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?
"We should be sure to start our daughter on birth control pills."
"Sexual maturity differences between my daughter and her peers will disappear within a few years."
"Our daughter will be on this hormone treatment the rest of her life."
"We should encourage her to dress in clothing that suits her sexual maturity level."
The Correct Answer is B
A. "We should be sure to start our daughter on birth control pills." This statement is not directly related to LHRH treatment for precocious sexual development. The primary goal of LHRH treatment is to delay sexual development, and birth control pills are typically not necessary for this purpose.
B. "Sexual maturity differences between my daughter and her peers will disappear within a few years."
In a case of precocious sexual development, treatment with luteinizing hormone-releasing hormone (LHRH) is often used to delay sexual development and slow down the maturation process. It is not typically a lifelong treatment. The primary goal is to allow the child to develop at a more typical pace, so they can catch up with their peers and avoid the psychosocial challenges associated with early sexual maturity. Therefore, the statement in option B indicates a correct understanding of the treatment, as it recognizes that the differences in sexual maturity between the child and her peers should diminish over time.
C. "Our daughter will be on this hormone treatment the rest of her life." This statement is not accurate. LHRH treatment is usually a temporary measure to delay sexual development. It is not a lifelong treatment.
D. "We should encourage her to dress in clothing that suits her sexual maturity level." While this is a consideration for supporting a child with precocious sexual development, the primary treatment aspect is the LHRH therapy itself, which is aimed at delaying sexual development. This statement does not directly address the treatment process.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Encourage the parents to rest when possible.While ensuring that parents get rest is important for overall family well-being, this intervention does not directly address the child's immediate symptoms.
B. Apply lotion to hands and feet.Applying lotion can help soothe the discomfort associated with skin peeling. However, this intervention is more supportive and addresses a later concern. It does not directly alleviate the child's irritability or refusal to eat.
C. Make a list of foods that the child likes.This intervention focuses on improving the child's nutritional intake by offering familiar foods. However, if the child is irritable and overstimulated, their refusal to eat may be due to discomfort or distress. Addressing the irritability first may improve their willingness to eat.
D. Place the child in a quiet environment.Children with Kawasaki disease often experience irritability due to discomfort, fever, and the overall systemic effects of the illness. Creating a quiet environment helps reduce sensory stimulation, which can soothe the child and decrease irritability.
Correct Answer is B
Explanation
A. Using 1-word sentences is more characteristic of a child's speech development at around 12-18 months, and by age 3, children are expected to use more words in their sentences.
B. Speaks in simple sentences with four or more words.
At the age of 3, children typically progress in their speech and language development. Speaking in simple sentences with four or more words is considered a normal developmental milestone at this age. It reflects the child's growing ability to form more complex and coherent sentences.
C. Recognizing most letters and numbers is not typically a developmental milestone for a 3-year-old. This skill often develops later, closer to the preschool and kindergarten years.
D. Using gestures with 1 to 2-word sentences may be seen in younger children, but by age 3, children should be progressing to longer and more complex sentences as part of their language development.
It's important to remember that there can be some individual variation in language development, but by the age of 3, children are generally expected to speak in simple sentences with more words and demonstrate growing language skills.
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