Rosh Women's Health Practice Exam

In the context of a prenatal visit, the most appropriate recommendation for a patient concerned about skin changes related to hyperpigmentation is photoprotection. During pregnancy, women often experience increased pigmentation due to hormonal changes, commonly known as melasma. This condition can exacerbate with UV exposure.

Photoprotection involves using broad-spectrum sunscreen to prevent further hyperpigmentation from occurring. This includes applying sunscreen with a high SPF daily, reapplying regularly, and avoiding direct sun exposure whenever possible. Educating the patient about the benefits of sun protection can help mitigate worsening pigmentation while also being safe for both the mother and the developing fetus.

Other options, such as topical treatments like adapalene or tretinoin, are generally not recommended during pregnancy due to potential risks to the fetus. Intense pulsed light laser treatments are also not advisable for pregnant women for safety and ethical reasons. Therefore, photoprotection is the most appropriate and safe course of action for managing skin changes related to hyperpigmentation in a pregnant patient.