The nurse in an endocrine clinic is assessing an 8-year-old girl ...

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The nurse in an endocrine clinic is assessing an 8-year-old girl who has not yet started menstruating and is Tanner stage II. Which statement by the nurse to the parent is most appropriate?
 
  A.
  Bring her back when she starts menstruating.
  B.
  She may have a deficiency of luteinizing hormone.
  C.
  Your child's development is appropriate for her age.
  D.
  We will test her for levels of the female hormones.

Question 2

A mother brings her baby to the emergency department stating that the baby no longer makes tears when crying but is having multiple soaked diapers per day. Which assessment by the nurse takes priority?
 
  A.
  Last bowel movement
  B.
  Palpation of fontanels
  C.
  Prenatal history
  D.
  Time of last meal

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Answer to Question 1

ANS: D
Precocious puberty in a female is suspected when any secondary sex characteristics begin to develop before the age of 9 years. A child who is assessed at Tanner stage II has some breast development, pubic hair development, or both.

Answer to Question 2

ANS: B
This child has manifestations of dehydration, and with the frequent soaked diapers, may have diabetes insipidus. Assessments of circulation take priority. The nurse assesses the other factors, but they can wait until more important assessments have been completed.

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