NR 328
(EDAPT WEEK 5)
Growth Hormone Deficiency
Pediatric Nursing
,Growth Hormone Deficiency
This lesson provides an overview of the endocrine system and how the
nurse cares for pediatric clients with a growth hormone deficiency.
The endocrine system is responsible for:
Energy production
Growth
Fluid and electrolyte balance
Response to stress
Sexual reproduction
The pituitary gland secretes growth hormone, which is the most common
pediatric hormone deficiency.
Assessment
The nurse is caring for a child with growth that is below the 3rd percentile
and growth hormone deficiency is suspected. Which findings could be
causes of growth hormone deficiency? Select all that apply.
Pituitary gland abnormalities
Genetic abnormalities
Tumors
Head trauma
Causes of growth hormone deficiency include congenital causes such as
structural abnormalities of the pituitary gland or genetic abnormalities or
acquired causes such as tumors or head trauma. Familial short stature
may result in a shortened height but is not related to a shortage of growth
hormone.
,Diagnostic Criteria
The nurse is caring for a child with growth that is below the 3rd percentile
and growth hormone deficiency is suspected. Which diagnostic tests does
the nurse anticipate the health care provider will prescribe? Select all that
apply.
Bone age x-ray
Genetic testing
Growth hormone lab test
Magnetic resonance imaging (MRI) of the brain
Bone age x-ray and growth hormone lab tests are done to confirm a
diagnosis of growth hormone deficiency. Genetic testing and magnetic
resonance imaging (MRI) of the brain are done to rule out other potential
causes of growth deficiency. A basic metabolic panel is not a related
laboratory test.
Endocrine System
The pituitary gland is controlled by signals from the hypothalamus. The Anterior gland secretes
growth hormones.
The pituitary gland is part of the endocrine system and is controlled by
signals from the hypothalamus. The anterior gland secretes growth
hormones.
Endocrine System
The endocrine system has three components:
the cell, which sends a chemical message using a hormone
the target cells, or organs, which receive the chemical message
, the environment through which the chemical is transported (e.g.,
blood, lymph, extracellular fluids) from the site of synthesis to the
sites of cellular action
Endocrine system
Hypothalamus
Pituitary gland
Pineal gland
Thyroid and parathyroid glands
Thymus
Pancreas
Adrenal glands
Ovary (in female)
Placenta (during pregnancy)
Testicle (in male)
(EDAPT WEEK 5)
Growth Hormone Deficiency
Pediatric Nursing
,Growth Hormone Deficiency
This lesson provides an overview of the endocrine system and how the
nurse cares for pediatric clients with a growth hormone deficiency.
The endocrine system is responsible for:
Energy production
Growth
Fluid and electrolyte balance
Response to stress
Sexual reproduction
The pituitary gland secretes growth hormone, which is the most common
pediatric hormone deficiency.
Assessment
The nurse is caring for a child with growth that is below the 3rd percentile
and growth hormone deficiency is suspected. Which findings could be
causes of growth hormone deficiency? Select all that apply.
Pituitary gland abnormalities
Genetic abnormalities
Tumors
Head trauma
Causes of growth hormone deficiency include congenital causes such as
structural abnormalities of the pituitary gland or genetic abnormalities or
acquired causes such as tumors or head trauma. Familial short stature
may result in a shortened height but is not related to a shortage of growth
hormone.
,Diagnostic Criteria
The nurse is caring for a child with growth that is below the 3rd percentile
and growth hormone deficiency is suspected. Which diagnostic tests does
the nurse anticipate the health care provider will prescribe? Select all that
apply.
Bone age x-ray
Genetic testing
Growth hormone lab test
Magnetic resonance imaging (MRI) of the brain
Bone age x-ray and growth hormone lab tests are done to confirm a
diagnosis of growth hormone deficiency. Genetic testing and magnetic
resonance imaging (MRI) of the brain are done to rule out other potential
causes of growth deficiency. A basic metabolic panel is not a related
laboratory test.
Endocrine System
The pituitary gland is controlled by signals from the hypothalamus. The Anterior gland secretes
growth hormones.
The pituitary gland is part of the endocrine system and is controlled by
signals from the hypothalamus. The anterior gland secretes growth
hormones.
Endocrine System
The endocrine system has three components:
the cell, which sends a chemical message using a hormone
the target cells, or organs, which receive the chemical message
, the environment through which the chemical is transported (e.g.,
blood, lymph, extracellular fluids) from the site of synthesis to the
sites of cellular action
Endocrine system
Hypothalamus
Pituitary gland
Pineal gland
Thyroid and parathyroid glands
Thymus
Pancreas
Adrenal glands
Ovary (in female)
Placenta (during pregnancy)
Testicle (in male)
