An obstetrical nurse is taking a medication history from a pregnant woman. One of the woman's medications is classified as category D. What action by the nurse is best?
A.
Advise her to stop the medication right away.
B.
Encourage her to find herbal substitutions.
C.
Have her call her primary care provider immediately.
D.
Tell her to cut the medication dose in half until she gives birth.
ANS: C
A category D medication is one with well-documented risks to the fetus. In some situations, this may be acceptable if the medication is prescribed for a life-threatening situation or for a disease for which safer drugs cannot be used or do not exist. The nurse should help the woman contact her primary care provider during the OB visit to discuss the continued used of the medication. The nurse should not advise the woman to just stop the medication; she needs to discuss this with the primary care provider, but that needs to be accomplished quickly. The nurse should not encourage substituting herbal preparations or cutting the medication dose in half.
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