During labor, a patient experiences maternal hypotension after regional anesthesia. Which action is most appropriate to improve maternal status?

• A. Administer oxygen
• B. Increase IV fluids
• C. Place the client in a lateral position
• D. Monitor fetal status

Answer: (C)

When regional anesthesia causes hypotension during labor, the immediate aim is to improve venous return to the heart. Placing the patient in the left lateral position (lateral decubitus) relieves the pressure of the uterus on the inferior vena cava and aorta, increasing venous return, cardiac output, and blood pressure. This supports better uteroplacental perfusion and helps stabilize both mom and baby.

Oxygen and IV fluids are important supportive steps, but changing to a lateral position addresses the underlying preload issue most directly and quickly. After positioning, continue monitoring maternal blood pressure and fetal status, and escalate with fluids or vasopressors as needed per protocol if hypotension persists.