Podcast
Questions and Answers
Which component of the endocrine system sends chemical messages by means of hormones?
Which component of the endocrine system sends chemical messages by means of hormones?
- The target cells
- The environment
- The cells (correct)
- The blood
What is the main function of the endocrine system?
What is the main function of the endocrine system?
- Maintaining bone density
- Regulating metabolic processes (correct)
- Controlling body temperature
- Producing red blood cells
In the context of diabetes mellitus, what is the key difference between hypoglycemic and hyperglycemic reactions?
In the context of diabetes mellitus, what is the key difference between hypoglycemic and hyperglycemic reactions?
- Hypoglycemic reactions involve low blood sugar levels, while hyperglycemic reactions involve high blood sugar levels (correct)
- Hypoglycemic reactions are more common in children, while hyperglycemic reactions are more common in adults
- Hypoglycemic reactions occur in type 2 diabetes, while hyperglycemic reactions occur in type 1 diabetes
- Hypoglycemic reactions involve high blood sugar levels, while hyperglycemic reactions involve low blood sugar levels
What are the manifestations of adrenal hypofunction and hyperfunction primarily related to?
What are the manifestations of adrenal hypofunction and hyperfunction primarily related to?
Which of the following is a key factor in differentiating GH deficiency from failure to thrive?
Which of the following is a key factor in differentiating GH deficiency from failure to thrive?
What is used to assess skeletal maturity and may indicate the reversibility of short stature?
What is used to assess skeletal maturity and may indicate the reversibility of short stature?
What is essential for diagnostic evaluation of growth disorders?
What is essential for diagnostic evaluation of growth disorders?
How is target height determined in pediatric growth evaluation?
How is target height determined in pediatric growth evaluation?
What is used to diagnose GH deficiency?
What is used to diagnose GH deficiency?
What is a potential risk for patients on GH replacement therapy?
What is a potential risk for patients on GH replacement therapy?
What may indicate diminished permanent height if left untreated?
What may indicate diminished permanent height if left untreated?
What is important in growth evaluation for pediatric patients?
What is important in growth evaluation for pediatric patients?
What declines in subsequent years of GH replacement therapy?
What declines in subsequent years of GH replacement therapy?
What is involved in the diagnostic evaluation of growth disorders?
What is involved in the diagnostic evaluation of growth disorders?
What is used to assess the reversibility of short stature?
What is used to assess the reversibility of short stature?
What may be indicative of underlying diseases in cases of growth disorders?
What may be indicative of underlying diseases in cases of growth disorders?
Which condition is characterized by the loss of all anterior pituitary hormones, leaving only posterior function intact?
Which condition is characterized by the loss of all anterior pituitary hormones, leaving only posterior function intact?
What is the most common organic cause of pituitary undersecretion?
What is the most common organic cause of pituitary undersecretion?
What is the definition of growth failure in children?
What is the definition of growth failure in children?
What is the term for the diminished or deficient secretion of one or more pituitary hormones?
What is the term for the diminished or deficient secretion of one or more pituitary hormones?
What inhibits somatic growth in all cells of the body, usually related to growth hormone deficiency?
What inhibits somatic growth in all cells of the body, usually related to growth hormone deficiency?
Which gland releases hormones into the bloodstream?
Which gland releases hormones into the bloodstream?
What is the term for the condition where not all children with short stature have growth hormone deficiency?
What is the term for the condition where not all children with short stature have growth hormone deficiency?
Which type of hypopituitarism can manifest in newborns with symptoms such as apnea, cyanosis, and seizures?
Which type of hypopituitarism can manifest in newborns with symptoms such as apnea, cyanosis, and seizures?
What is the term for the absolute height of less than 2 standard deviations for age or consistently low linear growth velocity?
What is the term for the absolute height of less than 2 standard deviations for age or consistently low linear growth velocity?
What is the term for the condition where children with growth hormone deficiency grow normally in the first year, then follow a slowed growth curve below the third percentile, and may appear overweight or obese?
What is the term for the condition where children with growth hormone deficiency grow normally in the first year, then follow a slowed growth curve below the third percentile, and may appear overweight or obese?
Which type of hypopituitarism usually inhibits somatic growth in all cells of the body?
Which type of hypopituitarism usually inhibits somatic growth in all cells of the body?
What is the term for the condition where clinical manifestations of pituitary dysfunction depend on the hormones involved and the patient's age?
What is the term for the condition where clinical manifestations of pituitary dysfunction depend on the hormones involved and the patient's age?
What is the primary nursing consideration for excessive growth rates?
What is the primary nursing consideration for excessive growth rates?
What is the optimum time for administering growth hormone (GH) to achieve optimum dosing?
What is the optimum time for administering growth hormone (GH) to achieve optimum dosing?
What is the result of excess GH before closure of the epiphyseal shafts?
What is the result of excess GH before closure of the epiphyseal shafts?
What is the result of oversecretion of GH after closure of the epiphyseal shafts?
What is the result of oversecretion of GH after closure of the epiphyseal shafts?
What is a possible therapeutic management option for acromegaly?
What is a possible therapeutic management option for acromegaly?
What role do nurses play in the care of children with growth deficiencies?
What role do nurses play in the care of children with growth deficiencies?
What may children undergoing hormone replacement therapy require in terms of support?
What may children undergoing hormone replacement therapy require in terms of support?
What is involved in the diagnostic evaluation of acromegaly?
What is involved in the diagnostic evaluation of acromegaly?
What may children with other hormone deficiencies require?
What may children with other hormone deficiencies require?
At what rate do children undergoing hormone replacement therapy attain their adult height compared to their peers?
At what rate do children undergoing hormone replacement therapy attain their adult height compared to their peers?
What is the consequence of oversecretion of GH after closure of the epiphyseal shafts?
What is the consequence of oversecretion of GH after closure of the epiphyseal shafts?
What is the role of nurses in supporting children and families undergoing hormone replacement therapy?
What is the role of nurses in supporting children and families undergoing hormone replacement therapy?
What is the definition of precocious puberty?
What is the definition of precocious puberty?
What is the recommended age for precocious puberty evaluation for a pathological cause in girls?
What is the recommended age for precocious puberty evaluation for a pathological cause in girls?
What percentage of children with precocious puberty have central precocious puberty (CPP)?
What percentage of children with precocious puberty have central precocious puberty (CPP)?
What stimulates the secretion of gonadotropic hormones from the anterior pituitary at the time of puberty?
What stimulates the secretion of gonadotropic hormones from the anterior pituitary at the time of puberty?
What is the recommended treatment approach for precocious puberty?
What is the recommended treatment approach for precocious puberty?
What may be the result of central precocious puberty?
What may be the result of central precocious puberty?
What is the potential consequence of early menarche?
What is the potential consequence of early menarche?
What is the recommended management approach if precocious puberty needs treatment?
What is the recommended management approach if precocious puberty needs treatment?
What should nurses in ambulatory settings do regarding children showing excessive linear growth?
What should nurses in ambulatory settings do regarding children showing excessive linear growth?
What signs should be observed for a tumor in children showing excessive linear growth?
What signs should be observed for a tumor in children showing excessive linear growth?
What is the current trend in the onset of puberty in girls?
What is the current trend in the onset of puberty in girls?
What do children with excessive growth rates need?
What do children with excessive growth rates need?
Study Notes
Precocious Puberty and Growth Screening in Ambulatory Settings
- Nurses in ambulatory settings should refer children showing excessive linear growth for medical evaluation
- Signs of a tumor, especially headache and evidence of hormonal excess, should be observed
- Children with excessive growth rates need emotional support and an opportunity to express their thoughts
- Precocious puberty is defined as sexual development before age 9 in boys or age 8 in girls
- Recent studies show the onset of puberty in girls is occurring earlier than previously documented
- It is recommended that precocious puberty evaluation for a pathological cause be performed for girls younger than 7 (White) or 6 (Black)
- Early menarche increases the risk of future breast cancer
- Normally, hypothalamic-releasing factors stimulate secretion of gonadotropic hormones from the anterior pituitary at the time of puberty
- Approximately 80% of children with precocious puberty have central precocious puberty (CPP)
- Treatment of precocious puberty is directed toward the specific cause, when known
- Central precocious puberty may be the result of congenital anomalies, CNS insults, or idiopathic causes
- Precocious puberty may regress or stop advancing without treatment, but if needed, it can be managed with monthly injections of a synthetic analogue of luteinizing hormone-releasing hormone
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Description
Test your knowledge on precocious puberty and growth screening in ambulatory settings with this quiz. Learn about the signs, evaluation, and management of precocious puberty, as well as the importance of screening for excessive linear growth in children.
