A nurse is speaking with a client who is addicted to heroin and who just learned that she is pregnant. The client states, I just started taking methadone. Is there anything else I can do to make sure my baby is healthy? Which information should the nurse provide?

Choice A reason: Discontinuing methadone abruptly risks withdrawal, harming the fetus via stress and hypoxia; it’s a controlled opioid substitute stabilizing pregnancy, not to be stopped suddenly. Choice B reason: Group therapy supports addiction recovery emotionally but doesn’t directly ensure fetal health; it’s supplementary, not a primary physical health intervention like prenatal care. Choice C reason: Genetic testing identifies fetal abnormalities but doesn’t address immediate health risks from heroin addiction or ensure well-being, unlike comprehensive prenatal monitoring and care. Choice D reason: A prenatal care plan monitors fetal growth, manages methadone, and addresses addiction-related risks (e.g., malnutrition), optimizing baby’s health through medical oversight and interventions.