A client in early labor is having uterine contractions every 3 to 4 minutes, lasting 55 to 60 seconds. An IUPC is inserted. The intrauterine pressure is 65 to 70 mm Hg at the peak of a contraction and the resting tone is 6 to 10 mm Hg. Based on this information, what action should the nurse implement?

• A. Notify the client's healthcare provider.
• B. Bring the delivery table to the room.
• C. Prepare to administer an oxytocic.
• D. Document the findings in the client record.

Answer: (D)

Interpreting intrauterine pressure readings involves evaluating contraction pattern and uterine tone to decide if management is needed. The IUPC data show contractions about every 3–4 minutes, each lasting roughly 55–60 seconds, with a peak intrauterine pressure of 65–70 mm Hg and a resting tone of 6–10 mm Hg. These values reflect moderate, regular contractions with a normal resting tone, which is typical for early labor. There is no sign of tachysystole (contractions more frequent than every 2 minutes) or excessive resting tone, so there’s no immediate need for intervention. The appropriate action is to document these reassuring findings in the client’s record and continue routine monitoring. Only if patterns change—such as increased frequency, longer duration, or rising resting tone—or if nonreassuring fetal status appears would actions like notifying the provider or administering an oxytocic be considered.