Question

A client prescribed valproic acid​ (Depakene) for seizure control is planning a pregnancy. Which statements should the nurse include in a discussion with the​ client? select all that apply.

a. "Since your epilepsy may be exacerbated by a​ pregnancy, your healthcare provider will most likely prescribe a second antiepileptic​ prescription."
b. "Thankfully, the current generation of antiepileptic prescriptions will not interfere with you getting​ pregnant."
c. "Your current antiepileptic prescription should not be used when you are​ pregnant."
d. "Folic acid supplementation is important for​ you."
e. "You should consider adopting a baby instead since there are so many problems associated with epilepsy and​pregnancy."

Answer 1

Valproic acid is not recommended during pregnancy due to potential birth defects, and an alternative may be considered. Folic acid supplementation is crucial for reducing the risk of neural tube defects. Suggesting adoption instead of pregnancy is inappropriate and not supportive.

Step-by-step explanation:

When discussing the use of valproic acid (Depakene) in a client who is planning a pregnancy, specific considerations need to be addressed. Firstly, it is critical to recognize that valproic acid is not recommended for use during pregnancy due to its potential teratogenic effects, which can lead to serious birth defects. Instead, the healthcare provider may work with the client to find a safer alternative.

Folic acid supplementation is indeed very important for any woman planning to conceive, as it helps reduce the risk of neural tube defects such as spina bifida. It is even more crucial for those on antiepileptic medications, as some of these can interfere with folic acid metabolism.

The statement suggesting the client should consider adopting a baby due to the problems associated with epilepsy and pregnancy is inappropriate and not supportive of the client's autonomy or desire to conceive. Each case of epilepsy is unique, and many women with epilepsy have successful pregnancies with careful management and collaboration with their healthcare providers