A laboring patient has received an order for epidural anesthesia. In order to prevent the most common complication associated with this procedure, what would the nurse expect to do?
1. Observe fetal heart rate variability.
2. Rapidly infuse 500–1000 ml of intravenous fluids.
3. Place the patient in the semi-Fowler's position.
4. Teach the patient appropriate breathing techniques.
2
Rationale 1: Fetal heart rate variability has nothing to do with starting an epidural.
Rationale 2: Administering a fluid bolus prior to an epidural generally prevents maternal hypotension, which is the most common disadvantage to the procedure.
Rationale 3: The patient is not placed in semi-Fowlers position.
Rationale 4: Breathing techniques have nothing to do with administration of an epidural.
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