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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Is beginning to tie her own shoelaces: The ability to begin tying shoelaces is a fine motor skill milestone that is typically achieved around 5 to 6 years of age. This finding indicates appropriate motor skill development.

B. Can copy a square on another piece of paper: Copying shapes is a visual-motor integration skill that develops during early childhood. The ability to copy a square is an appropriate

milestone for a 5-year-old.

C. Draws a person with three body parts: By age 5, most children can draw a person with more body parts, typically including a head, trunk, arms, legs, and facial features. Drawing a person with only three body parts may suggest a delay in fine motor or cognitive development and could be a cause for concern.

D. Can dress and undress herself without help: Independence in dressing and undressing is a self- care skill that is typically achieved by 5 years of age and indicates appropriate motor

development.

A. Maximizing learning potential B. Reducing risk-taking behavior C. Promoting adequate physical growth D. Teaching personal hygiene routines

Correct Answer is B

Explanation

A. Maximizing learning potential: While education is important during adolescence, the priority focus of guidance regarding healthy lifestyles typically centers around behaviors that directly

impact physical and emotional well-being.

B. Reducing risk-taking behavior: Adolescents are prone to engaging in risky behaviors such as substance use, unsafe sexual practices, and reckless driving. Guidance should emphasize

strategies to reduce these behaviors and promote safer choices.

C. Promoting adequate physical growth: Physical growth is largely determined by genetics and occurs earlier in life. While maintaining overall health, including physical activity and nutrition, is important during adolescence, it is not typically the primary focus of guidance regarding

healthy lifestyles at this stage.

D. Teaching personal hygiene routines: Personal hygiene is important for overall health, but it is just one aspect of a healthy lifestyle. While adolescents should be encouraged to practice good hygiene habits, guidance should encompass a broader range of behaviors that contribute to overall well-being, including mental health and risk reduction.

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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?

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Naxlex Comprehensive Predictor Exams

The nurse is assessing the motor skills of a 5-year-old girl. Which finding would cause the nurse to be concerned?

Correct Answer is C

Explanation

The nurse teaches parents of adolescents that adolescents need the support of parents and nurses to facilitate healthy lifestyles. What should be a priority focus of this guidance?

Correct Answer is B

Explanation

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