After assessing a 10-year-old girl, the nurse documents the appearance of breast buds, identifying this as what body change?
Menarche
Thelarche
Tanner stage 5
Puberty
The Correct Answer is B
A. Menarche
Menarche refers to the onset of menstruation, typically occurring around 12 to 13 years of age, although it can vary widely.
B. Thelarche
Thelarche is the development of breast buds, which usually occurs around 8 to 13 years of age in girls, marking the beginning of breast development and the first sign of puberty.
C. Tanner stage 5
Tanner stage 5 refers to the final stage of sexual maturity in the Tanner Scale, characterized by adult breast development and pubic hair distribution. It is not typically used to describe the initial appearance of breast buds.
D. Puberty
Puberty is the period of development during which sexual maturity is attained, including physical changes such as growth spurts, development of secondary sexual characteristics, and
reproductive capacity. Thelarche is an early sign of puberty, but it does not encompass the entire puberty process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "I will give him a pacifier during feeding time.": Giving a pacifier during feeding time may interfere with the infant's ability to coordinate sucking, swallowing, and breathing, especially if
they are receiving nutrition through a nasogastric tube. This response indicates a need for further teaching because pacifiers during feeding time could potentially disrupt the infant's feeding
pattern and may not be appropriate in this situation.
B. "We need to make sure he doesn't lose the desire to eat by mouth.": This response
demonstrates an understanding of the importance of maintaining the infant's oral feeding skills and indicates appropriate knowledge about promoting oral feeding while using a nasogastric
tube.
C. "We need to keep feeding time very quiet.": Keeping feeding time quiet can help reduce distractions and promote a calm environment, which may enhance feeding tolerance for the infant. This response reflects an understanding of strategies to facilitate feeding.
D. "Sucking produces saliva, which aids in digestion.": This response demonstrates knowledge about the benefits of sucking and saliva production during feeding, indicating an understanding of the infant's physiological needs during feeding.
Correct Answer is B
Explanation
A. Has a fear of strangers: Fear of strangers typically emerges around 6 to 9 months of age as part of normal social development. While it indicates cognitive and emotional growth, it does not necessarily warrant further evaluation unless it is excessive or accompanied by other concerning behaviors.
B. Uses a unidextrous grasp: By 7 months, infants typically develop a more refined pincer grasp, where they can pick up small objects using the thumb and forefinger (bidextrous grasp). A unidextrous grasp (using only one hand) may suggest a delay in fine motor development and could warrant further evaluation by a healthcare provider.
C. Babbles one-syllable sounds: Babbling is a typical milestone in language development for
infants around 6 to 9 months of age. One-syllable babbling is expected at this stage and does not necessarily indicate a need for further evaluation.
D. Shows preferences towards foods: Developing food preferences is part of normal feeding behavior for infants. While it is important to ensure a balanced diet, showing preferences towards certain foods is not typically a cause for concern at this age.
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