After teaching the parents of a daughter with central precocious puberty about medication therapy. which statement by the parents indicates successful teaching?
"She will start puberty again when the medication stops."
"She needs to use the nasal spray once every day."
"Once therapy is done, she'll need surgery"
"This medication will slow down the changes but not reverse them."
The Correct Answer is A
A. Treatment for central precocious puberty, such as with GnRH analogs, temporarily suppresses the premature hormonal changes. Puberty resumes at a normal age once therapy is discontinued, indicating that the parents understand the purpose and effect of the medication.
B. Many GnRH analogs are administered via injection, not as a daily nasal spray. The statement may reflect misunderstanding of the correct route or frequency of administration.
C. Medication therapy alone is usually sufficient to manage central precocious puberty. Surgery is rarely required, so this indicates a misconception about the treatment plan.
D. While the medication does suppress ongoing pubertal changes, it does not just “slow” them—it effectively halts further progression until treatment is stopped. The statement underestimates the effectiveness of the therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
A. Oatmeal baths in lukewarm water help soothe irritated skin, reduce inflammation, and relieve itching.
B. Children with pruritic skin conditions should wear loose, breathable cotton clothing; avoiding cotton is incorrect because synthetic fabrics can increase irritation.
C. Wrapping a child snugly can increase heat and sweating, which aggravates itching and discomfort.
D. Encouraging the child to press or pat the itchy area rather than scratch helps prevent skin breakdown and secondary infection.
E. Keeping fingernails short reduces the risk of scratching and causing further damage to the skin.
Correct Answer is B
Explanation
A. Monitoring vaginal bleeding is important, but establishing immediate access for fluid resuscitation or blood transfusion takes priority in case of sudden hemorrhage.
B. Inserting an IV catheter is the priority because clients with placenta previa are at high risk for rapid, severe bleeding. Having IV access ensures quick administration of fluids or blood products to maintain maternal hemodynamic stability.
C. Administering glucocorticoids may be indicated to promote fetal lung maturity if preterm delivery is anticipated, but this is secondary to ensuring maternal safety.
D. Applying an external fetal monitor helps assess fetal status, but it does not address the immediate risk of maternal hemorrhage, making it a lower priority than establishing IV access.
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