Patient Data Exhibits Review H and P. nurse's notes, laboratory results, flow sheet, and prescriptions. 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.
Explanation & Rationale
Maternal Interventions: Assisting with pushing efforts is a maternal intervention that supports the mother during the second stage of labor and leading to the fetus delivery. Administering IV fluids and bolus fluids: These are essential to maintain blood pressure and prevent hypotension following epidural anesthesia. Urinary drainage: Epidural anesthesia can cause urinary retention, so inserting a catheter ensures the bladder remains empty and prevents complications. Monitoring blood pressure: Epidural anesthesia can cause a decrease in maternal blood pressure, which needs to be carefully monitored to prevent complications like fetal hypoxia. Side positioning: Lateral positioning can optimize uterine and placental perfusion, preventing hypotension and ensuring that the fetus continues to receive adequate oxygenation. Augmentation of labor: This assists with speeding up labor especially when the mother is experiencing prolonged or stalled labor. Fetal Interventions: Assisting with pushing efforts is a maternal intervention that supports the mother during the second stage of labor and leading to the fetus delivery. Administering IV fluids and bolus fluids: Ensure maternal blood pressure remains stable, thus maintaining uterine and placental blood flow, which supports fetal oxygenation. Monitoring blood pressure: Any maternal hypotension can decrease placental perfusion, which may affect fetal well-being, so it is important to monitor closely. Side positioning: Helps improve placental blood flow by preventing hypotension and optimizing maternal circulation.