When a laboring client receiving 12 mU of pitocin for induction develops a contraction pattern of every 2 minutes lasting 80 seconds and recurring late decelerations, the nurse should immediately:
A) stop oxytocin infusion.
B) administer O 2 at 8 TO 10 L/min.
C) reposition client to left side-lying position.
D) increase the rate of the primary nonadditive infusion.

Question

Quizplus · Accepted Answer

Uterine hyperstimulation can reduce placental blood flow and decrease fetal oxygenation. Late decelerations are caused by uteroplacental insufficiency. Stopping the oxytocin infusion will reduce uterine activity and increase fetal oxygenation. Administering O₂, repositioning the client, and increasing the rate of the primary nonadditive infusion will not be effective until hyperstimulation is resolved.

When a Laboring Client Receiving 12 MU of Pitocin for Induction