During oxytocin induction, the fetal heart rate shows marked decelerations. What action should the nurse take first?
a. Administer oxygen via face mask.
b. Turn client to the left side-lying position.
c. Turn off the Pitocin drip.
d. Increase IV fluids.
C
Oxytocin can produce marked fetal decelerations that could lead to fetal distress, so turning off the Pitocin is the appropriate first action. While administering oxygen via face mask is appropriate, it is not the first action the nurse should take. Turning the client to the left side-lying position is an appropriate nursing action, but it is not specific to oxytocin-induced fetal decelerations.
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