a. Continue monitoring the labor patterns, fetal heart rate, blood pressure, and pulse.

b. Observe closely for side effects, most frequently maternal hypotension and fetal bradycardia.

c. Provide emotional support for the patient and her partner.

d. Maintain appropriate emergency equipment for maternal hypotension or fetal bradycardia. The equipment includes oxygen with facemask, suction, airways, and I.V. fluids.

e. Monitor bladder status at least every 2 hours. The sensation to urinate is lost with some anesthetics. If the bladder is distended, a physician’s order may be required for in and out catherization.