Problem
A gravida 2, para 0 at 42 weeks' gestation is admitted to the L&D suite for oxytocin induction of labor for post dates. The client's cervix is favorable at 2 cm dilated, 70% effaced, and -1 station. Fetal presentation if vertex. Before oxytocin induction begins, the provider performs an amniotomy.
• What are the nursing responsibilities before, during, and after this procedure?
• What are the major side effects of oxytocin that the nurse must be alert to when managing induction of labor?
• What primary interventions should the nurse take when noting a hyperstimulation pattern on the external fetal monitor?