A woman has been recently diagnosed with systemic lupus and shares with the nurse, 'I am thinking about getting pregnant, but I don't know how I will be able to tolerate a pregnancy since I have lupus.' Which of the following responses by the nurse is BEST?

Systemic lupus erythematosus (SLE) increases maternal morbidity and mortality during pregnancy, and active disease can exacerbate complications. Pregnancy is safest when SLE is in remission for at least 5ÔÇô6 months prior to conception. Asking about remission status assesses the clientÔÇÖs disease activity, which is critical for planning a safe pregnancy. Choice A is inaccurate, as SLE symptoms may worsen; choice C is false, as gestation length is unaffected; and choice D is incorrect, as conception is recommended after 2 years of stable disease.