A woman has an epidural for pain relief during labour. Which nursing assessment is especially important?
Correct answer: A. Assess bladder distension and urine output
- A. Assess bladder distension and urine output
- B. Encourage unassisted walking to the bathroom
- C. Restrict all oral fluids until birth
- D. Place the woman flat without a pillow
Explanation
Epidural analgesia can reduce bladder sensation and lower-limb strength, increasing the risk of urinary retention and falls. The woman should not walk without assessment and assistance, and positioning should support maternal blood pressure and fetal oxygenation.
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About Normal Labour and Delivery
Normal labour covers the onset and stages of labour, cervical effacement and dilatation, fetal lie and presentation, the cardinal movements, and maternal and fetal monitoring. It includes partograph use, pain relief, normal vaginal birth, active management of the third stage, placental assessment and immediate care after delivery.
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