03-26-2008, 10:01 PM
A 23-year-old woman who is 10 weeks pregnant with her first pregnancy is referred to you for smoking cessation. She has been smoking since the age of 21 and has never tried to quit. However, now that she is pregnant she would really like to quit. She has no symptoms of depression. Her past medical history is significant for asthma. She uses an inhaler occasionally for her asthma and takes no other medications. She has never had surgery and has no known drug allergies. Physical examination is normal for a patient at 10 weeks™ gestation. Which of the following is the most appropriate management for this patient?
A. Address smoking cessation after delivery
B. Prescribe bupropion
C. Prescribe fluoxetine
D. Prescribe the nicotine patch
E. Refer for smoking cessation counseling
A. Address smoking cessation after delivery
B. Prescribe bupropion
C. Prescribe fluoxetine
D. Prescribe the nicotine patch
E. Refer for smoking cessation counseling