A 32-year-old female patient informs the psychiatric-mental health nurse practitioner that she is three months pregnant. She has been stable on fluoxetine (Prozac) for the last two years. The patient asks whether she may safely continue this medication during her pregnancy. The nurse practitioner responds:
a) Cognitive-behavioral therapy has proven to be successful during pregnancy with no risk to the fetus, so let's discontinue your Prozac.
b) Let's review the risks and benefits of continuing or discontinuing Prozac for you and your baby.
c) Prozac is a category B drug, which means that it's safe for you to continue on this medication during your pregnancy.
d) This medication is unsafe for your baby, so we'll wean you off this medication during your pregnancy.