The nurse is doing preconception counseling with a 28-year-old woman with no prior pregnancies. Which client statement indicates that teaching has been effective?
1. "A beer once a week will not damage the fetus."
2. "I can continue to drink alcohol until I am diagnosed as being pregnant."
3. "I can drink alcohol while breastfeeding since it does not pass into breast milk."
4. "I need to stop drinking alcohol completely when I start trying to get pregnant."
4
Explanation:
1. It is not known how much alcohol will cause fetal damage; therefore, alcohol during pregnancy is contraindicated.
2. Women should discontinue drinking alcohol when they start to attempt pregnancy.
3. Breastfeeding generally is not contraindicated, although alcohol is excreted in breast milk. Excessive alcohol consumption may intoxicate the infant and inhibit the maternal letdown reflex.
4. Because birth defects that are related to fetal alcohol exposure can occur in the first 3 to 8 weeks' gestation, often before the woman even knows she is pregnant, women should discontinue drinking alcohol when they start to attempt pregnancy.
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