Final answer:
To stop Pitocin, signs of uterine hyperstimulation, fetal distress, and maternal hypertension should be monitored closely. Discontinuation of the medication is required when any of these adverse effects are observed to ensure the safety of both mother and child.
Step-by-step explanation:
The student's question refers to the signs and symptoms (s/s) that would indicate the need to stop the administration of Pitocin (pit), which is a medication commonly used to induce or augment labor. In a clinical setting, it is crucial to monitor the patient closely for any adverse effects of Pitocin. You would stop Pitocin if there are signs of uterine hyperstimulation, such as contractions that are too frequent, too long, or too intense, as these can compromise fetal oxygenation and lead to fetal distress. Other signs that warrant discontinuation of Pitocin include significant changes in fetal heart rate patterns indicative of fetal distress, such as tachycardia, bradycardia, or repetitive late decelerations. Additionally, evidence of maternal hypertension or water intoxication, which is rare but serious, also necessitates the cessation of Pitocin. It is imperative to follow guidelines and hospital protocols to ensure the safety of both mother and child during labor and delivery.