A 10-year-old girl asks the nurse, "What is the first sign of puberty?" What is the correct nursing response?
a. An increase in height
b. Breast development
c. Appearance of axillary hair
d. The first menstrual period
ANS: B
The first outward change of puberty in girls is the development of breasts at about 10 to 11 years of age.
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A patient's abdominal ultrasound indicates cholelithiasis. When the nurse is reviewing the patient's laboratory studies, what finding is most closely associated with this diagnosis?
A) Increased bilirubin B) Decreased serum cholesterol C) Increased blood urea nitrogen (BUN) D) Decreased serum alkaline phosphatase level
A nurse is working as part of a committee to establish policies to promote bonding and attachment. Which practice would be least effective in achieving this goal?
A) Allowing unlimited visiting hours on maternity units B) Offering round-the-clock nursery care for all infants C) Promoting rooming-in D) Encouraging infant contact immediately after birth
An adult patient, reporting for an annual examination, has a history of fibrocystic disease and has large, pendulous breasts. Which position is best for inspecting the patient's breasts?
1) Lying supine with arms over her head 2) Sitting, arms on hip 3) Leaning forward with arms outstretched 4) Lying supine with arms at side
A patient reports having ED and is seeking a prescription for Sildenafil (Viagra). Because of the potential for dangerous drug-drug interactions, the nurse asks the patent specifically if he takes which type of drug?
A. NSAIDs B. Nitrates C. Opioids D. Antilipemics