The nurse is providing preconceptional care for a primigravida client. Which of the following statements accurately represent the seven areas that need to be addressed in preconceptional care? Select all answers that apply
A) Eating a healthy diet, including 200 mcg (micrograms) of folic acid a day
B) Stopping harmful or addictive behaviors, such as smoking, drinking alcohol, and drugs
C) Obtaining prescriptions for alternate drugs that are safer during pregnancy
D) For the diabetic woman, changing to an oral diabetic agent instead of insulin
E) Referring a couple at risk of having a baby with a genetic defect for genetic testing
F) Referring a couple who is having difficulty getting pregnant to a fertility specialist
B, C, E
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The seven areas that need to be addressed in preconceptional care are eating a healthy diet, including 400 mcg (micrograms) of folic acid a day; stopping harmful or addictive behaviors, such as smoking, drinking alcohol, and drugs; obtaining prescriptions for alternate drugs that are safer during pregnancy; for the diabetic woman, changing to an insulin instead of an oral diabetic agent; referring a couple at risk of having a baby with a genetic defect for genetic testing; testing the mother to be for infections diseases; and reducing psychosocial risk factors. Referring a couple that is having difficulty getting pregnant to a fertility specialist may occur, but is not one of the stated seven areas to be addressed.
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