A nurse is caring for a patient taking sumatriptan for migraines who reports that she is positive for pregnancy. What is the appropriate nursing action?

• A. Continue sumatriptan during pregnancy
• B. Discontinue sumatriptan and use another migraine medication
• C. Switch to acetaminophen
• D. Use NSAIDs as alternative

Answer: (B)

In pregnancy, you must weigh fetal safety when choosing treatments. Sumatriptan has limited and not clearly established safety data for use during pregnancy, so continuing it could pose risk to the fetus. The appropriate action is to discontinue sumatriptan and switch to a migraine medication with a safer pregnancy profile. Acetaminophen is a common, generally regarded as safe option for acute migraine relief in pregnancy, while NSAIDs are typically avoided, especially later in pregnancy, due to fetal risks. So stopping sumatriptan and using another pregnancy-compatible migraine medication best protects both mother and baby.