A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurse’s response is based on the knowledge that:

1
There is no need to take thyroid medication because the fetus’s thyroid produces a thyroid-stimulating hormone.
2
Regulation of thyroid medication is more difficult because the thyroid gland increases in size during pregnancy.
3
It is more difficult to maintain thyroid regulation during pregnancy due to a slowing of metabolism.
4
Fetal growth is arrested if thyroid medication is continued during pregnancy

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