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.

Answer and Explanation

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.

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Correct Answer is ["B","C","E"]

Explanation

A. Need for increased caloric intake

While toddlers may require adequate nutrition, emphasizing the need for increased caloric intake without individualized assessment and guidance may not be appropriate for all children.

B. Management of tantrums

Toddlers commonly experience tantrums as part of their development. Teaching parents effective strategies for managing and responding to tantrums can help promote positive behavior and reduce stress for both the child and the parents.

C. Dental care

Promoting good oral hygiene practices, such as regular brushing with fluoride toothpaste and routine dental check-ups, is essential for maintaining the toddler's oral health.

D. How to establish trust

While establishing trust is important for the parent-child relationship, this aspect of teaching may be more applicable to infants rather than toddlers who are already in the process of developing

trust with their caregivers.

E. How to encourage cooperative play

Encouraging cooperative play helps foster social skills, sharing, and cooperation in toddlers. Providing guidance on facilitating playdates, sharing toys, and resolving conflicts can support healthy social development.

A. Puberty might be delayed if scrotal changes have not occurred by the age of 11 years. B. Growth spurts in height occur toward the end of midpuberty. C. Changes in the voice signal the beginning of puberty. D. Gynecomastia commonly occurs during late puberty.

Correct Answer is A

Explanation

A. Puberty might be delayed if scrotal changes have not occurred by the age of 11 years: This statement is accurate because the lack of scrotal changes by the age of 11 years may indicate delayed puberty, prompting further evaluation by a healthcare provider.

B. Growth spurts in height occur toward the end of midpuberty: Growth spurts in height typically occur during midpuberty, rather than toward the end, as adolescents experience a rapid increase

in skeletal growth.

C. Changes in the voice signal the beginning of puberty: While changes in the voice, such as voice cracking and deepening, are indeed part of puberty, they usually occur later in puberty, not necessarily at the beginning.

D. Gynecomastia commonly occurs during late puberty: Gynecomastia, the development of breast tissue in males, typically occurs during mid-puberty and may persist into late puberty but is not exclusive to that period.

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The school nurse is performing health assessments on students in middle school. Of what developmental milestone should the nurse be aware?

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