A nurse in a community clinic is reviewing the laboratory results of four clients. The nurse should identify which of the following sexually transmitted infections is nationally notifiable.

A. Increased self-esteem is a positive aspect of development, but it may not be a consistent characteristic during early adolescence. Self-esteem can fluctuate based on various factors.

B. Mood swings are common during early adolescence due to hormonal changes and the emotional challenges that come with this stage of development. It's important for parents to be understanding and supportive during this time.

C. The growth rate during early adolescence may vary from person to person, but it generally accelerates rather than decelerates. This period is associated with rapid physical growth, known as the adolescent growth spurt.

D. Emotional separation from parents is a normal part of adolescent development, but it tends to become more prominent in later adolescence rather than early adolescence. During early adolescence, there may be a mix of seeking independence and still relying on parental support and guidance.

A. "You should notify your provider if your testes are firm and egg shaped." This statement does not provide specific guidance on when or how to perform the examination. It also describes a normal shape of the testes.

B. This is the correct statement. Performing the testicular self-examination following a warm shower helps relax the scrotal tissue, making it easier to detect any abnormalities or changes.

C. "If you feel a hard lump, wait 1 month and retest yourself." This is not advisable. If a hard lump is detected during a testicular self-examination, the individual should promptly notify their healthcare provider for further evaluation.

D. "You should perform the examination once every other month." While regular
testicular self-examinations are important, it is generally recommended to perform them monthly, not once every other month.