The parents of a 9-year-old boy 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
Which treatment intervention may be anticipated by the nurse? 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
3
Rationale 1: Estrogen is not administered to males to manage precocious puberty. A prompt diagnosis of the condition is warranted.
Rationale 2: A prompt diagnosis of the condition is warranted. It would be inappropriate to continue observation for the next 6 to 9 months.
Rationale 3: 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.
Rationale 4: While processed foods may contain excess hormones and chemicals the child in the scenario will need a prompt diagnosis of this condition.
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