32. A woman has requested an epidural for her pain. She is…
32. A woman has requested an epidural for her pain. She is 5 cm dilated and 100% effaced. The baby is in a vertex position and is engaged. The nurse increases the woman’s intravenous fluid for a preprocedural bolus. She reviews her laboratory values and notes the following: Hemoglobin: 12 g/dL (normal: 12–15 g/dL) Hematocrit: 38% (normal: 36–44%) Platelets: 67,000/mm³ (normal: 150,000–450,000/mm³) White blood cells (WBCs): 12,000/mm³ (normal: 3,500–10,000/mm³) Which factor would contraindicate an epidural for the woman?
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