A nurse is assisting in teaching a client at a prenatal clinic. The client shares that they have family members diagnosed with schizophrenia and wants to know how they can reduce their baby's risk of developing schizophrenia. Which of the following information should the nurse include?

A. Restrict calories to maintain weight: Restricting calories is not a recommended practice during pregnancy. Adequate nutrition is essential for the health of both the mother and the developing baby, and weight management should be approached with a focus on healthy eating rather than calorie restriction.
B. Abstain from getting pregnant until later in life: While age can be a factor in the risk of certain conditions, there is no definitive evidence that waiting to become pregnant significantly reduces the risk of the baby developing schizophrenia. The focus should be on overall health and prenatal care rather than solely on age.
C. Avoid contracting a viral infection: Certain viral infections during pregnancy, particularly in the first and second trimesters, may increase the risk of developmental disorders, including schizophrenia. Therefore, taking precautions to avoid infections (such as practicing good hygiene and getting vaccinations) is a relevant recommendation for reducing potential risks.
D. Limit iron intake: Adequate iron intake is important during pregnancy to support both the mother’s health and the baby’s development. Limiting iron is not advisable and could lead to anemia or other complications during pregnancy.

A. When attending dialectical behavior therapy: While individuals with borderline personality disorder may experience emotional distress during therapy sessions, attending dialectical behavior therapy (DBT) typically provides skills and support to manage emotions and reduce self-harm risks. Therefore, this situation is not considered the highest risk.
B. When attending narrative therapy: Narrative therapy focuses on helping individuals reframe their stories and experiences, which can be beneficial. While any therapeutic setting can evoke emotions, attending narrative therapy does not significantly increase the risk of self-harm compared to other situations.
C. When discharged from the hospital: This situation is often associated with the highest risk for self-harm. The transition from a controlled environment to the challenges of everyday life can lead to feelings of abandonment, loss of support, and increased stress, making individuals vulnerable to self-harming behaviors.
D. When getting married: While significant life changes, such as marriage, can evoke anxiety, they do not typically represent the highest risk for self-harm. The supportive context of a marriage and the associated positive emotions usually outweigh the potential for increased risk at that moment.