Question

A nurse in an outpatient clinic is caring for a client who states she is trying to get pregnant. The client currently takes a Category D pregnancy risk med for the control of seizures. Which of the following statements by the nurse is appropriate?

A. This med is prescribed if necessary but it is known to cause adverse effects to the fetus.
B. This med has evidence indicating that it is safe to take during pregnancy & will not harm the fetus."
C. This med cannot be taken during pregnancy because the risk outweighs the potential benefits.
D. This med hasn't been studied in pregnant women but is believed to be safe for the fetus.

Answer 1

The nurse should inform the client that the Category D medication is known to cause adverse effects to the fetus, but may be prescribed if the benefits outweigh the risks. The client should be encouraged to discuss medication alternatives with the healthcare provider.

Step-by-step explanation:

The nurse's response to a client who is trying to get pregnant and currently takes a Category D pregnancy risk medication for the control of seizures should be: A. This med is prescribed if necessary but it is known to cause adverse effects to the fetus. It is important to explain to the client that Category D medications have potential risks to the fetus, but sometimes the benefits might outweigh the risks, especially if the medication is essential for the mother's health. The nurse should also encourage the client to discuss potential alternatives or adjustments in medication with their healthcare provider to optimize both maternal and fetal wellbeing. Prenatal care is crucial, and careful management of medication is part of ensuring the health of both mother and fetus.