Answer to Question 1
A
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A Correct. Precocious puberty is treated with a GnRH analog, usually given as a depot injection every 3-4 weeks. When initially given, it will stimulate gonadotropin release. Over time, it suppresses gonadotropin release, resulting in a decreased growth rate.
B Incorrect. Teaching the family and child about treatment with a gonadotropin-releasing Gn-RH) analog, the nurse will not explain that the initial response will be the suppression of gonadotropin release.
C Incorrect. Teaching the family and child about treatment with a gonadotropin-releasing Gn-RH) analog, the nurse will not explain that the initial response will be no change in gonadotropin suppression or release.
D Incorrect. Teaching the family and child about treatment with a gonadotropin-releasing Gn-RH) analog, the nurse will not explain that the initial response will be a total shutdown of gonadotropin release.
Answer to Question 2
D
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A Incorrect. Extreme mouth and jaw pain is not the key problem described as a result of dental caries.
B Incorrect. Loss of a majority of the taste buds is not the key problem described as a result of dental caries.
C Incorrect. A serious loss of appetite, weight loss, and anorexia or other eating disorders in childhood are not the key problems described as a result of dental caries.
D Correct. The number one dental problem in the preschool years is dental cavities or tooth decay, which can result in premature loss of teeth, alteration of the dental arch, and compromised development of permanent teeth.
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The Growing Child
Gonadotropin-releasing hormone (GnRH)