7. A woman you are caring for in labor requests an epidural for pain relief in labor. Included inyour preparation for epidural placement is a baseline set of vital signs. The most common vitalsign to change after epidural placement:a. Blood pressure, hypotensionb. Blood pressure, hypertensionc. Pulse, tachycardiad. Pulse, bradycardiaANS: aFeedbacka.Blood pressure, hypotension, as up to 40% ofwomen may experience hypotension.Hypotension is defined as systolic BP <100 mmHg or 20% decrease in BP from preanesthesialevels. Intravenous bolus is typically given todecrease the incidence of hypotension.b.Blood pressure, hypertension is incorrectbecause hypotension is the commoncomplication after epidural placement.c.Pulse, tachycardia is incorrect becausehypotension is the common complication afterepidural placement.d.Pulse, bradycardia is incorrect becausehypotension is the common complication afterepidural placement.
KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Application | ContentArea: Maternity | Client Need: Physiological Adaptation | Difficulty Level: Moderate8. The labor patient you are caring for is ambulating in the hall. Her vaginal exam 1 hour agoindicated she was 4/70/–1 station. She tells you she has fluid running down her leg. Your prioritynursing intervention is to:a. Assess the color, odor, and amount of fluid.b. Assist your patient tothe bathroom.c. Assess the fetal heart rate.d. Call the care provider.
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