The nurse is performing an assessment of the reproductive system of a 17-year-old girl. What would alert the nurse to a developmental delay in this girl?
Areola and papilla separate from the contour of the breast
Absence of first menstrual period
Developed breast tissue
Mature distribution and coarseness of pubic hair
The Correct Answer is B
A. Areola and papilla separate from the contour of the breast: This is a normal finding in breast development and indicates Tanner stage 4 or higher, which is typical for adolescent girls. It does not necessarily indicate a developmental delay.
B. Absence of first menstrual perioD. Menarche, the first menstrual period, typically occurs between the ages of 9 and 15 in girls. Absence of menarche by the age of 15 or within 3 years after the onset of breast development (thelarche) may indicate a developmental delay or underlying medical condition that should be evaluated by a healthcare provider.
C. Developed breast tissuE. Breast development, indicated by palpable breast tissue, is a normal part of female puberty and typically occurs before menarche. Developed breast tissue alone does not necessarily indicate a developmental delay.
D. Mature distribution and coarseness of pubic hair: Pubic hair development is also a part of female puberty and occurs before or around the time of menarche. While the distribution and coarseness of pubic hair can provide information about pubertal development, the absence of menarche is a more reliable indicator of a potential developmental delay.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. 1 cup of cooked rice is equivalent to 2 oz of grains, which is double the recommended amount.
B. 1 cup of ready-to-eat cereal flakes is equivalent to 1 oz of grains, which meets the recommendation precisely.
C. 1?2 slice of whole wheat bread is equivalent to 0.5 oz of grains, which is half the recommended amount.
D. 11?2 flour tortilla is equivalent to 3 oz of grains, which is triple the recommended amount.
Correct Answer is D
Explanation
A. Displays of animism: Animism, attributing life-like qualities to inanimate objects, is a typical characteristic of the preoperational stage as children develop symbolic thinking.
B. Understanding of opposites: The ability to understand opposites, such as big/small, hot/cold, is a cognitive milestone of the preoperational stage as children develop classification skills.
C. Use of active imaginations: Pretend play and active imaginations are hallmark features of the preoperational stage, reflecting children's growing ability to engage in symbolic thought and fantasy play.
D. Beginning questioning of parents' values: Piaget's preoperational stage, which typically occurs between ages 2 and 7, is characterized by significant cognitive development, including language acquisition, symbolic thinking, and the ability to engage in pretend play. While children in this stage may question certain aspects of their environment and beliefs, they are less likely to engage in sophisticated questioning of abstract concepts like parental values.
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