For a pregnant client who normally smokes 2 packs per day, what is a realistic goal during the initial clinic visit?

Setting a goal to reduce smoking by 50 percent by the next visit is a realistic and achievable target for a pregnant client who normally smokes 2 packs per day. Rapid cessation of smoking can often lead to withdrawal symptoms and increased stress, which could negatively impact both the mother's health and the developing fetus.

This gradual reduction approach allows the client to experience success and build confidence as she works towards minimizing the risks associated with smoking during pregnancy. It also provides an opportunity for the healthcare provider to support the client in making long-term changes while addressing behavioral habits and potential triggers associated with smoking.

This strategy underscores the importance of harm reduction in smoking cessation during pregnancy. It encourages the client to engage in her health improvement journey without overwhelming her with an immediate and potentially unattainable expectation of total cessation right away.