The nurse is explaining Tanner staging to an adolescent and mother. Which statement best describes Tanner staging?
Staging of puberty based on the initiation of primary sexual characteristics
Predictable stages of puberty based on primary and secondary sexual characteristics
Staging of puberty based on the initiation of menarche and nocturnal emissions
Predictable stages of puberty that are based on chronologic age
The Correct Answer is B
The statement that best describes Tanner staging is option B. Tanner staging is a system used
to classify and assess the progression of puberty based on the development of both primary
and secondary sexual characteristics. It provides a framework for evaluating the physical
changes that occur during puberty, such as breast development in females, testicular
enlargement in males, pubic hair growth, and other secondary sexual characteristics. The
Tanner staging system includes several stages that represent the sequential progression of
puberty in individuals.
staging of puberty based on the initiation of primary sexual characteristics in (option A) is not
correct because it, does not encompass the full scope of Tanner staging, as it does not
consider the progression of secondary sexual characteristics.
staging of puberty based on the initiation of menarche (the onset of menstruation) and
nocturnal emissions, in (option C) is not correct. While menarche and nocturnal emissions are
significant events that occur during puberty, they do not encompass the entire Tanner staging
system, which involves a broader range of physical changes.
predictable stages of puberty based on chronologic age, in (option D) is not correct. Tanner
staging is based on the progression of physical changes and sexual maturation, rather than
being solely determined by chronological age. Puberty can vary in onset and duration among
individuals, making chronological age an unreliable indicator of pubertal development.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Hypothyroidismreferstoanunderactivethyroid glandthatdoesnotproduceenoughthyroidhormones. In newborns, this condition is known as congenital hypothyroidism. Thesymptoms mentioned—mottled skin, a large fontanel (soft spot on the baby's head), a largetongue,lethargy, anddifficultyfeeding—arecharacteristic ofhypothyroidism inneonates.
Mottledskincanoccur duetodecreasedcirculationandlow bodytemperatureassociatedwith hypothyroidism. A large fontanel and tongue are common physical features seen ininfants with hypothyroidism. Lethargy and poor feeding are also typical signs of thiscondition.
Hypoglycaemia in (option A) is incorrect because it refers to low blood sugar levels andusuallypresentswithdifferent symptomssuchas jitteriness,tremors,and sweating.
Hypocalcaemia in (option C) is incorrect because it is low calcium levels and can manifestwithsymptoms like muscle cramps, twitching,and seizures.
Phenylketonuria (PKU) in (option D) it is incorrect because it is a metabolic disordercharacterized by the inability to metabolize the amino acid phenylalanine, and it typicallypresentswith differentsymptoms such asintellectual disabilityandamustydoorto theskin.
Therefore, based on the symptoms described, hypothyroidism (B) is the most likely disorderinthisneonate. Itisimportanttoconsultahealthcareprofessionalforaproperdiagnosisandappropriatetreatment.
Correct Answer is A
Explanation
A subdural hematoma is a type of intracranial bleeding that occurs between the dura mater (the
outermost layer of the meninges) and the skull. The dura mater is a tough membrane that covers
and protects the brain. When a subdural hematoma occurs, blood collects between the dura mater
and the skull, resulting in increased pressure on the brain.
Bleeding is generally arterial, and brain compression occurs rapidly in (Option B) is incorrect because
while bleeding in a subdural hematoma can be arterial, it can also be venous. The rate of bleeding
and brain compression can vary depending on the size and severity of the hematoma.
Bleeding occurs between the dura and the cerebrum in (Option C) is incorrect because the bleeding
in a subdural hematoma does not occur between the dura and the cerebrum (the largest part of the
brain). It specifically occurs between the dura and the skull.
The hematoma commonly occurs in the pretemporal region in (Option D) is incorrect because the
location of a subdural hematoma can vary. While pretemporal region is a possible location, subdural
hematomas can occur in different areas of the brain, depending on the site of injury.
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