What common side effect should a nurse monitor for in a client receiving epidural anesthesia during labor?

When a client receives epidural anesthesia during labor, hypotensive episodes are a common side effect that nurses should closely monitor for. This occurs because the epidural can affect the sympathetic nervous system, leading to vasodilation and a subsequent drop in blood pressure. This hypotension can be particularly concerning as it may impact the fetus, reducing uterine perfusion and fetal heart rate. Thus, vigilance in monitoring blood pressure after administering an epidural is critical to ensuring the safety and well-being of both the mother and the baby.

The other side effects, while possible, do not occur as consistently or prominently. Fever can arise from various factors and is not directly linked to the administration of epidural anesthesia. Headaches can occur but are more commonly associated with post-dural puncture, a complication rather than a direct side effect of the epidural itself. Nausea may occur in some patients but is less specific and not as prevalent as hypotension as a direct consequence of epidural anesthesia. Therefore, the emphasis on monitoring for hypotensive episodes makes it the primary concern in this context.