After teaching a group of adolescent girls about female reproductive development, the nurse determines that teaching was successful when the girls state that menarche is defined as a woman's first:
Sexual experience
Menstrual period
Signs of breast development
The Correct Answer is B
Choice A: Sexual experience is not the correct answer because it is not related to female reproductive development. Sexual experience is a personal and subjective term that can vary depending on the individual's definition, values, and preferences. It has no biological or physiological significance for female reproductive development.
Choice B: Menstrual period is the correct answer because it is related to female reproductive development. The menstrual period is a cyclic phenomenon that occurs when the endometrium (the lining of the uterus) is shed along with blood and mucus through the vagina. It marks the onset of puberty and fertility in females. Menarche is the term used to describe the first menstrual period in a woman's life.
Choice C: Sign of breast development is not the correct answer because it is not related to female reproductive development. A sign of breast development is a physical change that occurs during puberty in females. It involves the growth and maturation of the mammary glands, which are responsible for producing milk during lactation. However, it does not indicate the start of menstruation or fertility in females.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
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.
Correct Answer is D
Explanation
Choice A: Vomiting is not the most serious side effect because it is a common and manageable side effect of chemotherapy. Vomiting is a reflex action that expels the contents of the stomach through the mouth. It can be caused by various factors such as nausea, motion sickness, or infection. It can also be caused by chemotherapy, which can irritate the lining of the stomach or trigger the vomiting center in the brain. Vomiting can be prevented or treated with antiemetic drugs, hydration, and dietary changes.
Choice B: Fatigue is not the most serious side effect because it is a common and manageable side effect of chemotherapy. Fatigue is a condition that causes extreme tiredness or exhaustion that is not relieved by rest or sleep. It can be caused by various factors such as anemia, inflammation, or pain. It can also be caused by chemotherapy, which can damage healthy cells and tissues and affect the body's energy production. Fatigue can be managed with exercise, nutrition, and stress reduction.
Choice C: Hair loss is not the most serious side effect because it is a common and temporary side effect of chemotherapy. Hair loss is a condition that causes hair to fall out from the scalp or other parts of the body. It can be caused by various factors such as genetics, hormones, or infection. It can also be caused by chemotherapy, which can target rapidly dividing cells such as hair follicles and prevent hair growth. Hair loss usually occurs within two to four weeks after starting chemotherapy and reverses within six months after stopping chemotherapy.
Choice D: Myelosuppression is the most serious side effect because it is a rare and life-threatening side effect of chemotherapy. Myelosuppression is a condition that causes a decrease in the production of blood cells in the bone marrow. It can lead to anemia (low red blood cells), neutropenia (low white blood cells), and thrombocytopenia (low platelets), which can cause symptoms such as weakness, infection, and bleeding. It can also be caused by chemotherapy, which can target rapidly dividing cells such as bone marrow cells and impair blood cell formation. Myelosuppression requires close monitoring and treatment with blood transfusions, growth factors, or antibiotics.
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