A pregnant client who uses cocaine and ecstasy on a regular basis asks why ecstasy should not be used during pregnancy. What should the nurse explain about this drug?
1. "It produces intrauterine growth restriction and meconium aspiration."
2. "It leads to deficiencies of thiamine and folic acid, which help the baby develop."
3. "It produces babies with small heads and short bodies with brain function alterations."
4. "It can cause a high fever in you if high doses are taken and therefore cause the baby harm."
4
Explanation:
1. Heroin causes these fetal effects, not ecstasy.
2. Alcohol, not ecstasy, causes deficiencies of thiamine and folic acid. Folic acid helps prevent neural tube defects.
3. Cocaine causes these fetal effects, not ecstasy.
4. High body temperature is a side effect of MDMA (methylenedioxymethamphetamine: ecstasy). Increased body temperature increases fetal oxygen needs, which can lead to hypoxia and subsequent brain and major organ damage.
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