A pregnant woman has a malignant melanoma on her leg, and will need surgery. She is concerned about anesthesia. What is the best response by the nurse?
1. "You will probably have an epidural, and this won't harm your baby."
2. "There are newer general anesthetics available that are safe for your baby."
3. "You will most likely have local anesthesia; this will not affect your baby."
4. "Inhalation anesthetics are safe because they remain in your lungs."
Correct Answer: 3
Rationale: Local anesthetics are most commonly used to remove lesions. They stay in the treatment area and do not impact the baby. There are not any general anesthetics that are considered safe, and this patient will most likely have local anesthesia. Epidural anesthesia is not indicated in this situation. Inhalation anesthesia is not indicated in this situation, and even though it remains primarily in the lungs, it can affect the baby.
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