Place in order the signs of female sexual maturity beginning with the first sign and ending with the last. Use the following format for your Answer: A, B, C, D
a. Growth of pubic hair
b. Menarche
c. Appearance of breast buds
d. Ovulation is established
C, A, B, D
Sexual maturation in girls begins with the appearance of breast buds (thelarche), which is the first sign of ovarian function. Thelarche occurs at approximately age 8 to 11 years and is followed by the growth of pubic hair. Linear growth slows, and menarche begins approximately 1 year after the peak height velocity (PHV). Ovulation occurs with menarche but may or may not accompany the first 2 years of menarche so it is not established until later.
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