Which is the most appropriate intervention for the parents of a ...

[jjjetplane]

Which is the most appropriate intervention for the parents of a 6-year-old child with precocious puberty?
 
  a. Advise the parents to consider birth control for their daughter.
  b. Explain the importance of having the child foster relationships with same-age peers.
  c. Assure the child's parents that there is no increased risk for sexual abuse because of her appearance.
  d. Counsel parents that there is no treatment currently available for this disorder.

Question 2

The mother of a 10-month-old infant asks the nurse about beginning to wean her child from the bottle. Which statement by the mother suggests that the child is not ready to be weaned?
 
  a. My son is frequently throwing his bottle down..
  b. The baby takes a few ounces of formula from the bottle..
  c. He is constantly chewing on the nipple. It concerns me..
  d. He consistently is sucking..

[kingdude89]

Answer to Question 1

B
Despite the child's appearance, the child needs to be treated according to her chronological age and to interact with children in the same age group. An expected outcome is that the child will adjust socially by exhibiting age-appropriate behaviors and social interactions. Advising the parents of a 6-year-old to put their daughter on birth control is not appropriate. Parents need to be aware that there is an increased risk of sexual abuse for a child with precocious puberty. Treatment for precocious puberty is the administration of gonadotropin-releasing hormone blocker, which slows or reverses the development of secondary sexual characteristics and slows rapid growth and bone aging.

Answer to Question 2

D
Consistent sucking is a sign that the child is not ready to be weaned. A decreased interest in the bottle starts between 6 and 12 months. Throwing the bottle down is a sign of a decreased interest in the bottle. When the child is taking more fluids from a cup and decreasing amounts from the bottle, the child is demonstrating a readiness for weaning. Chewing on the nipple is another sign that the infant is ready to be weaned.