A nurse is caring for a 26-year-old gravida 2 para 1 client in the labor and delivery unit. Exhibits Click to indicate which interventions the nurse would include in the plan of care to support the expected outcomes of adequate epidural anesthesia on the mother and the fetus. Each column must have at least one response selected.
Explanation & Rationale
Interventions Support Epidural Anesthesia for Mother Support Epidural Anesthesia for Fetus Assisting with pushing efforts ✓ Administering bolus fluids ✓ Monitoring blood pressure ✓ ✓ Administering IV fluids ✓ Side positioning ✓ ✓ Assisting with pushing efforts: Goal: Support Epidural Anesthesia for Mother Reason: Epidural anesthesia can diminish the mother's ability to feel the urge to push during labor. Assisting with pushing efforts helps ensure effective delivery and supports the mother's ability to participate actively in the birthing process. Administering bolus fluids: Goal: Support Epidural Anesthesia for Mother Reason: Administering bolus fluids can help prevent hypotension, a common side effect of epidural anesthesia. Ensuring adequate fluid volume maintains blood pressure and supports overall maternal hemodynamic stability. Monitoring blood pressure: Goal: Support Epidural Anesthesia for Mother and Fetus Reason: Continuous monitoring of blood pressure is essential to detect and manage hypotension, ensuring both maternal and fetal well-being. It helps maintain adequate blood flow to the uterus and placenta, optimizing fetal perfusion. Administering IV fluids: Goal: Support Epidural Anesthesia for Mother Reason: Administering IV fluids helps maintain hydration and blood pressure, counteracting the potential hypotensive effects of epidural anesthesia. It supports the mother's hemodynamic stability during labor. Side positioning: Goal: Support Epidural Anesthesia for Mother and Fetus Reason: Side positioning optimizes uteroplacental blood flow and reduces the risk of aortocaval compression by the gravid uterus. It ensures better fetal perfusion and maternal comfort while receiving epidural anesthesia.