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 D

Explanation

A. Increased intracranial pressurE. Pulsation and bulging of the fontanel may be signs of

increased intracranial pressure in infants. However, it is important to differentiate between normal fontanel characteristics and abnormal signs of elevated intracranial pressure. In this case, the pulsation and bulging are likely normal responses to crying and changes in intracranial pressure during the newborn period.

B. Dehydration: Dehydration typically presents with sunken fontanels rather than pulsation and bulging. Dehydration is a serious condition that requires prompt assessment and intervention, but it is not indicated by the findings described in the scenario.

C. Overhydration: Overhydration is not typically associated with pulsation and bulging of the fontanel. Overhydration may lead to fluid overload and edema but does not directly affect fontanel characteristics.

D. These are normal findings: Pulsation and brief bulging of the fontanel in response to crying are considered normal findings in newborns. Fontanels allow for the flexibility of the skull bones during childbirth and provide space for brain growth during infancy. Pulsation and bulging may occur temporarily during crying or changes in intracranial pressure and are not necessarily

indicative of pathology.

A. A premature newborn B. A postterm newborn C. A newborn born to a diabetic mother D. A term newborn with jaundice

Correct Answer is A

Explanation

A. A premature newborn: Premature infants are at higher risk for iron deficiency anemia because they have lower iron stores at birth compared to full-term infants. Additionally, premature infants may not have had sufficient time in utero to accumulate adequate iron stores from maternal

transfusions.

B. A postterm newborn: Postterm infants, born after 42 weeks of gestation, are not typically at increased risk for iron deficiency anemia solely based on gestational age.

C. A newborn born to a diabetic mother: While infants born to diabetic mothers may have other health risks, they are not inherently at higher risk for iron deficiency anemia unless there are other complicating factors such as prematurity or inadequate iron intake.

D. A term newborn with jaundicE. Jaundice in a term newborn is typically caused by elevated

levels of bilirubin and is not directly associated with an increased risk of iron deficiency anemia.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing the fontanels of a crying newborn and notes that the posterior fontanel pulsates and briefly bulges. What do these findings indicate?

Correct Answer is D

Explanation

The neonatal nurse assesses newborns for iron deficiency anemia. Which newborn is at highest risk for this disorder?

Correct Answer is A

Explanation

A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?

A new mother shows the nurse that her baby grasps her finger when she touches the baby's palm. How might the nurse respond to this information?

The mother of a 4-year-old boy tells the nurse that her son occasionally wets his pants during the day. How should the nurse respond?

A nurse is collecting data from an infant at a well-child visit. The nurse should understand that birth weight typically doubles by what age?

A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on to the railing. The nurse should understand that these actions aredevelopmentally appropriate at which of the following ages?

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?

A nurse is providing health promotion teaching to the parents of an infant. Which of the following conditions should the nurse identify as the leading cause of death among this age group?