The patient at 39 weeks' gestation is undergoing a Cesarean birth due to breech presentation. General anesthesia is being used. Which potential challenge is most relevant to the anesthesia care of this patient?
1. Hypotension due to the intense blockade of sympathetic fibers
2. Difficulty with maternal intubation
3. Broad ligament hematoma
4. Fetal depression that is fetal depression inversely proportional to maternal anesthetic depth and duration
Correct Answer: 2
Rationale 1: Regional anesthesia, including epidural anesthesia, is associated with an intense blockade of sympathetic fibers that results in a high incidence of hypotension.
Rationale 2: Difficulty with maternal intubation is a primary challenge of general anesthesia care for pregnant patients.
Rationale 3: Broad ligament hematoma is a complication associated with pudendal blockade.
Rationale 4: Fetal depression associated with general anesthesia is directly proportional to maternal anesthetic depth and duration.
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