When assessing a child with true precocious puberty, the nurse will most likely find which of the following signs or symptoms in addition to evidence of secondary sexual characteristics?
a. sexual provocativeness, active sexual involvement, and lack of involvement with caregivers
b. normal or elevated levels of gonadotropin-releasing Gn-RH), luteinizing hormone (LH), follicle-stimulating hormone (FSH), and estrogen or testosterone being produced
c. low self-esteem, fear related to being more sexually developed than peers
d. acne, adult body odor, greater height than peers, reproductive capability, and emotional lability
D
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A Incorrect. The nurse will not most likely find that a child with true precocious puberty will express sexual provocativeness, active sexual involvement, and lack of involvement with caregivers.
B Incorrect. The nurse will not most likely find that a child with true precocious puberty will display normal or elevated levels of gonadotropin-releasing Gn-RH), luteinizing hormone (LH), follicle-stimulating hormone (FSH), and estrogen or testosterone.
C Incorrect. The nurse will not most likely find that a child with true precocious puberty will exhibit low self-esteem, fear related to being more sexually developed than peers.
D Correct. The child with precocious puberty will have an accelerated growth rate, an advanced bone age, evidence of secondary sexual characteristics, acne, an adult body odor, and sometimes behavioral changes. Psychosocial development is typically age-appropriate. Emotional lability, aggressive behavior, and mood swings may occur.
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