To improve placental blood flow immediately after the injection of an epidural anesthetic, the nurse should:
a. Turn the woman to the right side.
b. Place a wedge under the woman's right hip.
c. Give the woman oxygen.
d. Decrease the intravenous infusion rate.
B
Tilting the woman's pelvis to the left side relieves compression of the vena cava and com-pensates for a lower blood pressure without interfering with dispersal of the epidural medica-tion.
The woman needs to maintain the supine position for proper dispersal of the medication. However, by placing a wedge under the hip it will relieve compression of the vena cava.
Oxygen administration will not improve placental blood flow.
The intravenous infusion rate needs to be increased to prevent hypotension.
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