A client at 39 weeks' gestation is having a cesarean birth with general anesthesia. Which potential challenge is most relevant to the anesthesia care of this client?
1. Broad ligament hematoma
2. Difficulty with maternal intubation
3. Hypotension due to the intense blockade of sympathetic fibers
4. Fetal depression that is inversely proportional to maternal anesthetic depth and duration
2
Explanation:
1. Broad ligament hematoma is a complication associated with pudendal blockade.
2. Difficulty with maternal intubation is a primary challenge of general anesthesia care for pregnant clients.
3. Regional anesthesia, including epidural anesthesia, is associated with an intense blockade of sympathetic fibers that results in a high incidence of hypotension.
4. Fetal depression associated with general anesthesia is directly proportional to maternal anesthetic depth and duration.
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