Maternal Newborn ATI Practice Questions Related

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A patient receives an epidural anesthesia during the first stage of labor. The epidural is discontinued immediately after delivery. The patient is at an increased risk of which problem during the fourth stage of labor?

  • A. Bladder distention
  • B. Postpartum hemorrhage
  • C. Deep vein thrombosis (DVT)
  • D. Infection
Correct Answer: A

Rationale: When a patient receives an epidural anesthesia during the first stage of labor, it can lead to temporary bladder dysfunction. The epidural can affect the patient's ability to feel the sensation of a full bladder and may impair the ability to voluntarily urinate. If the epidural is discontinued immediately after delivery during the fourth stage of labor, the patient may be at an increased risk of bladder distention due to the residual effects of the epidural. Therefore, monitoring for bladder distention and ensuring adequate bladder emptying is important to prevent complications.