The client is 3 months pregnant and receives education regarding maintaining a healthy pregnancy. The nurse based the education on the objectives of Healthy People 2020 regarding pregnant women
Which client statements indicate appropriate understanding of the teaching session?
Select all that apply.
1. "I never got my rubella vaccination so I've been staying away from my niece who has rubella."
2. "I stopped taking Accutane for my acne before we started trying to get pregnant."
3. "I have been so careful about taking my insulin now that I'm pregnant."
4. "I have just one glass of wine each evening."
5. "I had to change to a different medication to prevent my seizures before we got pregnant."
Correct Answer: 1, 2, 3, 5
Pregnant females who have not had or been immunized against rubella must avoid contraction of the virus during the first trimester of pregnancy. The use of Accutane during pregnancy can increase the risk of having a child with congenital heart defects. Females with diabetes mellitus have an increased risk of having a child with a heart defect. Careful regulation of the diabetes before and in early pregnancy can reduce the risk. Some anti-seizure medications can increase the risk of having a child with a heart defect. It is not appropriate to drink alcohol during pregnancy because it increases the risk of having a child with birth defects.
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