The nurse is completing a focused interview to assess the skin, hair, and nails of a pregnant client. Which of the following questions would be most important for the nurse to include in the interview?
1. "Do you use any skin creams?"
2. "Do you try to avoid exposure to the sun?"
3. "Have you lost any hair during your pregnancy?"
4. "Have you had any nail changes?"
1
Rationale 1: Topical medications may be absorbed through the skin and harm the fetus. Those that can cause birth defects include Retin A, antifungal agents, and minoxidil for hair growth. Other topical medications that can harm the baby include antibiotics, steroids, and medication for muscle pain.
Rationale 2: Client should avoid sun exposure to prevent skin damage.
Rationale 3: Losing hair during pregnancy is not necessarily as important to assess as the client's use of skin creams. Topical medications may be absorbed through the skin and harm the fetus.
Rationale 4: Nail changes can be assessed, but it is most important to assess the client's use of skin creams. Topical medications may be absorbed through the skin and harm the fetus.
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