The nurse is providing care to a newborn female who is born with ambiguous genitalia. The follow-up investigation discovers adrenogenital syndrome (also called congenital adrenal hyperplasia [CAH]). The parents question why the baby's genitalia looks more male than female. Which response by the nurse is accurate?
1. "The disorder caused your baby to be a hermaphrodite with both male and female sex organs."
2. "The changes in the genitalia are due to increased androgens secondary to deficient cortisol."
3. "The excessive cortisol caused the enlargement of the female tissue, creating a male appearance."
4. "Your baby has only one sex chromosome resulting in an XO configuration.
2
Explanation:
1. This statement is incorrect. The child's internal organs will be ovaries only.
2. Deficient cortisol causes the amount of adrenocorticotropic hormone (ACTH) to be high, overstimulating the adrenal production of androgens, which causes the pseudomasculinization.
3. The cortisol level is decreased, not increased.
4. XO sex chromosomes describe Turner syndrome, not CAH.
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