The nurse is caring for a client in labor with an epidural. What assessment is most important immediately after placement?

Correct Answer: C

Rationale: Maternal blood pressure monitoring is essential to detect and manage hypotension caused by epidural anesthesia.

Correct Answer: A

Rationale: Acute mastitis is inflammation of the breast tissue that may result from milk stasis, inadequate milk removal, or bacteria entering the breast tissue through cracks in the nipple. One of the key ways to prevent acute mastitis is by ensuring proper breastfeeding techniques. This includes ensuring a good latch to allow for effective milk removal, practicing frequent and complete emptying of the breasts, and alternating the position of the baby during feeding to ensure all parts of the breast are drained. Proper breastfeeding techniques help to prevent milk stasis and reduce the risk of developing mastitis.

Correct Answer: C

Rationale: The 20-week ultrasound is primarily for assessing fetal anatomy, growth, and development.

Correct Answer: C

Rationale: Assessing fetal heart rate and contraction patterns is critical to evaluate the risk of preterm labor.

Correct Answer: A

Rationale: Assessing maternal and fetal status is the first step to determine the urgency and appropriate intervention.