A perinatal nurse is assessing a pregnant woman's medications and finds that one of them is categorized as Category D. What information should the nurse provide this patient?
A.
"Studies have not found human fetal risk, although animal fetuses are harmed by it."
B.
"There are no associated fetal risks with this drug and it is safe to take in pregnancy."
C.
"There haven't been any studies of this drug in human fetuses; I wouldn't take it."
D.
"We have to decide if the benefits of this drug outweigh the risk, as it can harm the fetus."
ANS: D
There are five categories of drugs based on fetal risk: Category A: no associated fetal risk, safe to take during pregnancy; Category B: no associated fetal risk in animals, fetal risk in humans not identified; Category C: evidence of adverse effects in animal fetuses, fetal risk in humans not identified; Category D: evidence of adverse effects and fetal risk in humans, benefits and risks must be considered before prescribing; and Category X: evidence of fetal risk and congenital anomalies in humans, risks outweigh the benefits, should not be prescribed during pregnancy.
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