Practice Quiz

CNM Certified Nurse Midwife

Category - Intrapartum

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A nurse midwife is creating a care plan for a client who has been diagnosed with hypertonic uterine dysfunction. Which of the following interventions is included in the plan of care?
  1. Encourage the client to ambulate and change positions frequently.
  2. Perform amniotomy.
  3. Instruct the client to perform breathing exercises.
  4. Assess for signs of fluid retention.
Explanation
Answer: C - The nurse midwife should instruct the client to perform breathing exercises to relieve discomforts and pain. Through alleviation of pain, normal labor pattern may be achieved. The client must be encouraged to conserve energy. Amniotomy is considered for clients with hypotonic uterine dysfunction. The nurse midwife should assess for signs of dehydration.
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