If contractions become hyperstimulation during Pitocin augmentation and fetal tracing worsens, what should the nurse do?

• A. Increase infusion rate
• B. Discontinue Pitocin infusion
• C. Administer oxygen
• D. Move to cesarean delivery

Answer: (B)

When contractions are hyperstimulated by Pitocin and fetal tracing worsens, the priority is to relieve the cause of distress. Tachysystole reduces placental blood flow and can lead to fetal hypoxia, so stopping the oxytocin promptly is the most effective way to restore balance. After discontinuing Pitocin, reassess the fetus, and provide supportive measures such as repositioning the mother to a left lateral position to improve uteroplacental perfusion and ensuring adequate IV fluids. Oxygen may be given if the tracing remains nonreassuring, but it does not address the root problem as quickly as stopping the infusion. If fetal status does not improve after these steps, escalate care in collaboration with the obstetric team, including preparing for possible cesarean delivery. Avoid increasing Pitocin, as that would worsen the situation.