The nurse is performing an assessment of the reproductive system of a 17-year-old girl. What would alert the nurse to a developmental delay in this girl?

Areola and papilla separate from the contour of the breast

Absence of first menstrual period

Developed breast tissue

Mature distribution and coarseness of pubic hair

Answer and Explanation

The Correct Answer is B

A. Areola and papilla separate from the contour of the breast: This is a normal finding in breast development and indicates Tanner stage 4 or higher, which is typical for adolescent girls. It does not necessarily indicate a developmental delay.

B. Absence of first menstrual perioD. Menarche, the first menstrual period, typically occurs between the ages of 9 and 15 in girls. Absence of menarche by the age of 15 or within 3 years after the onset of breast development (thelarche) may indicate a developmental delay or underlying medical condition that should be evaluated by a healthcare provider.

C. Developed breast tissuE. Breast development, indicated by palpable breast tissue, is a normal part of female puberty and typically occurs before menarche. Developed breast tissue alone does not necessarily indicate a developmental delay.

D. Mature distribution and coarseness of pubic hair: Pubic hair development is also a part of female puberty and occurs before or around the time of menarche. While the distribution and coarseness of pubic hair can provide information about pubertal development, the absence of menarche is a more reliable indicator of a potential developmental delay.

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Correct Answer is B

Explanation

A. Maximizing learning potential: While education is important during adolescence, the priority focus of guidance regarding healthy lifestyles typically centers around behaviors that directly

impact physical and emotional well-being.

B. Reducing risk-taking behavior: Adolescents are prone to engaging in risky behaviors such as substance use, unsafe sexual practices, and reckless driving. Guidance should emphasize

strategies to reduce these behaviors and promote safer choices.

C. Promoting adequate physical growth: Physical growth is largely determined by genetics and occurs earlier in life. While maintaining overall health, including physical activity and nutrition, is important during adolescence, it is not typically the primary focus of guidance regarding

healthy lifestyles at this stage.

D. Teaching personal hygiene routines: Personal hygiene is important for overall health, but it is just one aspect of a healthy lifestyle. While adolescents should be encouraged to practice good hygiene habits, guidance should encompass a broader range of behaviors that contribute to overall well-being, including mental health and risk reduction.

A. Appearance of pubic hair around 11 to 13 years old B. Swelling or redness of the labia minora C. Lesions on the external genitalia D. Presence of labial adhesions

Correct Answer is A

Explanation

A. Appearance of pubic hair around 11 to 13 years old - Pubic hair development typically occurs around the ages of 11 to 13 in girls, signaling the onset of puberty. This is a normal part of physical development.

B. Swelling or redness of the labia minora - Swelling or redness of the labia minora may indicate inflammation or infection, unrelated to normal puberty development.

C. Lesions on the external genitalia - Lesions on the external genitalia are not normal signs of puberty and may indicate a medical issue requiring evaluation and treatment.

D. Presence of labial adhesions - Labial adhesions, where the labia minora stick together, are not directly related to puberty onset and may require medical attention if they cause discomfort or urinary issues

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The nurse is performing an assessment of the reproductive system of a 17-year-old girl. What would alert the nurse to a developmental delay in this girl?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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