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Hypertonic Labor

Contractions more frequent, but intensity decreases. Contractions are painful, but ineffective in dilating and effacing the cervix, and a prolonged latent phase may result.


Prolonged contractions can result in fetal _______.

Bed rest and sedation to promote relaxation and reduce pain.

Management of hypertonic labor.

Pitocin infusion or amniotomy

If the hypertonic pattern continues and develops into a prolonged latent phase, what may be considered?


A hypotonic labor pattern usually develops in what phase of labor?

Hypotonic Labor

Characterized by < 2-3 contractions in a 10-minute period.

Hypotonic Labor

May occur when the uterus is overstretched from a twin gestation, or in the presence of a large fetus, hydraminios, fetal malposition, prematurity, or grand multiparity.


Important to asses for what with hypotonic labor?

Pitocin or amniotomy

During hypotonic labor contractions can be stimulated with?

<3 hours

Length of precipitous labor

Precipitous Labor

Contributing factors include multiparity, large pelvis, previous kind of labor, and a small fetus.

1 day over 42 wks

Determination of post term pregnancy

Decreased perfusion from the placenta, Oligohydraminios, (which increases risk of cord compression), Meconium aspiration

Fetal risks associated with post term pregnancy

Non-stress Test & Biophysical Profile (BPP)

After completion of 40 wk gestation and birth has not occurred, what tests are used as assessment tools to determine fetal well-being?

Put mother in lateral sims position

What can be done to help turn the baby when in a persistent occiput posterior position?

Newborn weight of more than 4000 g at birth

Macrosomia is defined as?

CPD and shoulder dystocia

Macrosomia causes an increase risk of?

Abruptio Placentae

Uterine pain. Uterus feels rock solid.

Cocaine, amphetamines

Precipitating factors of Abruptio Placentae

Decrease fibrinogen level, decrease platelet count, and increase prothrombin/thromboplastin times

DIC does what to fibrinogen level, platelet count, and prothrombin/thromboplastin times?

Short of breath, usually seen in stage 2 (pushing stage) - emergency

1st sign of amniotic fluid embolism

~38 weeks; risks include labor, fetal distress (cord entanglement)

When to do external version and risks involved.

Prolapsed cord; infection

Risks of amniotomy

Prostaglandins for cervical ripening

Cervidil, Perpidil, Cytotec


Technique that can be used to relieve cord compression.

Maternal heart disease, pulmonary edema, infection and exhaustion.

Conditions that may indicate need for forceps

Could cause cephalohematoma - assess for jaundice

#1 risk of vacuum extraction & what to assess for

Placental Previa

C/S puts later pregnancies at risk for what?

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