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 a least one response selected.

Intervention Fetus Maternal Administering bolus fluids ✔ ✔ Side positioning ✔ ✔ Urinary drainage ✔ Assisting with pushing efforts ✔ Administering IV fluids ✔ Monitoring blood pressure ✔ ✔ • Administering bolus fluids: Increases maternal intravascular volume to reduce the risk of epidural-induced hypotension. Stable maternal blood pressure helps maintain adequate uteroplacental perfusion. This ensures continuous oxygen delivery to the fetus during labor. • Side positioning: Prevents compression of the inferior vena cava by the gravid uterus. This improves venous return and cardiac output, enhancing blood flow to the placenta. Helps avoid supine hypotension syndrome, maintaining maternal blood pressure and fetal perfusion. Fetal oxygenation is better preserved in side-lying positions. • Urinary drainage: Prevents bladder overdistention caused by sensory and motor blockade from epidural anesthesia. A full bladder can hinder fetal descent and prolong labor. Catheterization protects maternal comfort and labor progression. • Assisting with pushing efforts: Supports the second stage of labor when the epidural limits maternal bearing-down ability. Coaching synchronizes maternal effort with contractions. This intervention improves efficiency of pushing and fetal descent. • Administering IV fluids: Maintains adequate preload to prevent vasodilation-related hypotension after epidural administration. Consistent fluid support sustains maternal blood pressure and perfusion to uterine arteries during labor. • Monitoring blood pressure: Detects early signs of hypotension, a common adverse effect of epidural anesthesia. Frequent readings guide prompt intervention to stabilize maternal hemodynamics. This protects both maternal safety and fetal well-being.