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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Vary the child's schedule each day: While some variation in activities may be beneficial, providing a stable and predictable routine can also promote a sense of security and stability for the child during hospitalization.
B. According to Erikson's psychosocial development theory, the psychosocial stage for a 10- year-old child is industry versus inferiority. During this stage, children are developing a sense of competence by mastering new skills and tasks. Encouraging the child to complete school work supports this developmental stage by fostering a sense of accomplishment and competence. It
also helps maintain a sense of normalcy and continuity with academic activities despite the hospitalization.
C. Discourage visits from the client's friends: Social interaction with peers is important for the child's emotional well-being and development. Discouraging visits from friends would likely have a negative impact on the child's psychosocial needs during hospitalization.
D. Provide a daily session with a play therapist: While play therapy may be beneficial for addressing emotional needs, it may not directly address the child's psychosocial development according to Erikson's theory. Encouraging completion of school work aligns more closely with the developmental tasks of this stage.
Correct Answer is C
Explanation
A. "SIDS is directly correlated with the diphtheria, tetanus, and pertussis vaccines." - This
statement is incorrect. There is no direct correlation between vaccines and SIDS. In fact, research has shown that vaccines are not a cause of SIDS.
B. "SIDS rates have been rising over the last 10 years." - This statement is misleading. SIDS rates have actually been decreasing over the past few decades due to increased awareness and preventive measures.
C. "Placing your child on her back when sleeping will decrease the risk of SIDS." - This statement is accurate. Placing infants on their backs to sleep is one of the most effective
strategies for reducing the risk of SIDS, according to recommendations from pediatric health organizations.
D. "Sleep apnea is the main cause of SIDS." - This statement is incorrect. While sleep apnea is a sleep-related breathing disorder, it is not the main cause of SIDS. SIDS is a complex phenomenon with multiple contributing factors, but sleep position plays a significant role in reducing its risk.
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