A clinic nurse is planning a teaching session for childbearing-age female clients. Which should the nurse include in the teaching session with regard to avoiding exposing a fetus to teratogens?
a. Use only category A medications during pregnancy.
b. Immunizations should be updated during the first trimester of pregnancy.
c. Use of saunas and hot tubs during pregnancy should be during the winter months only.
d. Alcoholic beverages can be consumed in the first and third trimesters of pregnancy.
ANS: A
In well-controlled studies, class A medications have no demonstrated fetal risk. Immunizations for diseases such as rubella are contraindicated during pregnancy. Use of saunas and hot tubs are not recommended because maternal hyperthermia is an important teratogen. Alcohol is an environmental substance known to be teratogenic.
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