Inpatient Obstetric Nurse (NCC) Practice Exam 2026 - Free NCC Practice Questions and Study Guide

The primary concern with the use of general anesthesia for Cesarean sections is the risk for fetal hypoxia. General anesthesia can affect the fetus due to the potential for decreased maternal oxygenation and placenta perfusion during the induction phase. This is particularly critical as the medication used can cross the placenta, and any fluctuations in maternal oxygen levels can directly impact fetal oxygenation.

In a Cesarean delivery, maintaining adequate oxygen supply to the fetus is essential, especially if the delivery is happening in an emergency setting. If the mother's airway is compromised or there are significant drops in her oxygen saturation, this could lead to inadequate oxygen being supplied to the fetus, resulting in hypoxia. This concern makes careful consideration of the anesthetic approach necessary to ensure both maternal and fetal safety during the surgery.

In contrast, other concerns related to general anesthesia—such as potential for maternal pain, increased maternal blood pressure, and increased recovery time—are secondary to the immediate risk of hypoxia to the fetus during the critical moments surrounding the Cesarean section.