Which nursing intervention is a priority while caring for a woman in labour with hypertonic uterine contractions which are erratic in their frequency, duration, and intensity?

Correct option is B

Hypertonic uterine contractions are uncoordinated, erratic, and often painful contractions that occur in the latent phase of labour. They do not contribute effectively to cervical dilation and may increase maternal discomfort. The priority nursing intervention is to provide pain relief measures, which help reduce anxiety, relax uterine muscles, and improve uteroplacental blood flow. Management focuses on rest, hydration, and comfort, not stimulation.
Explanation of options: (a) Prepare the client for an amniotomy – Artificial rupture of membranes may worsen contractions and is not indicated during hypertonic labour unless there’s a clear obstetric reason. (b) Provide pain relief measures – This is the correct answer. Pain relief helps reduce maternal stress and may normalize contraction patterns in hypertonic labour. (c) Promote ambulation every 30 minutes – Ambulation might increase uterine irritability in hypertonic labour and is not a priority action. (d) Provide oxytocin augmentation – Oxytocin should be avoided in hypertonic labour as it can exacerbate uterine irritability and compromise fetal well-being.