When describing the various changes that occur in organ systems during adolescence, what would the nurse include?

Significant increase in brain size

Ossification completed later in girls

Decrease in heart rate

Decrease in activity of sebaceous glands

Answer and Explanation

The Correct Answer is B

A. Significant increase in brain sizE. While brain development continues during adolescence, the most significant increase in brain size occurs during early childhood rather than adolescence.

B. Ossification completed later in girls: Ossification, the process of bone formation, typically continues into late adolescence or early adulthood, and completion may occur later in girls compared to boys. This process contributes to changes in height and bone density during adolescence.

C. Decrease in heart ratE. During adolescence, there may be some changes in heart rate due to

the influence of hormones and physical growth, but a decrease in heart rate is not a consistent or universal characteristic of this developmental stage.

D. Decrease in activity of sebaceous glands: Adolescence is typically associated with an increase rather than a decrease in the activity of sebaceous glands, leading to increased oil production and the potential for acne development. Hormonal changes during puberty stimulate the sebaceous

glands, contributing to changes in skin texture and appearance.

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Correct Answer is B

Explanation

A. Pulse rate is increased.

While there may be variations in pulse rate due to factors such as activity level and emotional state, a significant increase in pulse rate would not be a typical finding during an annual check- up for an 8-year-old child.

B. Breathing is diaphragmatic.

As children grow older, their respiratory patterns mature, and they develop diaphragmatic breathing, which is deeper and more efficient than the shallow breathing observed in infants. This change would be expected as the child gets older.

C. Secondary sex characteristics are present.

The development of secondary sex characteristics typically occurs during puberty, which begins around the ages of 9 to 13 in girls and 10 to 14 in boys. At 8 years old, it would be unlikely for significant secondary sex characteristics to be present.

D. Blood pressure has reached adult level.

Blood pressure in children gradually increases with age, but it does not reach adult levels until adolescence. At 8 years old, the child's blood pressure would still be within the pediatric range and would not resemble adult levels.

A. Increased intracranial pressure B. Dehydration C. Overhydration D. These are normal findings

Correct Answer is D

Explanation

A. Increased intracranial pressurE. Pulsation and bulging of the fontanel may be signs of

increased intracranial pressure in infants. However, it is important to differentiate between normal fontanel characteristics and abnormal signs of elevated intracranial pressure. In this case, the pulsation and bulging are likely normal responses to crying and changes in intracranial pressure during the newborn period.

B. Dehydration: Dehydration typically presents with sunken fontanels rather than pulsation and bulging. Dehydration is a serious condition that requires prompt assessment and intervention, but it is not indicated by the findings described in the scenario.

C. Overhydration: Overhydration is not typically associated with pulsation and bulging of the fontanel. Overhydration may lead to fluid overload and edema but does not directly affect fontanel characteristics.

D. These are normal findings: Pulsation and brief bulging of the fontanel in response to crying are considered normal findings in newborns. Fontanels allow for the flexibility of the skull bones during childbirth and provide space for brain growth during infancy. Pulsation and bulging may occur temporarily during crying or changes in intracranial pressure and are not necessarily

indicative of pathology.

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When describing the various changes that occur in organ systems during adolescence, what would the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing an annual check-up for an 8-year-old child. Compared to the previous assessment of this child, which characteristic would most likely be observed?

Correct Answer is B

Explanation

A nurse is assessing the fontanels of a crying newborn and notes that the posterior fontanel pulsates and briefly bulges. What do these findings indicate?

Correct Answer is D

Explanation

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