A nurse is providing teaching about expected gestational changes to a client who is at 12 weeks of gestation. Which of the following statements by the client indicates a need for further teaching?
A. I will reduce my stress level.
B. I will use only nonprescription medications while pregnant.
C. I will monitor my weight gain during the remaining months.
D. I will tell my doctor before using home remedies for nausea.
The Correct Answer and Explanation is:
The correct answer is B. “I will use only nonprescription medications while pregnant.”
This statement indicates a need for further teaching. During pregnancy, even nonprescription or over-the-counter (OTC) medications can pose potential risks to the developing fetus. Certain medications, including OTC drugs, herbal supplements, and home remedies, might cross the placenta and affect fetal development. Therefore, it’s essential for pregnant clients to consult their healthcare provider before taking any medications, whether prescription or nonprescription, to ensure they are safe during pregnancy.
Explanation:
At 12 weeks of gestation, the fetus is entering a critical period of organ development (organogenesis), making it important to avoid exposure to harmful substances, including certain medications. Although some OTC medications are considered safe, others can be harmful. For example, nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are typically avoided during pregnancy due to their potential effects on fetal heart and kidney function.
The nurse should educate the client on the importance of seeking guidance from their healthcare provider before taking any medications, supplements, or home remedies during pregnancy. Many medications can be absorbed through the placenta and impact the fetus, particularly in the first trimester when key organs are developing.
In contrast, the other statements reflect appropriate understanding of pregnancy care. Reducing stress is beneficial for maternal and fetal well-being, as high stress levels can increase the risk of complications such as preterm labor. Monitoring weight gain is crucial because excessive or inadequate weight gain can increase the risk of complications such as gestational diabetes or low birth weight. Consulting with a doctor before using home remedies for nausea is a good practice, as some natural remedies may not be safe during pregnancy.
By reinforcing the need to consult with a healthcare provider before taking any substances, the nurse ensures the client is making safe decisions for herself and the fetus.