A neonate born with ambiguous genitalia is diagnosed with ...

[kwoodring]

A neonate born with ambiguous genitalia is diagnosed with congenital adrenogenital hyperplasia. Therapeutic management includes administration of
 
  a. Vitamin D
  b. Cortisone
  c. Stool softeners
  d. Calcium carbonate

Question 2

A woman is admitted for repair of cystocele and rectocele. She has nine living children. In taking her health history, which of the following would the nurse expect to find?
 
  A) Sporadic vaginal bleeding accompanied by chronic pelvic pain
  B) Heavy leukorrhea with vulvar pruritus
  C) Menstrual irregularities and hirsutism on the chin
  D) Stress incontinence with feeling of low abdominal pressure

[nhea]

Answer to Question 1

B
Feedback
A Vitamin D has no role in the therapy of adrenogenital hyperplasia.
B The most common biochemical defect with congenital adrenal hyperplasia is
partial or complete 21-hydroxylase deficiency. With complete deficiency,
insufficient amounts of aldosterone and cortisol are produced so that circulatory
collapse occurs without immediate replacement.
C Stool softeners have no role in the therapy of adrenogenital hyperplasia.
D Calcium carbonate has no role in the therapy of adrenogenital hyperplasia.

Answer to Question 2

D
Feedback:
Cystocele and rectocele are examples of pelvic organ prolapse. Manifestations typically include stress incontinence and lower abdominal pressure or pain. Complaints of sporadic vaginal bleeding and chronic pelvic pain are associated with uterine fibroids. Leukorrhea and vulvar pruritus commonly are associated with an infection. Menstrual irregularities and hirsutism are associated with polycystic ovary syndrome.