A client who is receiving oxytocin (Pitocin) 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 rate of Pitocin infusion to help spread out contraction pattern.
b. Place oxygen on client at 8 to 10 L/min via face mask and turn client to left side.
c. Stop Pitocin infusion.
d. Call physician to obtain an order for initiation of magnesium sulfate.
ANS: C
The client is exhibiting uterine tachysystole (uterine tetany). 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 called for additional orders.
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