A pregnant adolescent patient asks the nurse whether she should continue to take her prescription for tetracycline [Sumycin] to clear up her acne. Which response by the nurse is correct?
a. "Tetracycline can be harmful to the baby's teeth and should be avoided."
b. "Tetracycline is safe to take during preg-nancy."
c. "Tetracycline may cause allergic reactions in pregnant women."
d. "Tetracycline will prevent asymptomatic urinary tract infections."
A
Tetracyclines can cause discoloration of deciduous teeth of infants if taken by the mother after the fourth month of gestation. Tetracyclines should not be given to pregnant women. Tooth dis-coloration can be prevented if the drugs are not taken by pregnant women or by children under 8 years of age. Tetracycline is not appropriate for a pregnant patient. Pregnancy does not precipi-tate an allergic response to tetracycline. Tetracycline should not be used to prevent urinary tract infections (UTIs), especially in pregnant women.
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