A patient received epidural anesthesia during the first stage of labor. The epidural is discontinued immediately after delivery. This patient is at increased risk for which problem during the fourth stage of labor?
1. Nausea
2. Bladder distention
3. Uterine atony
4. Hypertension
2
Rationale 1: The epidural is discontinued after delivery, decreasing the likelihood of nausea.
Rationale 2: Bladder distention can be a result of decreased bladder sensation in the fourth stage.
Rationale 3: Uterine atony is not a result of epidurals.
Rationale 4: Hypotension, not hypertension, is an early side effect of epidurals.
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