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Correct order for correcting Late Decel

alohaz alohaz (New) New

Has anyone done any questions about the order correcting late deceleration ??

I have this question on NCSBN review

I thought this is the correct order based on what I read in Saunders/ what i learned in school.. and maybe Uworld but I forgot which question but I got it correct.

Discontinue Pitocin,

Change position

Administer Oxygen

IV fluids,

Notify Physician

Document

but NCSBN review has correct order as

Change position

Give fluid

Give O2

Stop pitocin

Notify MD

Document

I see that they want to emphasize Late decel is related uteroplacental insufficiency and fluid should be used first ...but I just want to hear what other people think..

Can anyone give some insight on this? I dont know what to believe anymore lol

the tight order that I know is

change mother position

stop Pitocin if administered

increase iv fluid rate

give oxygen

S- Stop Pitocin.

L- left side position.

I- Increase IV fluid.

O- Oxygen.

N- Notify physician.

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