Which of the following nursing actions can prevent or detect common side effects of epidural anesthesia?
1. Preloading the patient with a rapid infusion of IV fluids
2. Continuing the patient on p.o. fluids only to prevent hypotension
3. Monitoring the FHR for late deceleration and decrease in rate
4. Use of intermittent FHR monitoring so the patient can use the birthing ball
Correct Answer: 1,3
Rationale: Hypotension can be prevented by preloading with rapid IV infusion followed by continuous IV infusion. Variability of FHR and late decelerations can occur if maternal hypotension occurs. Continuing FHR monitoring is essential.
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