The nurse is explaining Tanner staging to an adolescent and her mother. Which statement best describes Tanner staging?
Predictable stages of puberty that are based on chronological age.
Staging of puberty based on the sexual behavior of the child.
Staging of puberty based on the increase in height and weight.
Predictable stages of puberty that are based on primary and secondary sexual characteristics.
The Correct Answer is D
Choice A reason: This statement is incorrect, as Tanner staging is not based on chronological age, but on the physical development of the child. Children may enter and progress through puberty at different ages, depending on their genetic, environmental, and nutritional factors.
Choice B reason: This statement is incorrect, as Tanner staging is not based on the sexual behavior of the child, but on the appearance of the external genitalia, breasts, and pubic hair. Sexual behavior is influenced by many factors, such as social, cultural, and psychological factors, and does not necessarily correlate with the stage of puberty.
Choice C reason: This statement is incorrect, as Tanner staging is not based on the increase in height and weight, but on the maturation of the reproductive organs and secondary sex characteristics. Height and weight are affected by many factors, such as nutrition, health, and genetics, and do not necessarily reflect the stage of puberty.
Choice D reason: This statement is correct, as Tanner staging is based on the predictable stages of puberty that are based on primary and secondary sexual characteristics. Primary sexual characteristics are the development of the internal and external reproductive organs, such as the ovaries, testes, uterus, penis, and vagina. Secondary sexual characteristics are the changes that occur in other parts of the body, such as the breasts, pubic hair, axillary hair, voice, and body shape.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. Aspirin is a part of the treatment for children with Kawasaki disease, which is a rare but serious condition that causes inflammation of the blood vessels. Aspirin is given to reduce fever, inflammation, and the risk of developing coronary artery aneurysms. Aspirin is usually given in high doses during the acute phase of the disease and then in low doses as a preventive measure until the inflammation subsides.
Choice B reason: This is not a good choice. Aspirin is not contraindicated for children with Kawasaki disease, unlike other conditions such as Reye syndrome or viral infections. Aspirin is a beneficial and essential part of the treatment for children with Kawasaki disease, as it can prevent serious and potentially fatal complications.
Correct Answer is D
Explanation
Choice A reason: This statement is incorrect, as weight alone is not a reliable indicator of overweight or obesity in children and adolescents, as it does not account for the variations in growth, age, sex, and body composition. The nurse should use weight in conjunction with other measures, such as height, BMI, and growth charts, to assess the nutritional status and health risks of the child.
Choice B reason: This statement is incorrect, as height alone is not a reliable indicator of overweight or obesity in children and adolescents, as it does not account for the variations in growth, age, sex, and body composition. The nurse should use height in conjunction with other measures, such as weight, BMI, and growth charts, to assess the nutritional status and health risks of the child.
Choice C reason: This statement is incorrect, as body surface area (BSA) is not a recommended method of screening for overweight or obesity in children and adolescents, as it is not widely used or validated in this population. BSA is a measure of the total area of the skin, which can be calculated using various formulas based on weight and height. BSA is mainly used for dosing certain medications, such as chemotherapy, and for estimating the metabolic rate.
Choice D reason: This statement is correct, as body mass index (BMI) is the recommended method of screening for overweight or obesity in children and adolescents, as it is a simple and standardized measure of body fatness that can be used for comparison across different populations and age groups. BMI is calculated by dividing the weight in kilograms by the height in meters squared. The nurse should use the BMI-for-age percentile charts to interpret the BMI value and classify the child as underweight, healthy weight, overweight, or obese
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