A mother has just given birth to a baby boy. A nurse notes that the infant has a cleft palate and low-set, malformed ears. The mother is upset and wants to know what is wrong with her baby
The nurse's most appropriate answer would be
a. "Do you recall any medications that you took during the second trimester of your pregnancy?"
b. "Please don't be concerned, a cleft palate is not that uncommon and can be fixed."
c. "It is important that I take a medication history from you concerning medications that you took, if any, during your first trimester."
d. "Did you take any medications or herbal products during your last trimester?"
ANS: C
A cleft palate, low-set, malformed ears, and deafness typically are the result of teratogens consumed during the first trimester; therefore taking an accurate and complete medication history is important.
Telling the patient not to worry is condescending and does not validate her feelings.
A cleft palate would not develop during the second trimester, because the mouth and gut are formed at 7 to 12 weeks' gestation.
A cleft palate would not develop during the third trimester, because the mouth and gut are formed at 7 to 12 weeks' gestation.
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