The school health nurse is working with a parent–child group discussing sex education. Which statement by a parent or child requires further teaching by the nurse?
1. "I know girls can develop early. I was only 8 years old when I developed breasts.".
2. "I plan to speak with my daughter about her sexuality only after she reads the books I purchased for her.".
3. "My school nurse talked with us about getting a period," the child giggles.
4. "My friends like to talk about sex. Lots of us have older sisters who dress sexy.".
4
Rationale:
1. Girls can begin secondary sex characteristic development at 8 years old.
2. It is appropriate for a parent to discuss concepts of sexuality after the child completes some appropriate reading.
3. School-age children often laugh or giggle after discussions at school about secondary sex characteristics.
4. The school-age child who is being influenced by an older sibling is at risk for inappropriate behaviors, and needs further teaching.
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