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A patient at 40 weeks is being induced with oxytocin at 12 mU/min, is 5 cm dilated, and has an epidural. Averaged over 30 minutes she has 6 contractions every 10 minutes. The fetal heart rate baseline is 140 with minimal variability and recurrent late decelerations. Her blood pressure is 108/64, down from 124/78 before the epidural. What should the nurse do first?

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