HESI RN Med Surg
HESI RN Med Surg ( 40 Questions)
An 8-year-old girl with precocious sexual development is being treated medically with injections of luteinizing hormone-releasing hormone (LHRH) to regulate the pituitary gland. Which statement by the parents indicates that they understand the treatment?
Starting the daughter on birth control pills is not necessary and may interfere with the LHRH treatment. LHRH injections suppress the production of sex hormones and prevent ovulation and menstruation. Birth control pills contain synthetic hormones that may have unwanted side effects and may not be effective in preventing pregnancy in girls with precocious puberty.
Encouraging the daughter to dress in clothing that suits her sexual maturity level is not advisable and may cause psychological distress. Girls with precocious puberty may feel self-conscious and embarrassed about their early physical development and may face teasing or bullying from their peers. Dressing in clothing that accentuates their sexual maturity may make them feel more uncomfortable and isolated. They should be allowed to dress in clothing that matches their age and emotional development.
The daughter will not be on this hormone treatment the rest of her life. LHRH injections are usually given until the age of normal puberty, around 11 or 12 years old. Then, the treatment is stopped and the natural puberty process resumes. The injections are meant to delay puberty, not stop it permanently.
Sexual maturity differences between the daughter and her peers will disappear within a few years is the correct statement that shows understanding of the treatment. LHRH injections slow down the growth and development of the sex organs and secondary sexual characteristics, such as breasts and pubic hair. This allows the girl to grow at a normal rate and reach her full adult height potential. It also reduces the social and emotional problems that may arise from being sexually mature too early. Once the treatment is stopped, the girl will go through puberty at the same time as her peers and the differences will no longer be noticeable.
Choice A reason: Starting the daughter on birth control pills is not necessary and may interfere with the LHRH treatment. LHRH injections suppress the production of sex hormones and prevent ovulation and menstruation. Birth control pills contain synthetic hormones that may have unwanted side effects and may not be effective in preventing pregnancy in girls with precocious puberty.
Choice B reason: Encouraging the daughter to dress in clothing that suits her sexual maturity level is not advisable and may cause psychological distress. Girls with precocious puberty may feel self-conscious and embarrassed about their early physical development and may face teasing or bullying from their peers. Dressing in clothing that accentuates their sexual maturity may make them feel more uncomfortable and isolated. They should be allowed to dress in clothing that matches their age and emotional development.
Choice C reason: The daughter will not be on this hormone treatment the rest of her life. LHRH injections are usually given until the age of normal puberty, around 11 or 12 years old. Then, the treatment is stopped and the natural puberty process resumes. The injections are meant to delay puberty, not stop it permanently.
Choice D reason: Sexual maturity differences between the daughter and her peers will disappear within a few years is the correct statement that shows understanding of the treatment. LHRH injections slow down the growth and development of the sex organs and secondary sexual characteristics, such as breasts and pubic hair. This allows the girl to grow at a normal rate and reach her full adult height potential. It also reduces the social and emotional problems that may arise from being sexually mature too early. Once the treatment is stopped, the girl will go through puberty at the same time as her peers and the differences will no longer be noticeable.