A woman is 4 weeks pregnant.The primary care NP sees her for her first prenatal visit and obtains a rubella titer,which is negative.The woman tells the NP that she drinks 2 cups of coffee and smokes 3 to 5 cigarettes each day.She denies alcohol use.The NP should:

Question

Quizplus · Accepted Answer

Each cigarette smoked decreases maternal blood pressure for up to 15 minutes and decreases uteroplacental perfusion.The NP should encourage the woman to quit smoking.Rubella vaccine should be given after the baby is delivered because rubella vaccine is a live virus,with severe teratogenic effects.There is no conclusive evidence that women who are pregnant should avoid caffeine completely.Her habits,although not severe,are not harmless.

A Woman Is 4 Weeks Pregnant