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A 16-year-old student comes to the school nurse's office and tells the nurse that she thinks she might be pregnant. The student tells the nurse that...

A 16-year-old student comes to the school nurse's office and tells the nurse that she thinks she might be pregnant. The student tells the nurse that she has not had a period in 3 months. The nurse checks the student's file and finds that she has a history of asthma and a seizure disorder for which she has been prescribed daily drugs. Because the student takes these drugs at home, the nurse has not seen her on a regular basis. The nurse counsels the student about obtaining a pregnancy test. The student tells the nurse that before she can leave the office, she needs to know what might be wrong with her baby. The student states that she drinks heavily on weekends and that she probably was drunk when she became pregnant. She also states that she was concerned about taking her seizure medication during the months she thought she was pregnant, but she was too embarrassed not to take it because she did not want to have a seizure in front of her friends. The student tells the nurse that she has not taken any asthma medication and that she has been having a difficult time breathing.

1.What can the nurse tell the student about the interval when she was taking her medications after possibly becoming pregnant? 

2.When the student asks specifically how her baby may have been affected, how should the nurse reply?

3. The student asks what alcohol can do to her baby. What would be the best response by the school nurse?

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