A nurse is caring for a female client who has rheumatoid arthritis and a new prescription for methotrexate. The client tells the nurse she is planning a pregnancy. Which of the following instructions should the nurse give the client?
Dietary modifications occur during pregnancy when taking this medication.
The client can breast feed when taking this medication.
Dosage of the medication will be reduced during pregnancy.
The medication should be discontinued 3 months prior to a planned pregnancy.
The Correct Answer is D
Methotrexate is a medication that interferes with cell division and can cause birth defects or miscarriage if taken during pregnancy. The medication can also pass into breast milk and harm the baby. Therefore, the nurse should advise the client to stop taking methotrexate at least 3 months before trying to conceive and to use effective contraception while on the medication.
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Naxlex Comprehensive Predictor Exams
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