A Female Client with Rheumatoid Arthritis Has Taken Rheumatrex (Methotrexate)for

A female client with rheumatoid arthritis has taken Rheumatrex (methotrexate) for the past year to control her symptoms.The client comes to the clinic and tells the nurse that a home pregnancy test was positive.What is the nurse's best response?

A) "You need to schedule a prenatal appointment with your obstetrician right away."
B) "Stop taking Rheumatrex immediately. I'll tell the physician you are pregnant."
C) "Continue taking the Rheumatrex, and increase the dose if you have a flare."
D) "See a genetic counselor to determine whether your baby will have rheumatoid arthritis."