Answer :
The option that necessitates discontinuation of oxytocin infusion is 3. Maternal temperature of 101.2 degrees F (38.44 degrees C).
Oxytocin is a medication commonly used to induce or augment labor by stimulating uterine contractions. However, it's crucial to monitor the laboring client and the baby closely during this process to ensure their safety and well-being.
Elevated maternal temperature, especially to the extent indicated in option 3, can be a sign of infection. In the context of labor, this could be indicative of chorioamnionitis, which is an infection of the membranes surrounding the baby in the uterus.
Continuing oxytocin infusion in the presence of infection can pose significant risks to both the mother and the baby. It may increase the risk of serious complications, including sepsis.
When a laboring woman has an elevated temperature, it's important to evaluate the cause and, if it's due to an infection, discontinue interventions like oxytocin that could potentially exacerbate the problem. The focus should be on managing the infection, ensuring the well-being of both the mother and the baby, and providing appropriate medical treatment.
The other options provided in the question (fetal heart rate baseline, contraction frequency, and early decelerations) are important parameters to monitor during labor, but they do not specifically indicate the need to discontinue oxytocin infusion.
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