A client receiving oxytocin shows late decelerations on the fetal monitor. What should the nurse's priority action be?

Positioning the client laterally is an appropriate and effective initial intervention in the case of late decelerations observed on the fetal monitor. Late decelerations often indicate fetal distress due to issues like placental insufficiency, which can compromise fetal oxygenation. By positioning the client on her left side, blood flow to the placenta may improve, thus enhancing fetal oxygen supply and potentially resolving the decelerations.

This lateral positioning reduces pressure on the umbilical cord (if it’s compressed) and allows for better uterine blood flow, which is crucial during contractions. Proper positioning is often one of the first actions taken in obstetric emergencies, as it can have an immediate positive effect on fetal well-being.

While other actions, such as administering oxygen or increasing IV fluids, may also be important in managing fetal distress, they are typically secondary to the positional change. These additional interventions can be implemented after ensuring the client is in the optimal position to support adequate uteroplacental perfusion. Notifying the physician is crucial if the situation does not improve, but the immediate priority is to address the decelerations through proper client positioning.