A patient in her second trimester of pregnancy tells the nurse she is worried that a medication she took before knowing she was pregnant might have harmed the fetus. What will the nurse do?
a. Ask the patient what she took and when she learned she was pregnant.
b. Contact the patient's provider to request an ultrasound.
c. Counsel the patient to consider termina-tion of the pregnancy.
d. Suggest to the patient that she go to a high-risk pregnancy center.
A
When a pregnant patient is exposed to a known or potential teratogen, the first step is to find out when the drug was taken and when the pregnancy began to determine whether the drug was tak-en during the period of organogenesis, when the fetus is most vulnerable to teratogenic effects. If exposure occurred during this phase, the provider may order an ultrasound. Counseling the pa-tient to terminate a pregnancy is not a nursing role. Until more is known about this patient's fetus, it is not necessary to refer her to another pregnancy center.
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