Question

A woman at 40 weeks' gestation is admitted in active labor. When the client reaches 5 centimeters dilation, the woman asks for and receives epidural analgesia. Once the epidural catheter has been inserted, which assessments and interventions should be performed? Select all that apply.

Correct1
Maintaining intravenous fluid administration
Correct2
Having oxygen available in case of hypotension
Correct3
Checking the bladder for distention every 2 hours
Correct5
Monitoring fetal heart rate and labor progress per hospital protocol

Answer 1

The following assessments and interventions should be performed once the epidural catheter has been inserted during labor:

1. Maintaining intravenous fluid administration: It is important to ensure that the woman continues to receive intravenous fluids to prevent dehydration and maintain adequate hydration.

2. Having oxygen available in case of hypotension: Epidural analgesia can sometimes cause a decrease in blood pressure, so having oxygen readily available can help address any potential hypotensive episodes.

3. Checking the bladder for distention every 2 hours: Epidural analgesia can interfere with the woman's ability to feel and perceive bladder fullness, increasing the risk of bladder distention. Regular assessments can help identify and address any bladder issues.

4. Encouraging position changes: While this option was not listed, it is generally recommended to encourage the woman to change positions regularly to help promote optimal fetal positioning and labor progress.

5. Monitoring fetal heart rate and labor progress per hospital protocol: Continuous monitoring of the fetal heart rate and regular assessments of labor progress are essential to ensure the well-being of the baby and to detect any deviations or complications.