The nursing mother asks the nurse if it is all right to take St. John's wort for mild depression. What is the best response by the nurse?
1. "No, it will probably cause your baby to have more allergies."
2. "No, because it might decrease the amount of milk you produce."
3. "No, it could be excreted in your milk and affect the baby."
4. "No, it will affect the taste of your milk, and your baby might reject nursing."
Correct Answer: 3
Rationale: Many drugs are excreted in breast milk and can affect the nursing infant. Taking St. John's wort is not likely to cause the baby to have more allergies. Taking St. John's wort is not likely to decrease the amount of milk the mother produces. Taking St. John's wort may affect the taste of the mother's milk, but this is not the most important response.
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