A child who has been diagnosed with precocious puberty is treated ...

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A child who has been diagnosed with precocious puberty is treated with a gonadotropin-releasing Gn-RH) analog. The nurse will do some teaching with the family and will explain that the initial repose to this analog will be:
 
  a. stimulation of gonadotropin release
  b. suppression of gonadotropin release
  c. no change in gonadotropin suppression or release
  d. total shutdown of gonadotropin release

Question 2

The pediatric nurse spends time teaching caregivers about prevention of dental caries.
 
  Later a caregiver correctly tells the pediatric nurse that he paid careful attention to daily brushing and flossing with his preschooler because he had learned from the nurse that dental caries can cause: a. extreme mouth and jaw pain
  b. loss of a majority of the taste buds
  c. a serious loss of appetite, weight loss, and anorexia or other eating disorders in childhood
  d. premature loss of teeth, alteration of the dental arch, and compromised development of permanent teeth

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Answer to Question 1

A

Feedback
A Correct. Precocious puberty is treated with a GnRH analog, usually given as a depot injection every 3-4 weeks. When initially given, it will stimulate gonadotropin release. Over time, it suppresses gonadotropin release, resulting in a decreased growth rate.
B Incorrect. Teaching the family and child about treatment with a gonadotropin-releasing Gn-RH) analog, the nurse will not explain that the initial response will be the suppression of gonadotropin release.
C Incorrect. Teaching the family and child about treatment with a gonadotropin-releasing Gn-RH) analog, the nurse will not explain that the initial response will be no change in gonadotropin suppression or release.
D Incorrect. Teaching the family and child about treatment with a gonadotropin-releasing Gn-RH) analog, the nurse will not explain that the initial response will be a total shutdown of gonadotropin release.

Answer to Question 2

D

Feedback
A Incorrect. Extreme mouth and jaw pain is not the key problem described as a result of dental caries.
B Incorrect. Loss of a majority of the taste buds is not the key problem described as a result of dental caries.
C Incorrect. A serious loss of appetite, weight loss, and anorexia or other eating disorders in childhood are not the key problems described as a result of dental caries.
D Correct. The number one dental problem in the preschool years is dental cavities or tooth decay, which can result in premature loss of teeth, alteration of the dental arch, and compromised development of permanent teeth.

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