A newborn female is discovered to have congenital adrenogenital ...

[MirandaLo]

A newborn female is discovered to have congenital adrenogenital hyperplasia. What will the nurse most likely observe when assessing this patient?
 
  A) Enlarged clitoris
  B) Divergent vision
  C) Small for gestational age
  D) Abnormal facial features

Question 2

The nurse is planning care for a 12-year-old child diagnosed with hyperthyroidism. Which issue should the nurse anticipate that this child will experience while attending school?
 
  A) Inability to fit legs under a school desk
  B) Noncomprehension of written material
  C) Increase in sleepiness by the end of the day
  D) Inability to submit neat handwriting assignments

[firehawk60]

Answer to Question 1

A
Feedback:
Congenital adrenal hyperplasia is a syndrome that is inherited as an autosomal recessive trait, which causes the adrenal glands to not be able to synthesize cortisol. Because the adrenal gland is unable to produce cortisol, the level of ACTH secreted by the pituitary in an attempt to stimulate the gland to increase function is increased. Although the adrenals enlarge under the effect of ACTH, they still cannot produce cortisol but rather overproduce androgen. Excessive androgen production during intrauterine life masculinizes the genital organs in a female fetus so that the clitoris is so enlarged it appears to be a penis. This disorder does not cause divergent vision. The child will not be born small for gestational age. This disorder does not cause abnormal facial features.

Answer to Question 2

D
Feedback:
Hyperthyroidism affects coordination, which can be seen in hand tremors. This will affect the patient's ability to write legibly. Hyperthyroidism does not affect height. This disease process does not affect cognition so school work will be comprehensible. Hyperthyroidism does not cause sleepiness.