Which adverse effects can be seen in response to administration of oxytocin (Pitocin) for induction of labor? (Select all that apply.)
a. Maternal hyponatremia
b. Uterine tachysystole
c. Maternal hypotension
d. Reassuring fetal heart pattern
e. Decreased variability on fetal tracing
ANS: A, B, C
The administration of Pitocin can lead to a decrease in maternal serum sodium levels because of water intoxication. With regard to uterine effects, Pitocin can cause hyperstimulation or uterine tetany to occur, along with maternal hypotension. In terms of fetal response, Pitocin administration can lead to a nonreassuring fetal heart rate pattern manifested as bradycardia, tachycardia, and/or late decelerations and a decrease in variability, resulting in fetal compromise.
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