After giving instructions to an expectant mother about taking medications during pregnancy, which patient statement indicates the need for further teaching?
a. "I will not take herbal medicines during pregnancy."
b. "For morning sickness, I will try crackers instead of taking a drug."
c. "If I get a cold, I will avoid taking nonprescription medications until I check with my physician."
d. "I will limit my alcohol intake to only one glass of wine weekly."
ANS: D
Alcohol needs to be eliminated during pregnancy and for 2 to 3 months prior to conception. Limited studies are available regarding the use of herbal medications in general, and thus they should be avoided during pregnancy. Alternative nonpharmacologic treatments are appropriate to use during morning sickness. The pregnant woman should also avoid using nonprescription drugs because few data are available about safe use in pregnancy. Because few medicines can be considered completely safe for use in pregnancy, the physician needs to approve and recommend the use of nonprescription drugs.
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