A client is at 12 weeks' gestation with her first baby. She has cardiac disease, class Ⅲ. She states that she had been taking sodium warfarin (Coumadin), but her physician changed her to heparin. She asks the nurse why this was done. What should the nurse's response be?
A) "Heparin is used when coagulation problems are resolved."
B) "Heparin is safer because it does not cross the placenta."
C) "They are the same drug, but heparin is less expensive."
D) "Coumadin interferes with iron absorption in the intestines."

Question

Quizplus · Accepted Answer

Heparin is preferred over warfarin (Coumadin) during pregnancy because it does not cross the placenta, making it safer for the developing fetus. Warfarin can cause birth defects and other problems.

A Client Is at 12 Weeks' Gestation with Her First