem – "creative effort of one human being to help another human being."

Posts Tagged ‘prolonged’

Dystocia

Posted by Laura on March 14, 2010

Dysfunctional Labor is described as hypertonic or hypotonic increases a woman’s risk for uterine dystocia.

Dysfunctional Labor .pdf

Prolonged – Nursing Diagnoses:

  • Risk for infection RT – PPROM,  – operative procedures
  • Ineffective individual coping RT – exhaustion, – pain, inadequate support system
  • Risk for maternal or fetal injury RT – interventions implemented for dystocia       

                Interventions:

  • coach mother in bearing down w/contractions, assist w/relaxation between UCs
  • Position mother in favorable position for pushing
  • Reduce epidural infusion rate
  • Prepare for CS if nonreassuring fetal status occurs
Precipitous – Nursing Diagnoses:

  • Powerlessness RT – loss of control
  • Ineffective individual coping RT –  pain, inadequate support system
  • Risk for infection RT – PPROM, 
Hypotonic – Nursing Diagnoses:

  • Risk for infection RT – PPROM,  – operative procedures
  • Ineffective individual coping RT – exhaustion             

                Interventions:

  • Perform ultrasound/Radiographic exam to rule out CPD, assess FHR, characteristics of AF if ruptured, and maternal well-being
  • If above findings are normal, then – ambulation, position changes hydrotherapy, AROM, Oxytocin infusion
Hypertonic – Nursing Diagnoses:

  • Powerlessness RT – loss of control
  • Ineffective individual coping RT – exhaustion, –    pain  

                Interventions:

  • Initiate therapeutic rest measures.  – Analgesics if no ROM or cephalopelvic disproportion not present. (morphine, nalbuphine, meperidine)
  • Relieve pain to permit mother to rest
  • Assist with measures to enhance rest & relaxation(hydrotherapy)

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