The school nurse is performing health assessments on students in middle school. Of what developmental milestone should the nurse be aware?

Height in girls increases rapidly after menarche and usually ceases immediately after menarche.

Boys' growth spurts usually begin between the ages of 8 and 14 years and end between the ages of 13½ and 17½ years.

Peak height velocity (PHV) occurs at approximately 12 years of age in girls or about 6 to 12 months after menarche.

Boys reach PHV and peak weight velocity (PWV) at about 16 years of age.

Answer and Explanation

The Correct Answer is C

A. Height in girls increases rapidly after menarche and usually ceases immediately after

menarchE. Height increases during adolescence are not directly related to menarche. Growth in girls typically continues for several years after menarche, although at a slower rate compared to the pre-pubertal growth spurt.

B. Boys' growth spurts usually begin between the ages of 8 and 14 years and end between the ages of 13½ and 17½ years: While boys do experience a growth spurt during adolescence, the timing and duration of growth spurts can vary widely among individuals. Growth typically

continues beyond the age of 14, with some boys reaching their full adult height in their late teens or early twenties.

C. Peak height velocity (PHV) occurs at approximately 12 years of age in girls or about 6 to 12 months after menarchE. Peak height velocity refers to the period of most rapid growth during adolescence. In girls, PHV typically occurs around the age of 12, with growth continuing for some time after menarche.

D. Boys reach PHV and peak weight velocity (PWV) at about 16 years of agE. Boys generally experience PHV and PWV later than girls, typically occurring around the age of 14 to 16. These milestones mark the period of most rapid growth in boys, with height and weight increasing significantly during this time.

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Correct Answer is B

Explanation

A. Eruption of the last four molars: This characteristic typically occurs during adolescence but may vary individually. However, it is not universal among all teenagers and does not apply to both genders equally.

B. Increased shoulder, chest, and hip widths: During adolescence, both boys and girls experience growth spurts, leading to increased shoulder, chest, and hip widths as part of their overall physical development.

C. Decreased respiratory rates of 15 to 20 breaths per minutE. Respiratory rates in teenagers generally remain within the normal adult range, typically between 12 and 20 breaths per minute. There is no consistent decrease in respiratory rates during adolescence.

D. Fully functioning sweat and sebaceous glands: Sweat and sebaceous glands are typically fully developed and functional by adolescence. This characteristic is not specific to teenagers but applies to individuals of all ages once these glands have matured.

A. Place the crushed tablet in the infant's formula. B. Mix the crushed tablet with the infant's cereal. C. Mix the crushed tablet with a small amount of applesauce. D. Crushed tablets should only be mixed with water.

Correct Answer is C

Explanation

A. Place the crushed tablet in the infant's formulA. Mixing crushed tablets with formula may alter the taste or consistency of the formula, making it less palatable for the infant.

B. Mix the crushed tablet with the infant's cereal: Mixing crushed tablets with cereal may also alter the taste and texture of the cereal, potentially making it unappealing to the infant.

C. Mix the crushed tablet with a small amount of applesaucE. Mixing crushed tablets with a small amount of applesauce is a common method for administering medication to infants and

toddlers. The applesauce helps mask the taste and texture of the crushed tablet, making it easier for the child to swallow.

D. Crushed tablets should only be mixed with water: While water can be used to administer crushed tablets, mixing them with water alone may not effectively mask the taste or texture of the medication, making it less likely that the child will swallow it. Mixing with a food like applesauce is often more palatable for young children.

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The school nurse is performing health assessments on students in middle school. Of what developmental milestone should the nurse be aware?

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