If a male child was born with Klinefelter syndrome, as the child matures and becomes an adolescent, the nurse will assess the child for which of the following clinical manifestations listed below? Select all that apply

A)
Enlarged breast tissue
B)
Sparse facial and pubic hair
C)
Tall stature out of proportion
D)
Severe mental retardation
E)
Higher than average linguistic skills


Ans:
A, B, C

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Klinefelter syndrome is characterized by breast enlargement, sparse facial and body hair, small testes, and inability to produce sperm. At puberty, testes do not respond to stimulation from gonadotropins and undergo degeneration. This leads to a tall stature with abnormal body proportions. Although the intellect usually is normal, most 47, XXY males have some language impairment.

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