The nurse is inspecting the genitals of a prepubescent girl. Which is a normal sign of the onset of puberty?
A) Appearance of pubic hair around 11 to 13 years old
B) Swelling or redness of the labia minora
C) Presence of labial adhesions
D) Lesions on the external genitalia
Ans: A
Infants and young girls (particularly those of dark-skinned races) may have a small amount of downy pubic hair. Otherwise, the appearance of pubic hair indicates the onset of pubertal changes, sometimes prior to breast changes. Pubic hair generally begins to appear by age 11 years, with age 13 being the latest. Redness or swelling of the labia may occur with infection, sexual abuse, or masturbation. Lesions on the external genitalia may indicate sexually transmitted infection.
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