Exhibits select from Word Choices to complete the sentence. The client receiving epidural anesthesia would be at risk for developing dropdown due to dropdown

• Condition: Hypotension is a known side effect of epidural anesthesia is hypotension due to sympathetic nervous system blockade, which leads to peripheral vasodilation. This can reduce blood return to the heart, lowering cardiac output and maternal blood pressure. • Peripheral vasodilation: Epidural anesthesia causes sympathetic blockade, resulting in peripheral vasodilation, venous pooling, and a potential drop in maternal blood pressure. This is the primary physiological mechanism behind epidural-induced hypotension. Rationale for Incorrect Options: • Inadequate pain relief: Epidural anesthesia is typically highly effective for labor pain when properly administered. There is no indication in the notes of breakthrough pain or poor anesthetic placement, so this is not the primary concern at this stage. Fluid overload: While IV fluids are administered with an epidural to reduce the risk of hypotension, the infusion rate of 75 mL/hr is not excessive. There are no signs such as edema, crackles, or elevated blood pressure to suggest fluid overload. • Urinary retention: Epidurals can cause decreased sensation in the bladder, leading to retention, but the question directs attention to the physiological effects of the epidural itself, making hypotension a more critical risk based on vasodilation. • Decreased fetal heart rate: Fetal bradycardia can occur secondary to maternal hypotension, but it's a consequence rather than a direct client finding for this case. The FHR remains within normal limits, suggesting no current distress. • Full urinary bladder: This may occur later with epidural anesthesia due to reduced bladder sensation. However, there's no current evidence in the case data of bladder distension or delayed voiding. • Inability to push: This may occur during the second stage of labor if motor block is excessive, but the client is currently in early labor and not yet pushing.