Which finding would require intervention in the client receiving oxytocin (Pitocin) for augmentation of labor? A. Contractions every \(5-6\) minutes lasting 60 seconds B. Variability of \(6-8\) beats per minute C. Drops in fetal heart tones after contractions lasting 90 seconds with hesitant return to baseline D. Drops in fetal heart tones prior to the contractions during pushing

Short Answer

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Answer: Drops in fetal heart tones after contractions lasting 90 seconds with hesitant return to baseline.

Step by step solution

01

Review Effects of Oxytocin (Pitocin)

Oxytocin (Pitocin) is a medication that is given to induce or augment labor. Generally, it works by increasing the frequency, duration, and strength of contractions. Therefore, any side effects related to contractions or fetal well-being should be considered closely.
02

Analyze each option

A. Contractions every \(5-6\) minutes lasting \(60\) seconds are generally normal and considered within a safe range for laboring clients. Hence, this finding does not require any intervention. B. Variability of \(6-8\) beats per minute indicates a reassuring fetal heart rate tracing, which suggests no need for intervention. D. Drops in fetal heart tones prior to the contractions during pushing are generally considered acceptable, particularly during late-stage labor when the fetus is compressed. This does not require intervention in most cases. C. Drops in fetal heart tones after contractions lasting \(90\) seconds with hesitant return to baseline. This finding raises concern because the fetal heart rates are dropping and having a slow return to the baseline, which may indicate that the fetus is not tolerating the augmented labor well. This finding may warrant intervention.
03

Select the correct answer

After analyzing each option, it becomes clear that option C, which involves drops in fetal heart tones after contractions lasting 90 seconds with hesitant return to baseline, is the finding that would require intervention in a client receiving oxytocin (Pitocin) for augmentation of labor.

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