What should a nurse do first upon noting late decelerations during oxytocin administration for labor induction?

The immediate response to late decelerations during oxytocin administration is to stop the oxytocin infusion. Late decelerations are often associated with uteroplacental insufficiency, indicating that the fetus may not be receiving enough oxygen. By stopping the oxytocin, which is a medication used to induce or augment labor and can increase uterine contractions, the nurse can help alleviate further stress on the fetus. This action provides time for the healthcare team to further assess the situation and implement necessary interventions to ensure the safety of both the mother and baby.

The importance of stopping the oxytocin infusion lies in prioritizing fetal well-being. Continuing the infusion in the presence of late decelerations could exacerbate the lack of oxygen supply, potentially leading to more serious fetal complications.

While the other options are important steps in managing a laboring patient, they are not the immediate actions. Checking vital signs or notifying a healthcare provider can be critical after assessing the situation, but the first priority is to stop administering a medication that could be contributing to the problem.