A 32-year-old woman with well-controlled ADHD on mixed amphetamine salts 20 mg daily discovers she is 6 weeks pregnant. She works as an air traffic controller and expresses significant concern about discontinuing her ADHD medication due to occupational safety implications. She has no history of substance misuse. The PMHNP must counsel her on ADHD medication options during pregnancy. Which of the following best represents the current evidence-based approach?