Nur 315 paediatrics and maternity proctored exam
The nurse is teaching a parent about therapeutic management of their neonate diagnosed with congenital hypothyroidism. Which response by the parent would indicate the need for further teaching?
Explanation & Rationale
Rationale: A. Regular monitoring of T4 levels is necessary to ensure appropriate dosing and management of thyroid hormone replacement therapy. B. Congenital hypothyroidism is a permanent condition that requires lifelong treatment with levothyroxine to prevent developmental delays and intellectual disability. C. Early initiation of treatment, ideally within the first 2 weeks of life, is critical to prevent neurologic damage. D. In congenital hypothyroidism, the thyroid gland is usually absent or severely underdeveloped, so it will not mature with time. Lifelong hormone replacement is necessary. This response indicates a misunderstanding and the need for further teaching.
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