Which nursing actions can prevent or detect common side effects of epidural anesthesia? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
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. Using intermittent FHR monitoring so the patient can use the birthing ball
5. Keeping the patient NPO after receiving the epidural
1,3
Rationale 1: 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.
Rationale 2: Hypotension can be prevented by preloading with rapid IV infusion followed by continuous IV infusion.
Rationale 3: Variability of FHR and late decelerations can occur if maternal hypotension occurs. Continuing FHR monitoring is essential.
Rationale 4: Continuous FHR monitoring is essential.
Rationale 5: There is no reason for the patient to be NPO after receiving the epidural.
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