A patient with asthma who is 32 weeks pregnant is concerned that the health care provider has reduced the doses of asthma maintenance medications. What should the nurse respond to this patient's concern?
A) Asthma medication is teratogenic and should not be taken.
B) Asthma improves during pregnancy so higher doses are not needed.
C) Asthma medication may reduce labor contractions and should be reduced.
D) Asthma medication is ineffective during pregnancy and should be stopped.
C
Feedback:
Some asthma maintenance medication such as beta-adrenergic agonists may be taken safely during pregnancy, but they have the potential to reduce labor contractions. The doses of these medications may be reduced as the patient approaches the time of delivery. Not all asthma medication is teratogenic. Asthma can improve during pregnancy because of circulating corticosteroids; however, the doses of the medications should have already been adjusted according to the patient's symptoms. There is no evidence to support that asthma medication is ineffective during pregnancy.
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