The parents of a neonate with adrenogenital hyperplasia tell the ...

[Pineappleeh]

The parents of a neonate with adrenogenital hyperplasia tell the nurse that they are afraid to have any more children. The nurse should explain which statement about adrenogenital hyperplasia?
 
  a. It is not hereditary.
  b. Genetic counseling is indicated.
  c. It can be prevented during pregnancy.
  d. All future children will have the disorder.

Question 2

Which clinical manifestation may occur in the child who is receiving too much methimazole (Tapazole) for the treatment of hyperthyroidism (Graves disease)?
 
  a. Seizures
  b. Enlargement of all lymph glands
  c. Pancreatitis or cholecystitis
  d. Lethargy and somnolence

[briezy]

Answer to Question 1

ANS: B
Some forms of adrenogenital hyperplasia are hereditary and should be referred for genetic counseling. Affected offspring should also be referred for genetic counseling. There is an autosomal recessive form of adrenogenital hyperplasia. A prenatal treatment with glucocorticoids can be offered to the mother during pregnancy to avoid the sex ambiguity, but it does not affect the presence of the disease. If it is the heritable form, for each pregnancy, a 25 risk occurs that the child will be affected.

Answer to Question 2

ANS: D
Parents should be aware of the signs of hypothyroidism that can occur from overdosage of the drug. The most common manifestations are lethargy and somnolence. Seizures and pancreatitis are not associated with the administration of Tapazole. Enlargement of the salivary and cervical lymph glands occurs.