NURS 3100 Exam 1 Practice

A nurse is providing teaching to a pregnant client who is taking captopril, an ACE inhibitor, to treat hypertension. The nurse informs the client that captopril is a teratogenic drug. The nurse should explain that teratogenic drugs can cause which of the following?

1. Fetal malformation

2. Gestational diabetes mellitus

3. Maternal bleeding

4. Maternal blood clots

The correct answer is: Fetal malformation

Teratogenic drugs are known to cause fetal malformations in pregnant clients. These drugs can interfere with the normal development of the fetus, leading to structural abnormalities or birth defects. Understanding the teratogenic potential of medications is crucial during pregnancy to protect the developing fetus. In this case, captopril, as an ACE inhibitor, is contraindicated in pregnancy due to its teratogenic effects, particularly affecting fetal development. It is important for the nurse to educate the client on the risks associated with taking captopril during pregnancy and to work with the healthcare provider to find a safe alternative for managing hypertension during pregnancy. Gestational diabetes mellitus (choice B), maternal bleeding (choice C), and maternal blood clots (choice D) are not typically associated with teratogenic drugs like captopril.