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Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Dysfunctional Labor Pattern: Hypertonic Strong, painful, ineffective contractions Contributing factor—maternal anxiety Occiput-posterior malposition of fetus Management Rest, hydration, sedation Facilitate rotation of the fetal head