The nurse is doing preconceptual counseling with a 28-year-old woman with no prior pregnancies. Which of the following statements made by the client indicates to the nurse that the client has understood the teaching?
A. I can continue to drink alcohol until I am diagnosed as pregnant.
B. I need to stop drinking alcohol completely when I start trying to get pregnant.
C. A beer once a week will not damage the fetus.
D. I can drink alcohol while breastfeeding since it doesn't pass into breast milk.
Question 2
A client is 12 weeks pregnant with her first baby. She has class III cardiac disease. She states that she had been taking sodium warfarin (Coumadin), but her physician changed her to heparin (Hepalean). She asks the nurse why this was done.
The nurse's response should be: A. Heparin may be given by mouth, while warfarin must be injected.
B. Heparin is safer because it does not cross the placenta.
C. They are the same drug, but heparin is less expensive.
D. Warfarin interferes with iron absorption in the intestines.
A nurse prepares a client for anesthesia and surgery.
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