4-year-old Michelle has just been diagnosed with precocious ...

[moongchi]

4-year-old Michelle has just been diagnosed with precocious puberty. The nurse is administering Lupron Depot Pediatric 7.5 mg. The recommended route of administration and frequency of dose for this medication is:
 
  1. Intramuscular every 14 days.
   2. Subcutaneously every 3 months.
   3. Intramuscular every 21 days.
   4. Intramuscular every 28 to 30 days.

Question 2

A nurse is assessing a 2-and-one-half-month-old infant at the outpatient clinic. The nurse would anticipate that the baby should:
 
  1. Smile when presented with pleasurable stimuli.
   2. Cry at seeing a stranger's face.
   3. Reach for the primary care giver.
   4. Hold a bottle.

[TINA]

Answer to Question 1

4
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1. Pediatric doses of Lupron Depot are administered via intramuscular injection every 28 to 30 days so that there is no break in therapy and so the patient's hormone levels do not start to elevate and exacerbate symptoms of puberty.
2. The medication is to be delivered intramuscularly, not subcutaneously.
3. The dose for the medication is too soon and would not be effective.
4. Pediatric doses of Lupron Depot are administered via intramuscular injection every 28 to 30 days so that there is no break in therapy and so the patient's hormone levels do not start to elevate and exacerbate symptoms of puberty. If doses are not given within this time frame, the patient may experience an increase in puberty development, as hormone levels are no longer suppressed.

Answer to Question 2

1
Feedback
1. An infant of this age should smile.
2. An infant at this age does not distinguish between stranger and caregiver.
3. An infant at this age is too young to reach for the caregiver.
4. An infant at this age is too young to hold a bottle.