The nurse is instructing a female patient who is 6 weeks pregnant. Which of the following should the nurse include in this instruction to ensure the development of an intact immune system for the baby once it is born?
1. Eliminate exposure to known carcinogens so that the baby's immune tolerance will develop normally.
2. Limit alcohol consumption to two drinks or fewer per day.
3. Reduce smoking.
4. Engage in light physical activity during the pregnancy.
Eliminate exposure to known carcinogens so that the baby's immune tolerance will develop normally.
Rationale: Immune tolerance begins during embryonic development of the immune system. For the immune system to develop normally, the patient should be instructed to eliminate exposure to known carcinogens. The patient should be instructed to eliminate alcohol and smoking. The patient may or may not need to limit exercise or engage in light physical activity only.
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