MEDizzy - A nurse in the birthing unit is caring for several clients.

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Nursing Care of Women at Risk During Pregnancy & Post-partum

A nurse in the birthing unit is caring for several clients. Which factor should the nurse anticipate will increase the risk for hypotonic uterine dystocia?

ExplanationA. A multiple gestation thins the uterine wall by overstretching; thus, the efficiency of contractions is reduced. B. Gestational anemia is physiologic anemia that is benign; although anemia may cause fatigue during labor, it does not affect uterine contractility. C. Hypertonic contractions will cause increased discomfort, fatigue, dehydration, and increased emotional distress, not hypotonic uterine dystocia. Therapeutic interventions include rest and sedation. D. Gestational hypertension may trigger preterm labor; it does not cause hypotonic uterine dysfunction.