Author Question: When the newborn female is born with ambiguous genitalia, the follow-up investigation discovers ... (Read 91 times)

dakota nelson · **on:** Jun 28, 2018

When the newborn female is born with ambiguous genitalia, the follow-up investigation discovers adrenogenital syndrome (also called congenital adrenal hyperplasia). The parents question why the baby's genitalia looks more male than female.

The nurse would explain that: 1. The disorder caused the infant to be a hermaphrodite with both male and female sex organs.
2. The changes in the genitalia are due to increased androgens secondary to deficient cortisol.
3. The excessive cortisol caused the enlargement of the female tissue, creating a male appearance.
4. The child has only one sex chromosome resulting in an XO configuration.

Question 2

The nurse is teaching parents how to prevent the spread of infectious disease. Which of the following is the most important health promotion strategy for all age groups of children?

1. Keeping child free from colds
2. Proper hand hygiene
3. Keeping all toys clean and free from germs
4. Keeping child away from sick adults

lkanara2 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

2
Rationale 1: This statement is incorrect. The child's internal organs will be ovaries only.
Rationale 2: Deficient cortisol causes the amount of ACTH to be high, over stimulating the adrenal production of androgens which causes the pseudo-masculinization.
Rationale 3: The cortisol level is decreased, not increased.
Rationale 4: XO sex chromosomes describe Turner's syndrome, not CAH.
Global

Answer to Question 2

2
Rationale 1: It is not possible to keep children free from colds.
Rationale 2: Proper hand hygiene is one of the most important health promotion strategies for all age groups of children as well as child care providers.
Rationale 3: Keeping all toys clean and free from germs is not possible.
Rationale 4: It is not always possible to keep children away from sick adults.
Global Rationale: