ATI MATERNAL NEWBORN PROCTORED 2021 EXAM STUDY GUIDE
Nursing care of client in labor: Assisting client who has epidural infusion.
Nursing actions
• Monitor for adverse effects.
o Maternal hypotension
o Fetal bradycardia
o Inability to feel the urge to void
o Loss of the bearing-down reflex
• Monitor the client receiving a bolus of IV fluids to help offset maternal hypotension.
• Help to position and steady the client into either a sitting or side-lying modified Sims’ position, with the client’s back curved to widen the intervertebral space for insertion of the epidural catheter.