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 A

Explanation

A. Most infants double their birth weight by 5 to 6 months of age.

B. Doubling of birth weight by 3 months is less common and may indicate overfeeding or an error in measurement.

C. By 9 months, infants have usually surpassed the milestone of doubling their birth weight.

D. At 12 months, infants typically triple their birth weight, so this is beyond the timeframe for doubling birth weight

A. Epiglottitis B. Bronchiolitis C. Influenza D. Croup

Correct Answer is B

Explanation

A. Epiglottitis

Epiglottitis typically presents with rapid onset of severe sore throat, high fever, difficulty swallowing, and drooling due to inflammation and swelling of the epiglottis. It is a medical emergency requiring immediate intervention but is less likely to present with the described symptoms.

B. Bronchiolitis

Bronchiolitis commonly occurs in infants and young children, often during the winter months. It is characterized by symptoms such as coughing, wheezing, nasal congestion, fever, and

respiratory distress. The described symptoms, including coughing, nasal congestion, and intermittent fever, align with bronchiolitis.

C. Influenza

Influenza typically presents with symptoms such as fever, cough, sore throat, body aches, and fatigue. While coughing and fever are common symptoms of influenza, the presence of apneic spells is less typical of influenza and more indicative of lower respiratory tract infections like bronchiolitis.

D. Croup

Croup is characterized by a barking cough, hoarseness, and respiratory distress often accompanied by stridor. While croup shares some symptoms with bronchiolitis, such as coughing, the absence of stridor in the description suggests bronchiolitis as a more likely diagnosis.

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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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