Patient Data Exhibits Review H and P, nurse's notes, laboratory results, flow sheet, and prescriptions. Select the 3 findings that would require immediate action from the nurse while the laboring mother is receiving an epidural anesthesia.

A. Reports of pain: While pain is a common complaint during labor, especially before the epidural takes effect or if the anesthesia is wearing off, this is not an immediate priority compared to other life-threatening complications like hypotension or fetal decelerations. It can be addressed once the more urgent issues are managed. B. Nausea: Nausea may occur with epidural anesthesia, often due to hypotension, but it is not as urgent as respiratory distress, hypotension, or fetal decelerations. It can be managed after addressing the more critical symptoms. C. Difficulty breathing: Difficulty breathing can be an indication of a high epidural block, which can affect the respiratory muscles. This is a serious sign that requires immediate intervention to assess and potentially correct the epidural anesthesia level. D. Hypotension: Epidural anesthesia can cause hypotension due to sympathetic blockade. Low blood pressure can reduce uteroplacental perfusion and compromise fetal oxygenation, requiring prompt intervention with fluid boluses and/or vasopressors to support maternal and fetal circulation. E. Fetal decelerations: Fetal heart rate decelerations, particularly late or variable decelerations, may indicate fetal distress, potentially caused by maternal hypotension, uteroplacental insufficiency, or cord compression. These should be promptly assessed and addressed to optimize fetal well-being. F. Dizziness: Dizziness is often a result of epidural anesthesia-induced hypotension and is an early sign that should be assessed. However, it is not as immediately critical as difficulty breathing or fetal heart rate decelerations and should be addressed once the more urgent concerns are managed.