The pregnant client plans to breast-feed her baby. She asks the nurse about the use of herbal products during breast-feeding. Which response by the nurse is the most appropriate?
1. "That should be fine as long as at least 12 hours pass between the time you use the product and when you breast-feed."
2. "Most drugs can be transferred to the infant during breast-feeding, so this is not recommended."
3. "Herbal products are considered natural, so it should be fine to use them during breast-feeding."
4. "Be sure to check the label to see whether the herbal product can be used during breast-feeding."
Correct Answer: 2
Rationale 1: Research data does not support this statement.
Rationale 2: The majority of drugs are secreted into breast milk to some extent.
Rationale 3: Herbal products can be transferred through breast milk and can be toxic to the newborn.
Rationale 4: Herbal products may not have to include factual information on their labels. All drugs should be discussed with a provider prior to consuming while breast-feeding.
Global Rationale: The majority of drugs are secreted into breast milk to some extent. Research data does not support this statement of needing 12 hours between taking a medication and breastfeeding. Herbal products can be transferred through breast milk and can be toxic to the newborn. Herbal products may not have to include factual information on their labels. All drugs should be discussed with a provider prior to consuming while breast-feeding.
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