The school nurse is performing health assessments on students in middle school. Of what developmental milestone should the nurse be aware?
Height in girls increases rapidly after menarche and usually ceases immediately after menarche.
Boys' growth spurts usually begin between the ages of 8 and 14 years and end between the ages of 13½ and 17½ years.
Peak height velocity (PHV) occurs at approximately 12 years of age in girls or about 6 to 12 months after menarche.
Boys reach PHV and peak weight velocity (PWV) at about 16 years of age.
The Correct Answer is C
A. Height in girls increases rapidly after menarche and usually ceases immediately after
menarchE. Height increases during adolescence are not directly related to menarche. Growth in girls typically continues for several years after menarche, although at a slower rate compared to the pre-pubertal growth spurt.
B. Boys' growth spurts usually begin between the ages of 8 and 14 years and end between the ages of 13½ and 17½ years: While boys do experience a growth spurt during adolescence, the timing and duration of growth spurts can vary widely among individuals. Growth typically
continues beyond the age of 14, with some boys reaching their full adult height in their late teens or early twenties.
C. Peak height velocity (PHV) occurs at approximately 12 years of age in girls or about 6 to 12 months after menarchE. Peak height velocity refers to the period of most rapid growth during adolescence. In girls, PHV typically occurs around the age of 12, with growth continuing for some time after menarche.
D. Boys reach PHV and peak weight velocity (PWV) at about 16 years of agE. Boys generally experience PHV and PWV later than girls, typically occurring around the age of 14 to 16. These milestones mark the period of most rapid growth in boys, with height and weight increasing significantly during this time.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Do nothing: this is a normal condition for toddlers: Lordosis, also known as swayback, is a common and typically normal finding in toddlers as they develop and their posture adjusts. It is characterized by an exaggerated curvature of the lumbar spine. In most cases, lordosis resolves on its own as the child grows and their musculoskeletal system matures. Therefore, no
intervention is usually necessary.
B. Notify the primary care healthcare provider about the condition: Lordosis alone is not
typically considered a concerning finding in toddlers unless it is severe or accompanied by other
symptoms. It is not necessary to notify the primary care provider unless there are additional concerning signs or symptoms.
C. Refer the toddler to a physical therapist: Referring the toddler to a physical therapist for lordosis alone is not warranted unless there are other significant musculoskeletal issues or developmental concerns.
D. Explain that the child will need a back bracE. Lordosis in toddlers does not typically require the use of a back brace. It is usually a benign and self-limiting condition that resolves with time as the child's musculoskeletal system matures.
Correct Answer is D
Explanation
A. "I can fit my hand between the baby and the car seat harness."
This statement indicates that the harness may not be properly snug against the infant's body, which could compromise safety.
B. "Our car seat is front-facing in the back seat."
For a 6-month-old infant, the car seat should be rear-facing to provide optimal safety in the event of a crash. Front-facing seats are typically used for older children.
C. "The car seat is rear-facing in the front passenger seat."
Rear-facing car seats should never be placed in the front passenger seat, especially if the car is equipped with airbags. The back seat is the safest location for a car seat.
D. "Our car seat is an infant model and is anchored in the car."
This statement indicates that the parent understands the importance of using an appropriate car seat for the infant's age and size and that the seat is properly installed and secured in the vehicle.
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