A nurse is preparing to administer Ringer's lactate by continuous IV infusion at 120 mL/hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Choice A: Growth spurt is not the correct answer because it is not the first event that occurs in female puberty. The growth spurt is a period of rapid increase in height and weight that usually occurs between 10 and 14 years of age in girls. It is influenced by various factors such as genetics, nutrition, and hormones. Growth spurt usually follows the development of breast buds and pubic hair by about 6 to 12 months.

Choice B: Evidence of pubic hair is not the correct answer because it is not the first event that occurs in female puberty. Evidence of pubic hair is the appearance of coarse, curly, and pigmented hair on the pubic area and around the genitals. It usually occurs between 8 and 13 years of age in girls. It is caused by the increased production of androgens (male hormones) by the adrenal glands and ovaries. Evidence of pubic hair usually follows the development of breast buds by about 3 to 6 months.

Choice C: Onset of menses is not the correct answer because it is not the first event that occurs in female puberty. The onset of menses is the beginning of menstrual cycles, which are regular changes in the female reproductive system that prepare the body for pregnancy. It usually occurs between 10 and 15 years of age in girls. It is caused by the maturation of the hypothalamus, pituitary gland, ovaries, and uterus, which regulate the levels of estrogen and progesterone (female hormones). The onset of menses usually follows the development of breast buds and pubic hair by about 2 to 3 years.

Choice D: Development of breast buds is the correct answer because it is the first event that occurs in female puberty. Development of breast buds is the enlargement and elevation of the nipples and areolas (dark circles around the nipples), which indicate the beginning of breast growth. It usually occurs between 8 and 12 years of age in girls. It is caused by the increased production of estrogen (female hormone) by the ovaries, which stimulates the growth of ducts (tubes) and lobules (glands) in the breast tissue. The development of breast buds is also called thelarche or breast stage 2.

Choice A: Upper back pain is not the correct answer because it is not a common finding associated with uterine fibroids. Upper back pain is a feeling of discomfort or ache in the upper part of the back, between the shoulder blades, or below the neck. It can be caused by various factors such as muscle strain, poor posture, or spinal problems. It is not related to the presence or growth of benign tumors in the uterus.

Choice B: Chronic pelvic pain is the correct answer because it is a common finding associated with uterine fibroids. Chronic pelvic pain is a feeling of discomfort or ache in the lower abdomen or pelvis that lasts for more than six months. It can be caused by various factors such as endometriosis, ovarian cysts, or infection. It is also related to the presence or growth of benign tumors in the uterus, which can press on nerves, blood vessels, or organs and cause inflammation, bleeding, or scarring.

Choice C: Amenorrhea is not the correct answer because it is not a common finding associated with uterine fibroids. Amenorrhea is a condition that causes the absence of menstrual periods for more than three months in a woman who is not pregnant, breastfeeding, or menopausal. It can be caused by various factors such as hormonal imbalance, stress, or weight loss. It is not related to the presence or growth of benign tumors in the uterus, which can cause heavy or irregular menstrual bleeding instead.

Choice D: Diarrhea is not the correct answer because it is not a common finding associated with uterine fibroids. Diarrhea is a condition that causes loose, watery, or frequent stools. It can be caused by various factors such as infection, medication, or food intolerance. It is not related to the presence or growth of benign tumors in the uterus, which can cause constipation or bloating instead.