After teaching the parents of a daughter with central precocious puberty about medication therapy, which statement by the parents indicates successful teaching?
A) "She needs to use the nasal spray once every day."
B) "She'll start puberty again when the medication stops."
C) "This medication will slow down the changes but not reverse them."
D) "Once therapy is done, she'll need surgery."
Ans: B
Treatment for central precocious puberty involves administering a gonadotropin-releasing hormone (GnRH) analog. When it is stopped, puberty resumes according to the appropriate developmental stages. This analog can be given by depot injection every 3 to 4 weeks, a daily subcutaneous injection, or an intranasal spray two or three times per day. With GnRH analog treatment, secondary sexual development stabilizes or regresses. Surgery is indicated only if there is a tumor.
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