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Nursing And Families (NUR 4130) Chapter 21

John Marsh
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Chapter 21 summary

  • UniversityNova Southeastern University
  • CourseConcepts Of Maternal-Child Nursing And Families (NUR 4130)

 Problems with powers
o Hypertonic uterine dysfunction (uterine never fully relax)
 Woman experience a prolonged latent phase, stay at
2 to 3 cm, and do not dilate
o Hypotonic uterine dysfunction (uterine relax too much)
 Occurs during active labor (dilation more than 5 to 6
 Factors: overstretching of the uterus, large fetus,
bowel/bladder distention
 Clinical manifestation: weak contraction, uterine
fundus that can be easily indented with. Fingertip
pressure at the peak of each contraction and
contraction become more infrequent and briefer.
o Protracted disorders
 Series of events including protracted active phase
dilation (slower than normal rate of cervical dilation)
and protracted descent (delayed descent of the fetal
head in the active phase).
o Arrest disorders (complete cessation of progress)
o Precipitate labor
 Labor that is completed in less than 3 hours from the
start of contraction to birth. Rapid labor can result in
maternal injury and place the fetus at risk for
traumatic or asphyxia. Risk for uterine rupture.
 Problems with the passageway
o Pelvic contraction
o Obstruction in maternal birth canal
 Problems with passenger
o Occiput posterior position
o Breech presentation
o Multifetal pregnancy (refer to twins, triplet, or more infants
within a single pregnancy)



Nursing And Families (NUR 4130) Chapter 21

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