A child who has been diagnosed with precocious puberty is treated with a gonadotropin-releasing Gn-RH) analog. The nurse will do some teaching with the family and will explain that the initial repose to this analog will be:

a. stimulation of gonadotropin release
b. suppression of gonadotropin release
c. no change in gonadotropin suppression or release
d. total shutdown of gonadotropin release


A

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A Correct. Precocious puberty is treated with a GnRH analog, usually given as a depot injection every 3-4 weeks. When initially given, it will stimulate gonadotropin release. Over time, it suppresses gonadotropin release, resulting in a decreased growth rate.
B Incorrect. Teaching the family and child about treatment with a gonadotropin-releasing Gn-RH) analog, the nurse will not explain that the initial response will be the suppression of gonadotropin release.
C Incorrect. Teaching the family and child about treatment with a gonadotropin-releasing Gn-RH) analog, the nurse will not explain that the initial response will be no change in gonadotropin suppression or release.
D Incorrect. Teaching the family and child about treatment with a gonadotropin-releasing Gn-RH) analog, the nurse will not explain that the initial response will be a total shutdown of gonadotropin release.

Nursing

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