Question

In: Nursing

The nurse is monitoring a client who is in the active stage of labor. The nurse...

The nurse is monitoring a client who is in the active stage of labor. The nurse documents that the client is experiencing labor dystocia. The nurse determines that which risk factors in the client's history placed her at risk for this complication?

(Select all that apply)

A. Age 44 years

B. BMI 28

C. Previous difficulty with fertility

D. Receiving oxytocin for induction

E. Potassium level of 3.6

Expert Solution

Answer : A, B & C

1. Age 54 is considered as advanced maternal age which is a risk factor for labour dystocia.

2. Client is over weight also (has a body mass index of 28 )- Obesity or overweight also a risk factor

3. Client has previous history of infertility, also a risk factor

4. Administration of oxytocin alone is not a risk factor. Risk occurs only with over administration or uterine hyperstimulation.

5. Potassium level of 3.6 mEq/ L is normal

Fluid electrolyte imbalance is a risk factor here potassium level with in the normal range.(3.6 to 5.2 millimoles per liter (mmol/L)

Labour dystosia is one where in spite of good uterine contractions, the progressive descent of presenting part is arrested due to mechanical obstruction. This may result either from the faults in the fetus or in the birth canal or both, so that further progress is almost impossible without assistance.

Risk factors that increase s woman's risk for obstructed labour or labour dystocia or dysfunctional labour are

1. Advanced maternal age

2. Obese or overweight

3. Fluid electrolyte imbalances

4. Uterine overstimulation with oxytocin

5. Short stature

6.Uterine abnormalities

7. Malpresensations and position fetus

8.Cephalopelvic disproportion

9. Maternal fatigue

10.Dehydration

11. Fear

12.Administarion of analgesics early in labour especially use of epidural analgesia.

14.Prior version

15.Masculine characteristics

Nightingale answered 2 years ago

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