After assessing a 10-year-old girl, the nurse documents the appearance of breast buds, identifying this as what body change?

Menarche

Thelarche

Tanner stage 5

Puberty

Answer and Explanation

The Correct Answer is B

A. Menarche

Menarche refers to the onset of menstruation, typically occurring around 12 to 13 years of age, although it can vary widely.

B. Thelarche

Thelarche is the development of breast buds, which usually occurs around 8 to 13 years of age in girls, marking the beginning of breast development and the first sign of puberty.

C. Tanner stage 5

Tanner stage 5 refers to the final stage of sexual maturity in the Tanner Scale, characterized by adult breast development and pubic hair distribution. It is not typically used to describe the initial appearance of breast buds.

D. Puberty

Puberty is the period of development during which sexual maturity is attained, including physical changes such as growth spurts, development of secondary sexual characteristics, and

reproductive capacity. Thelarche is an early sign of puberty, but it does not encompass the entire puberty process.

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Correct Answer is A

Explanation

A. The newborn does not respond to a loud noise.

A newborn should exhibit a startle response to a loud noise, indicating intact auditory sensory skills. Failure to respond to a loud noise may suggest a deficit in auditory perception.

B. The newborn's eyes focus on near objects.

Focusing on near objects is a normal visual response in newborns as they adjust to their visual environment. This behavior does not necessarily indicate a sensory deficit.

C. The newborn becomes more alert with stroking when drowsy.

Being more alert with stimulation when drowsy is a normal response and does not necessarily indicate a sensory deficit.

D. The newborn's eyes wander and occasionally are crossed.

In newborns, wandering eyes and occasional crossing are common as their visual system continues to develop. This behavior is not necessarily indicative of a sensory deficit at this stage.

A. "It is best to just ignore this and to not respond to his questions." B. "He will eventually figure this out on his own." C. "You have to keep repeating that his grandfather is never coming back." D. "This is normal; children his age do not understand the permanence of death."

Correct Answer is D

Explanation

A. "It is best to just ignore this and to not respond to his questions.": Ignoring the child's questions about the death of his grandfather may lead to feelings of confusion or abandonment. It is important to address the child's concerns and provide appropriate support and guidance.

B. "He will eventually figure this out on his own.": While children may gradually come to understand the permanence of death as they mature, it is essential to provide support and explanations to help them cope with grief and loss.

C. "You have to keep repeating that his grandfather is never coming back.": Continually

repeating that the grandfather is never coming back may be distressing for the child and does not provide constructive support or help the child understand the concept of death.

D. "This is normal; children his age do not understand the permanence of death.": This response acknowledges the child's age-appropriate understanding of death and provides reassurance to the mother that her son's reaction is typical. It opens the door for the nurse to offer guidance on how to support the child through the grieving process and gradually help him comprehend the permanence of death.

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After assessing a 10-year-old girl, the nurse documents the appearance of breast buds, identifying this as what body change?

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Naxlex Comprehensive Predictor Exams

The nurse is teaching a new mother about the development of sensory skills in her newborn. What would alert the mother to a sensory deficit in her child?

Correct Answer is A

Explanation

The mother of a 5-year-old boy calls the nurse and seeks advice on how to assist the child with the recent death of his paternal grandfather. The boy keeps asking when his grandpa is coming back. How should the nurse respond?

Correct Answer is D

Explanation

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