An 11-year-old girl was born with congenital adrenal hyperplasia. The nurse is working with her family to help her parents prepare for the child to start puberty soon. Which information would the nurse give to the family about pubertal changes that occur with this condition?


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- The patient may have abnormal menstrual periods or may not menstruate at all

- The patient will most likely grow to be much taller than her peers

- The patient will probably not grow pubic or armpit hair

- The patient will most likely develop a deep voice


Congenital adrenal hyperplasia (CAH) is a group of disorders that affect the adrenal glands and their ability to secrete hormones. The condition causes abnormal growth and development in children. When a child with this condition reaches the age of puberty, the parents should be taught that the child may not undergo puberty in a manner similar to her peers. Among girls, CAH may cause abnormal menstrual periods or in some cases, the girl will not menstruate at all.

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