A women with a dysfunctional labor pattern is undergoing labor augmentation. The client is currently having regular contractions of moderate-to-firm intensity that last 30 to 60 seconds every 4 to 5 minutes

The fetal heart tracing is within normal limits. Which action should the nurse take? a. Immediately turn off the oxytocin.
b. Increase the oxytocin according to protocol.
c. Maintain the current dose of oxytocin.
d. Increase intravenous fluids.


B
This labor pattern is still not functional and requires an increase of oxytocin per protocol. Turning off the oxytocin is an action for uterine hyperstimulation by oxytocin. Increasing intravenous fluids will not remedy a dysfunctional labor as described here.

Nursing

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