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 D
Explanation
A. "I can fit my hand between the baby and the car seat harness."
This statement indicates that the harness may not be properly snug against the infant's body, which could compromise safety.
B. "Our car seat is front-facing in the back seat."
For a 6-month-old infant, the car seat should be rear-facing to provide optimal safety in the event of a crash. Front-facing seats are typically used for older children.
C. "The car seat is rear-facing in the front passenger seat."
Rear-facing car seats should never be placed in the front passenger seat, especially if the car is equipped with airbags. The back seat is the safest location for a car seat.
D. "Our car seat is an infant model and is anchored in the car."
This statement indicates that the parent understands the importance of using an appropriate car seat for the infant's age and size and that the seat is properly installed and secured in the vehicle.
Correct Answer is D
Explanation
A. Congenital anomalies: While congenital anomalies can contribute to infant mortality, they are not the leading cause of death among infants.
B. Respiratory distress: Respiratory distress can be a significant concern in newborns, especially premature infants, but it is not the leading cause of death among infants overall.
C. Low birth weight: Low birth weight is a risk factor for various health complications in infants, but it is not the leading cause of death among infants.
D. Sudden infant death syndrome (SIDS): SIDS is the sudden and unexplained death of an otherwise healthy infant, typically during sleep. It is the leading cause of death among infants aged 1 month to 1 year, making it an essential consideration in health promotion and education efforts for parents.
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