The client is receiving phenobarbital (Luminal) for control of seizures. The client tells the nurse she plans to become pregnant. What is the best response of the nurse?
1. "Your medication dose will need to be increased during your pregnancy.".
2. "Please talk to your doctor; this drug is contraindicated in pregnancy.".
3. "Your medication dose will need to be decreased during your pregnancy.".
4. "Please talk to your doctor; you will need a safer drug like valproic acid (Depakene).".
2. "Please talk to your doctor; this drug is contraindicated in pregnancy.".
Rationale:
Phenobarbital (Luminal) falls under Pregnancy Category D and is contraindicated in pregnancy. The medication does not need to be increased; it most likely will need to be stopped. The medication does not need to be decreased; it most likely will need to be stopped. Valproic acid (Depakene) is also a Pregnancy Category D drug and is contraindicated during pregnancy.
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