A client who is receiving a pitocin (Oxytocin) infusion for the augmentation of labor is experiencing a contraction pattern of more than eight contractions in a 10-minute period. Which intervention would be a priority?
a. Increase the rate of pitocin infusion to help spread out the contraction pattern.
b. Place oxygen on the client at 8 to 10 L/min via face mask and turn the client to her left side.
c. Stop the pitocin infusion.
d. Call the physician to obtain an order for the initiation of magnesium sulfate.
ANS: C
The client is exhibiting uterine tachysystole (uterine tetany). The priority intervention is to stop the infusion. The next course of action is to place oxygen on the client and reposition and increase the flow rate of the primary infusion. If the condition does not improve, the physician may be contacted for additional orders.
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