The nurse knows that which antibiotic, when taken by a pregnant woman, can adversely affect the newborn's hearing?
1. Mycins
2. Aminoglycosides
3. Sulfonamides
4. Tetracyclines
Correct Answer: 2
Rationale 1: Mycins do not adversely affect the newborn's hearing.
Rationale 2: Aminoglycosides can adversely affect the newborn's hearing.
Rationale 3: Sulfonamides can have a genetic-related adverse effect, but they do not affect the newborn's hearing.
Rationale 4: Tetracyclines can affect the teeth in the newborn, but they do not affect hearing.
Global Rationale: Some antibiotics are readily secreted in breast milk or cross the placenta. For example, tetracyclines taken by the mother can cause teeth discoloration in the newborn, and aminoglycosides can affect hearing. Some anti-infectives are pregnancy category D, such as minocycline, doxycycline, neomycin, and streptomycin
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