After administration of an epidural anesthetic to a patient in active labor, it is most important to assess the mother immediately for:

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Hypotension is a common side effect of epidural anesthesia and can lead to decreased uterine blood flow and fetal distress. It is important to monitor the mother's blood pressure and provide prompt treatment if hypotension occurs. Headache, urinary retention, and bradycardia are also possible side effects but are not as immediately concerning as hypotension.

After Administration of an Epidural Anesthetic to a Patient in Active