A client in the first trimester of pregnancy is concerned that the baby will be born with birth defects since she was prescribed penicillin for dental work about the time she became pregnant. The nurse should instruct the client that:
1. Diagnostic tests can be done to check for birth defects.
2. The penicillin was used for such a short period of time that it probably will not affect the fetus.
3. Antibiotics do not affect the developing baby, so there is no need to be concerned. 4. Penicillin has no risks or minimal risks associated with it for the developing fetus.
4. Penicillin has no risks or minimal risks associated with it for the developing fetus.
Rationale:
The client is anxious about having taken a teratogenic agent during the period when she became pregnant. Penicillin is considered a category B drug, with no known harmful effects to animals and with minimal or no documented effects to humans. The nurse should explain that penicillin has no risks or minimal risks associated with it for the developing fetus. The nurse should not tell the client that diagnostic tests can be done to check for birth defects. The nurse should not minimize the client's concern by saying that penicillin used for such a short period of time or antibiotics do not affect the fetus; all drugs affect the developing baby, and the client should be concerned about it.
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