A nurse is counseling an adolescent, in her second month of pregnancy, about the risk of teratogens. The adolescent has understood the teaching if she makes which statement?
a. "I will be able to continue taking isotretinoin (Accutane) for my acne."
b. "I can continue to clean my cat's litter box."
c. "I should avoid any alcoholic beverages."
d. "I will ask my physician to adjust my phenytoin (Dilantin) dosage."
ANS: C
Teratogens are agents that cause birth defects when present in the prenatal period. Avoidance of alcoholic beverages is recommended to prevent fetal alcohol syndrome. Isotretinoin (Accutane) and phenytoin (Dilantin) have been shown to have teratogenic effects and should not be taken during pregnancy. Cytomegalovirus, an infection agent and a teratogen, can be transmitted through cat feces, and cleaning the litter box during pregnancy should be avoided.
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