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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?

A.

Menarche

B.

Thelarche

C.

Tanner stage 5

D.

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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Related Questions

Correct Answer is B

Explanation

A. Has a fear of strangers: Fear of strangers typically emerges around 6 to 9 months of age as part of normal social development. While it indicates cognitive and emotional growth, it does not necessarily warrant further evaluation unless it is excessive or accompanied by other concerning behaviors.

B. Uses a unidextrous grasp: By 7 months, infants typically develop a more refined pincer grasp, where they can pick up small objects using the thumb and forefinger (bidextrous grasp). A unidextrous grasp (using only one hand) may suggest a delay in fine motor development and could warrant further evaluation by a healthcare provider.

C. Babbles one-syllable sounds: Babbling is a typical milestone in language development for

infants around 6 to 9 months of age. One-syllable babbling is expected at this stage and does not necessarily indicate a need for further evaluation.

D. Shows preferences towards foods: Developing food preferences is part of normal feeding behavior for infants. While it is important to ensure a balanced diet, showing preferences towards certain foods is not typically a cause for concern at this age.

Correct Answer is C

Explanation

A. Developmental age is an important aspect of the child's health but is not the primary focus of a physical examination following a health history.

B. While the parents' information is valuable, the focus of the physical examination is on the child, not the parents.

C. The child should be the focus of the physical examination to assess their current health status and to identify any immediate care needs.

D. The chief complaint is a critical component of the health history, but the physical examination should be comprehensive and focused on the child as a whole

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