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Chapter 31: The Child with Endocrine Dysfunction

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Homeostasis in the body is maintained by what is collectively known as the neuroendocrine system. What is the name of the nervous system that is involved?
a. Central
b. Skeletal
c. Peripheral
d. Autonomic
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A child with hypopituitarism is being started on growth hormone (GH) therapy. Nursing considerations should be based on which knowledge?
a. Therapy is most successful if it is started during adolescence.
b. Replacement therapy requires daily subcutaneous injections.
c. Hormonal supplementation will be required throughout child's lifetime.
d. Treatment is considered successful if children attain full stature by adolescence.
Additional support is required for children who require hormone replacement therapy, such as preparation for daily subcutaneous injections and education for self-management during the school-age years. Young children, obese children, and those who are severely GH deficient have the best response to therapy. Replacement therapy is not needed after attaining final height. The children are no longer GH deficient. When therapy is successful, children can attain their actual or near-final adult height at a slower rate than their peers.
Peripheral precocious puberty (PPP) differs from central precocious puberty (CPP) in which manner?
a. PPP results from a central nervous system (CNS) insult.
b. PPP occurs more frequently in girls.
c. PPP may be viewed as a variation in sexual development.
d. PPP results from hormonal stimulation of the hypothalamic gonadotropin-releasing hormone (Gn-RH).
PPP may be viewed as a variation in sexual development. PPP results from hormone stimulation other than the hypothalamic Gn-RH. Isolated manifestations of secondary sexual development occur. PPP can be missed if these changes are viewed as variations in pubertal onset. CPP results from CNS insult, occurs more frequently in girls, and results from hormonal stimulation of the hypothalamic Gn-RH