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. Use quick deliberate gestures to get your point across.

Using quick gestures may intimidate or overwhelm the child, potentially hindering communication. It's essential to approach the child with patience and attentiveness.

B. Allow the child to control the pace and order of the health history.

Allowing the child to dictate the pace and sequence of the health history empowers them and helps build trust. It allows the child to express themselves comfortably and share relevant

information at their own pace.

C. Do not make physical contact with the child during the interview.

While respecting the child's personal space is important, appropriate physical contact, such as a reassuring touch or handshake, can help establish rapport and comfort during the interview.

D. Wear a white examination coat when conducting the interview.

Wearing a white coat may create a sense of formality and authority that could intimidate the child. Opting for attire that is approachable and friendly can help put the child at ease and facilitate open communication.

A. Ignore the temper tantrums. B. Tell the child that temper tantrums are not acceptable. C. Restrain the child physically. D. Distract the child by offering to play a game.

Correct Answer is D

Explanation

A. Ignore the temper tantrums. - Ignoring tantrums may work for some children, but it's not a universal solution and can sometimes escalate the behavior. It also doesn't teach the child appropriate ways to cope with their emotions.

B. Tell the child that temper tantrums are not acceptable. - While setting boundaries is important, simply telling the child that tantrums are unacceptable without providing alternative coping

mechanisms may not be effective, especially for a toddler who may not fully understand verbal reasoning.

C. Restrain the child physically. - Physically restraining the child can be harmful and is not recommended as a method for handling temper tantrums. It can lead to increased frustration and potentially cause injury to the child.

D. Distract the child by offering to play a game. - Distracting the child with a game or other engaging activity can help redirect their attention away from the tantrum and towards a more positive outlet for their emotions. This approach can be effective in diffusing the situation and teaching the child healthy coping strategies.

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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

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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