A nurse is caring for a 28-year-old primigravida at 38 weeks gestation who is admitted to the labor and delivery unit in active labor. The client's cervix is 6 cm dilated, 80% effaced, and the fetal station is 0. Uterine contractions are occurring every 3 minutes, lasting 60 seconds, and the client rates her pain as 7/10. Forty minutes later, the nurse reassesses and notes the client is still 6 cm dilated, contractions have decreased to every 6 minutes and last 30 seconds, and the fetal presenting part remains at 0 station. Based on these findings, which labor abnormality is the nurse most likely observing?
- Arrest of active phase
- Hypotonic uterine dysfunction
- Precipitous labor
- Hypertonic uterine dysfunction