During labor, if late decelerations occur in a patient on oxytocin, what is the first action the nurse should take?

During labor, if late decelerations occur in a patient on oxytocin, what is the first action the nurse should take?

• A. Stop the oxytocin right away
• B. Put patient in side-lying position
• C. Give oxygen (10 L via mask)
• D. IV fluid bolus

Answer: (A)

Late decelerations indicate fetal hypoxia from uteroplacental insufficiency, often worsened by excessive uterine activity from oxytocin. The first action is to discontinue the oxytocin infusion. Halting the uterine stimulant reduces contractions, improving placental blood flow and fetal oxygen delivery quickly. After stopping oxytocin, reassess the fetal heart rate and contractions and, if needed, proceed with additional supportive steps such as left-sided positioning, providing oxygen, and establishing IV fluids while notifying the provider.

Late decelerations indicate fetal hypoxia from uteroplacental insufficiency, often worsened by excessive uterine activity from oxytocin. The first action is to discontinue the oxytocin infusion. Halting the uterine stimulant reduces contractions, improving placental blood flow and fetal oxygen delivery quickly. After stopping oxytocin, reassess the fetal heart rate and contractions and, if needed, proceed with additional supportive steps such as left-sided positioning, providing oxygen, and establishing IV fluids while notifying the provider.