The nurse is assessing a client with hypotonic uterine dysfunction.

The nurse observes 3 contractions on a 10-minute tracing.

The peak of the contractions is as follows: 70mmHg, 60mmHg, and 50mmHg.

The nurse determines that uterine resting tone between contractions is 20mmHg.

What is the total montevideo units for this client?

Choice A rationale

Amniotomy can be used for labor induction, but considering the client's Bishop score of 8 and the provider's recommendation, oxytocin may be more effective.

Choice B rationale

Oxytocin is a common and effective medication used to induce labor in clients with a favorable Bishop score. The client's cervical assessment suggests that she is a good candidate for oxytocin induction.

Choice C rationale

Cytotec (misoprostol) is used for cervical ripening and labor induction, but it is typically more appropriate for clients with an unfavorable Bishop score. The client's score indicates readiness for oxytocin.

Choice D rationale

Cervidil (dinoprostone) is another cervical ripening agent, but it is usually recommended for clients with a low Bishop score. The client’s score of 8 suggests that oxytocin induction is more suitable. .

Choice A rationale

Preparing the client for an urgent cesarean section is not immediately necessary unless there are signs of fetal distress or other complications. Hypotonic uterine contractions may be managed with medical interventions to stimulate labor.

Choice B rationale

Discussing the client's gynecoid-shaped pelvis is irrelevant to the immediate management of hypotonic uterine contractions. While pelvic shape can influence labor, the focus should be on addressing the uterine contractions.

Choice C rationale

Amniotomy, or artificial rupture of membranes, can help to increase the strength and frequency of contractions in clients with hypotonic uterine contractions. This intervention can stimulate labor progress.

Choice D rationale

Keeping the client on bedrest is not a primary intervention for hypotonic uterine contractions. Encouraging activity and medical interventions to enhance contractions are more appropriate.