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 C

Explanation

A. Genitourinary: This system pertains to the urinary tract and reproductive organs and is not directly related to increased appetite or thirst.

B. HematologiC. This system involves the blood and blood-forming organs such as the bone marrow, spleen, and lymph nodes. Increased appetite or thirst is not typically associated with hematologic issues.

C. EndocrinE. The endocrine system includes glands that secrete hormones, such as the pancreas, which regulates blood sugar levels. Increased appetite or thirst can be indicative of endocrine disorders like diabetes mellitus, where there may be abnormalities in insulin production or response.

D. NeurologiC. While the nervous system can indirectly influence appetite and thirst regulation, directly asking about increased appetite or thirst primarily pertains to the endocrine system's hormonal regulation

A. "SIDS is directly correlated with the diphtheria, tetanus, and pertussis vaccines." B. "SIDS rates have been rising over the last 10 years." C. "Placing your child on her back when sleeping will decrease the risk of SIDS." D. "Sleep apnea is the main cause of SIDS."

Correct Answer is C

Explanation

A. "SIDS is directly correlated with the diphtheria, tetanus, and pertussis vaccines." - This

statement is incorrect. There is no direct correlation between vaccines and SIDS. In fact, research has shown that vaccines are not a cause of SIDS.

B. "SIDS rates have been rising over the last 10 years." - This statement is misleading. SIDS rates have actually been decreasing over the past few decades due to increased awareness and preventive measures.

C. "Placing your child on her back when sleeping will decrease the risk of SIDS." - This statement is accurate. Placing infants on their backs to sleep is one of the most effective

strategies for reducing the risk of SIDS, according to recommendations from pediatric health organizations.

D. "Sleep apnea is the main cause of SIDS." - This statement is incorrect. While sleep apnea is a sleep-related breathing disorder, it is not the main cause of SIDS. SIDS is a complex phenomenon with multiple contributing factors, but sleep position plays a significant role in reducing its risk.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse performing a health history on a child asks the parents if their child has experienced increased appetite or thirst. What body system is the nurse assessing with this question?

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