Mrs. K is a 35-year-old client who is pregnant with her first child. She works as a consultant, and part of her job involves taking clients to dinner to discuss marketing options for their products
The company she works for expects her to order wine with dinner for herself and her guests. Recently she noticed that if she does not drink the wine her guests seem to feel hesitant to drink theirs as well, making the gesture awkward and wasteful. During her clinic visit she asks the nurse what the "rule" is for drinking during pregnancy. The best response for the nurse would be: 1. "One or two glasses of wine with dinner should not be harmful, but avoid liquor and beer.".
2. "If having wine with dinner is an expectation for your job you should do it.".
3. "To keep your baby as safe as possible, alcohol should be avoided during pregnancy.".
4. "Consider ordering beer instead because it contains more nutrients.".
3
Rationale: Current recommendations advise women and small men to limit alcohol intake to one drink per day. Children, pregnant and lactating females, individuals with medical conditions or who are taking medications that interact with alcohol should avoid alcohol completely. Adverse events related to excess alcohol in plasma crossing the blood brain barrier is more common in women because of lower body water levels than men. Alcohol ingested by pregnant females acts as a direct toxin on the developing fetal brain and can lead to permanent damage.
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