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 A
Explanation
The assessment finding that the nurse should expect in an infant with Hirschsprung disease is option A, constipation with the passage of foul-smelling, ribbon-like stools. Hirschsprung disease is a congenital condition characterized by the absence of ganglion cells in the distal part of the colon, leading to functional obstruction. The affected segment of the colon lacks the normal peristaltic movements, resulting in an accumulation of faecal matter. The stools passed by infants with Hirschsprung disease are often constipated, and the narrow, ribbon- like appearance is a result of the narrowed segment of the colon.
diarrhea (option B) is incorrect because it, is not typically associated with Hirschsprung disease. Instead, the condition presents with constipation due to the obstructed bowel.
foul-smelling, fatty stools in (option C) is incorrect because it, is not characteristic of Hirschsprung disease. This finding may be associated with malabsorption disorders such as cystic fibrosis or celiac disease, but not specifically with Hirschsprung disease.
"currant jelly" stools in (option D) is incorrect because it, is a term commonly used to describe the stools seen in intussusception, which is a different condition involving the telescoping of one segment of the bowel into another. It is not an expected finding in Hirschsprung disease.
Correct Answer is A
Explanation
Intussusception is a medical condition where a portion of the intestine telescopes into an adjacent section, causing an obstruction. This obstruction can affect the normal passage of stool through the intestine.
In intussusception, the obstructed intestine can lead to the development of blood and mucus within the stool, giving it a characteristic appearance described as "currant jelly." The stool may contain a combination of blood, mucus, and faecal matter, resembling the colour and consistency of currant jelly.
loose, foul-smelling stools in (option) is incorrect because it, is not specific to intussusception and can be associated with various gastrointestinal conditions.
hard stools positive for guaiac in (option C) is incorrect because it, is not typical of intussusception. Hard stools and positive guaiac test results are more commonly associated with constipation or other conditions affecting the lower gastrointestinal tract.
ribbon-like stools, in (option D) is incorrect because it may be seen in conditions like colorectal cancer or other obstructive disorders. However, it is not a specific characteristic of intussusception.
In the context of intussusception, the presence of "currant jelly" stools is considered a significant sign and should prompt immediate medical attention. Intussusception is a medical emergency and requires prompt diagnosis and treatment.
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