A nurse is discussing the importance of prenatal care in relation to congenital heart diseases. Which statement should the nurse include in the teaching?

A. Clients with congenital heart disease are at increased risk for infective endocarditis following invasive dental procedures. Prophylactic antibiotics are commonly prescribed prior to certain dental surgeries to reduce this risk. Premedicating as prescribed helps prevent potential infection-related complications.

B. Avoiding antibiotic prophylaxis would place the client at higher risk for developing infective endocarditis, particularly if the dental procedure involves manipulation of gingival tissue or perforation of oral mucosa.

C. The time of day the surgery is scheduled does not reduce the risk associated with bacteremia during dental procedures. Infection prevention is the primary concern.

D. Continuing aspirin before surgery may increase the risk of bleeding, depending on the clinical situation and provider recommendations. Decisions regarding antiplatelet therapy should be clarified with the healthcare provider rather than automatically continued.

A) This option is incorrect. Maintaining a sedentary lifestyle during pregnancy is not recommended, as moderate exercise can be beneficial for both maternal and fetal health.

B) This option is incorrect. Prenatal check-ups and ultrasounds are essential for monitoring the health and development of the fetus and identifying any potential issues, including congenital heart diseases.

C) Correct answer. Genetic counseling can help assess the risk of congenital heart diseases based on the family history and provide guidance and recommendations for future pregnancies. This counseling can assist in making informed decisions about prenatal care and potential interventions.

D) This option is incorrect. While a family history of congenital heart diseases may increase the risk, seeking appropriate medical guidance and prenatal care can help manage and address these risks.