Difficulty: Medium
Average Score: 63%
Simulated
A client at 9-weeks gestation informs the nurse that she has reduced her alcohol intake but still consumes at least one alcoholic drink every evening before bedtime. What action should the nurse take?
Correct answer
D
Rationale
Alcohol consumption during pregnancy poses risks to the fetus. Referring the client to an outpatient program for disulfiram therapy addresses potential dependency effectively. Praising reduced intake may not suffice, insisting on blood tests is invasive, and notifying child protective services is inappropriate without evidence of drug use.