Difficulty: Medium
Average Score: 71%
Simulated
The nurse is caring for a pregnant client who is experiencing late decelerations while labor is being induced with oxytocin. Which of the following actions should the nurse take? Select all that apply.
Correct answer
B, C, D
Rationale
Late decelerations indicate placental insufficiency. Repositioning to the left side (B) improves placental perfusion, administering oxygen (C) enhances fetal oxygenation, and discontinuing oxytocin (D) reduces uterine contractions to prevent further distress. Magnesium sulfate (A) is used for preeclampsia or preterm labor, not late decelerations. Amnioinfusion (E) is used for variable decelerations.