The school nurse is teaching a group of female students about the female reproductive system. A student asks how she will know she is starting puberty. Which information should the nurse discuss?
A dark line of pigmentation occurs along the midline of the abdomen.
Weight gain becomes obvious as the hip circumference increases.
The areolar color of the nipples changes from pink to dark brown.
The development of breast buds will form under the nipples.
The Correct Answer is D
A. A dark line of pigmentation occurs along the midline of the abdomen: This refers to linea nigra, which is more commonly associated with hormonal changes during pregnancy rather than puberty. It is not a typical sign of puberty in adolescent females.
B. Weight gain becomes obvious as the hip circumference increases: While changes in body shape and fat distribution occur during puberty especially with increased fat around the hips and thighs, it is usually a gradual process and not the first noticeable sign.
C. The areolar color of the nipples changes from pink to dark brown: Areolar pigmentation may darken with puberty in some individuals, but it varies by skin tone and is not a reliable or universal first sign of puberty.
D. The development of breast buds will form under the nipples: The appearance of breast buds or thelarche, small, firm lumps form under the nipples, which can sometimes be tender, is typically the first visible sign of puberty in girls, usually occurring around ages 8–13. It signals the beginning of hormonal changes and physical development.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Count backwards by 7, starting with 100.": This question assesses concentration, attention span, and mathematical ability but does not evaluate abstract thinking. It is typically used in cognitive or mental status exams to assess focus and processing speed.
B. "Has anyone come to visit you today?": This is a straightforward question assessing recent memory or orientation but has no abstract component. It provides little insight into higher-order thinking or interpretation skills.
C. "In what year were you born?": This question evaluates remote memory, not abstract reasoning. It is factual and concrete, requiring only recollection, not interpretation or deeper thought.
D. "What does, 'The early bird catches the worm,' mean?": This is a proverb that requires interpretation beyond its literal meaning. Asking for its meaning helps assess abstract thinking by evaluating the client’s ability to understand figurative language and draw broader conclusions.
Correct Answer is D
Explanation
A. A 24-hour diet history: While a 24-hour diet history can provide some information about recent food intake, it may not accurately reflect long-term nutritional status. Nutritional deficiencies often develop over time, and a single day's intake might not capture overall dietary patterns.
B. Status of current appetite: Appetite can be influenced by many factors, including illness, medications, or psychological conditions. While it is an important consideration in a nutritional assessment, it alone does not give the most reliable insight into an individual’s overall nutritional status.
C. History of a recent weight loss: Recent weight loss could indicate malnutrition or a medical issue, but it doesn't provide a complete picture of an individual's overall nutritional health. Long-term assessments, such as changes in body composition, would give more insight.
D. Condition of hair, nails, and skin: The condition of hair, nails, and skin is a key indicator of nutritional status, as these tissues are directly affected by nutrient deficiencies. Signs such as brittle nails, thinning hair, or dry, flaky skin can reflect deficiencies in vitamins, minerals, and overall nutrition, providing a more comprehensive view of an individual's nutritional health.
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