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    HESI RN Pediatric and Women's Health Proctored Exam

    An 8-year-old girl with precocious sexual development is being treated medically with injections of luteinizing hormone-releasing hormone (LHRH) to regulate the pituitary gland. Which statement by the parents indicates that they understand the treatment?

    Explanation & Rationale

    Choice A reason: Encouraging clothing based on sexual maturity contradicts LHRH’s goal of delaying puberty, which suppresses physical changes to align her development with peers, not enhance it. Choice B reason: LHRH treatment is temporary, halting precocious puberty until normal age; lifelong use isn’t required as the pituitary regulation normalizes by adolescence, making this incorrect. Choice C reason: Birth control pills manage menstruation or contraception, not precocious puberty; LHRH suppresses gonadotropin release, delaying puberty without needing additional hormonal contraception. Choice D reason: LHRH delays puberty progression, allowing peers to catch up by adolescence, reducing maturity differences within years, aligning with the treatment’s purpose of age-appropriate development.

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