An adolescent client has been brought to the clinic with ...

[itsmyluck]

An adolescent client has been brought to the clinic with complaints of pain. After an examination it is determined that the client has an inflamed Bartholin's cyst. The client and her mother ask the nurse to show them the location of the gland involved.
 
  Which location does the nurse show the client and her mother?
  1. A.
  2. B.
  3. C.
  4. D.

Question 2

The parents of a school-age male client voice concerns about the seemingly advanced level of sexual maturity of their son. The examination reveals the child has thick pubic hair and enlarged genitalia.
 
  Based on this data, which intervention does the nurse anticipate for this client?
  1. Administration of estrogen to reduce the impact of escalating testosterone levels.
  2. Continued observation of the rate of maturation for the next 6 to 9 months.
  3. Referral to an endocrinologist.
  4. Reduction of processed foods in the diet to reduce hormone exposure.

[yifu223]

Answer to Question 1

Correct Answer: 3
The Bartholin's glands, or greater vestibular glands, are located posteriorly at the base of the vestibule and produce mucus, which is released into the vestibule.

Answer to Question 2

Correct Answer: 3
Precocious puberty is an endocrine disorder characterized by the development of adult male characteristics in males under age 10. It includes dense pubic hair, penile enlargement, and enlargement of the testes. Precocious puberty may be idiopathic or caused by a genetic trait, lesions in the pituitary gland or hypothalamus, or testicular tumors. Referral to an endocrinologist may be required for definitive diagnosis. Estrogen is not administered to males to manage precocious puberty. A prompt diagnosis of the condition is warranted. It would be inappropriate to continue observation for the next 6 to 9 months. While processed foods may contain excess hormones and chemicals the child in the scenario will need a prompt diagnosis of this condition.

[itsmyluck]

Thank you

[yifu223]

No problemo