The nurse has assessed a 7-year-old female. The child has a moderate amount of pubic and axillary hair. The mother states, "I just think she is going through puberty early. I was 11 when I went through these changes."
The nurse's best response would be: 1. "Your daughter is very young to be experiencing these types of changes.".
2. "You are probably right, since you went through these types of changes early.".
3. "This type of hair growth is normally associated with cardiovascular disorders.".
4. "Are her friends experiencing the same changes?"
1
Rationale 1: The presence of pubic, facial, or axillary hair in a prepubescent child is indicative of endocrinologic disease.
Rationale 2: The nurse should not give any diagnosis, but alert the mother that this is not a normal finding in a child of this age.
Rationale 3: The presence of pubic, facial, or axillary hair in a prepubescent child is indicative of endocrinologic disease.
Rationale 4: Whether or not her friends are experiencing the same changes does not address this specific child's issues.
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