What action should a nurse take for a nulliparous client experiencing hypertonic uterine dysfunction with 3 cm dilation?

In the scenario of a nulliparous client experiencing hypertonic uterine dysfunction with 3 cm dilation, offering the client hydrotherapy is an appropriate action. Hydrotherapy, which can include the use of warm water immersion or showers, helps promote relaxation and can assist in reducing pain, which can facilitate contractions. This method is often utilized to alleviate discomfort during labor and may help in progressing labor by allowing the mother to relax, thereby potentially improving uterine function.

The choice to use hydrotherapy aligns with a non-invasive approach to managing hypertonic uterine dysfunction, particularly in the early stages of labor when cervical dilation has just reached 3 cm. This strategy can help create a more favorable environment for the laboring woman, promoting comfort and potentially leading to better uterine contractions.

In contrast, immediate medication administration may not be warranted at this stage unless a specific medication is indicated based on the full clinical assessment. A cesarean section is not typically justified in cases of hypertonic uterine dysfunction unless there are signs of fetal distress or other complications. Encouraging pushing during contractions is generally not appropriate in the context of hypertonic contractions as it may lead to increased fatigue and discomfort without advancing labor, particularly when the cervix is only