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1. A newborn is born with ambiguous genitalia. It appears that she might be female but has a very enlarged clitoris. The healthcare provider believes the condition was caused by an endocrine disorder.
A. What endocrine disorder is associated with ambiguous genitalia? What is the pathophysiology behind these genital changes?
B. What should the patient be monitored for as they get older? What testing should be done?
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- 4. Martha Peterson is a 16-year-old child who presents to the endocrine clinic. Martha has not had thelarche or menarche, despite her age. She is distraught and states, “All my friends have breasts and look like woman. I still look like a silly little girl. I’ll never find a boyfriend if I look like a boy my whole life.” a. What is the difference between delayed puberty and stalled puberty? b. What other measurements should the nurse take? Why? c. What are the possible causes of delayed puberty? d. What effect does this condition have on Martha’s psychosocial development?A store saleslady , who has been receiving birth control pill for 2 months , visits the clinic with the following condition : " I have had a bad pain in my head for the past couple of days and I now have pain in my right leg .Which of the following responses should the nurse make ? a. Those are common side effects that should disappear in a month or so b. Stop taking the pill , and start using a condom for contraception c. Come to the clinic this afternoon so that we can see what is going on d. Continue the pill but take aspirin tablet with it cach day from now on4. Martha Peterson is a 16-year-old child who presents to the endocrine clinic. Martha has not had thelarche or menarche, despite her age. She is distraught and states, “All my friends have breasts and look like woman. I still look like a silly little girl. I’ll never find a boyfriend if I look like a boy my whole life.” A. What is the difference between delayed puberty and stalled puberty? What other measurements should the nurse take? Why? B. What are the possible causes of delayed puberty? What effect does this condition have on Martha’s psychosocial development?
- Please answer the following: 1.Identify the changes in sensitivity that occur in the hypothalamus, pituitary and gonads as a boy or girl approaches puberty. Explain how these changes lead to the increases of sex steroid hormone secretions that drive many pubertal changes. 2.Explain how the internal female and male reproductive structures develop from two different duct systems. 3.Explain what would occur during fetal development to an XY individual with a mutation causing a nonfunctional SRY gene.1. A 30-year-old client with testicular cancer is advised to undergo a unilateral orchiectomy to remove the testes. The client is reluctant to undergo the surgery because he fears he will not be able to continue a normal sex life and may become impotent. “I’m worried about the results of the surgery and how it will affect my marriage.” How should the nurse respond to this client? 2. A 35-year-old male client with a urinary tract infection is admitted to the healthcare facility. During the initial assessment, the client tells the nurse that this is the second time he has had a urinary tract infection. What are the risks associated with urinary tract infection that the client must be made aware of? 3. A client who had prostate cancer underwent a prostatectomy. After the removal of the urinary catheter, the client developed urinary incontinence. What instructions should the nurse provide the client to help him manage urinary incontinence?Identify 3 effects of progesterone on pregnancy. Select one or more: O a. This causes the uterus to remain contracted after delivery to reduce blood loss from the placental site O b. This is produced when the ovarian follicle that encloses the developing egg forms a structure called the corpus luteum O c. This decreases bladder tone leading to an increased risk of urinary infection O d. This prepares the body for pregnancy. It acts as an appetite stimulant Identify 1 effect of the hormone vasopressin in pregnancy. Select one: O a. This has an important compensatory mechanism for restoring blood pressure in hypovolaemic shock such as that which occurs during haemorrhage O b. Promotes the maintenance of the corpus luteum at the beginning of pregnancy O C. Involved in thickening of the endometrium and other aspects of regulating the menstrual cycle
- 1. A newborn male infant presents to the healthcare clinic for a well-care examination. The mother requests circumcision for the child. During the genitourinary assessment, the healthcare provider notes that the urethral opening is on the dorsal aspect of the penis. a. What type of genitourinary defect does this child have? b. Should the child receive circumcision at this time? Why or why not? c. What are the postoperative priority nursing interventions for this patient?1. A 5-month-old male child presents to the healthcare clinic for a well-care examination. The father reports concern that the infant’s testicles have not yet descended into the scrotum. a. What positioning, environment, and assessment techniques should be used to assess for cryptorchidism? b. What is the expected treatment for this condition?5 MA 1 ||| || || 5 18) A male adolescent arrives at the clinic and reports intense pain in the testicular area that occurred during football practice at high school. The nurse observes the scrotum and identifies significant erythema and swelling. Which action should the nurse take? A. Obtain a swab of secretions from the penis and urethra. B. Provide the adolescent with a urinal for urinary hesitancy. C. Report the findings immediately to the healthcare provider. D. Collect a sterile urine sample for culture and sensitivity.
- 11. Summarize the organ and the effects of each of the reproductive hormones below. BASIC Effects/Function(s) of the Hormone Organ that Releases the Hormone Hormone Gonadotropin Releasing Hormone (GnRH) Luteinizing hormone (LH) Follicle stimulating hormones (FSH) nited States) NOV 20 Males & Females: Males: Females: Males: Females: zoom Focus ♫Identify 3 effects of Human Placental Lactogen (HPL) in pregnancy. Select one or more: O a. This helps to ensure the endometrium is ready to receive the implantation of the embryo O b. Higher levels of this are noted with multiple gestations O c. Reduces maternal insulin sensitivity leading to an increase in maternal blood glucose levels O d. Decreases maternal glucose utilisation, which helps ensure adequate fetal nutrition2. A 30-year-old client with testicular cancer is advised to undergo a unilateral orchiectomy to remove the testes. The client is reluctant to undergo the surgery because he fears he will not be able to continue a normal sex life and may become impotent. “I’m worried about the results of the surgery and how it will affect my marriage.” How should the nurse respond to this client?2. A 30-year-old client with testicular cancer is advised to undergo a unilateral orchiectomy to remove the testes. The client is reluctant to undergo the surgery because he fears he will not be able to continue a normal sex life and may become impotent. “I’m worried about the results of the surgery and how it will affect my marriage.” How should the nurse respond to this client?
