Rose, a crack cocaine and alcohol user, appears at the HMO clinic complaining of frequent stomach pains. Rather than getting the painkillers she wants, she is surprised to learn that she is at least nine weeks pregnant. In addressing Rose's pregnancy, the social worker interviewing her should first seek to
A. refer Rose for psychiatric care.
B. help Rose understand the health consequences of drugs and alcohol on her body and the developing fetus.
C. discuss the pregnancy with Rose's family and ask for their help in forcing her to stop using drugs and alcohol, at least during her pregnancy.
D. arrange admission to a half-way house.
B. help Rose understand the health consequences of drugs and alcohol on her body and the developing fetus.
The question stem does not indicate the degree to which Rsoe is using drugs. However, there is no indication of a serious addiction. The best answer in this case is to discuss the health implications of substance use on mother and child. Other steps might be necessary depending on the response on subsequent evaluation.
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