A cesarean section is ordered for the laboring client with whom the nurse has worked all shift. The client will receive general anesthesia
The nurse knows that potential complications of general anesthesia include which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Fetal depression that is directly proportional to the depth and duration of the anesthesia
2. Poor fetal metabolism of anesthesia, which inhibits use with preterm infants
3. Uterine relaxation
4. Increased gastric motility
5. Itching of the face and neck
1, 2, 3
Explanation: 1. A primary danger of general anesthesia is fetal depression, because the medication reaches the fetus in about 2 minutes. The depression is directly proportional to the depth and duration of anesthesia.
2. The poor fetal metabolism of general anesthetic agents is similar to that of analgesic agents administered during labor. General anesthesia is not advocated when the fetus is considered to be at high risk, particularly in preterm birth.
3. Most general anesthetic agents cause some degree of uterine relaxation.
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