The nurse is assessing a 13-year-old girl. Which of the following events would the nurse expect to have occurred first?

A) Evidence of pubic hair
B) Development of breast buds
C) Onset of menses
D) Growth spurt


B
Response:
Pubertal events preceding the first menses have an orderly progression beginning with the development of breast buds, followed by the appearance of pubic hair, then axillary hair, then a growth spurt. Menses typically occurs about 2 years after the start of breast development.

Nursing

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A nurse is assessing a 5-year-old child. Which assessment finding is abnormal?

1. Simultaneous rise of the chest and abdomen on inspiration 2. Anteroposterior diameter smaller than the lateral diameter 3. Bronchovesicular breath sounds 4. A protruding sternum

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A preschooler is diagnosed with helminthes. The child's mother is very upset and wants to know how her child could have contracted this illness. After obtaining a detailed history, the nurse identifies all possible transmission modes

Select all modes that apply. a. Playing in the backyard sandbox b. Not washing hands before eating c. Placing hands in the mouth and nail biting d. Skin-to-skin contact with other children e. Scratches from a neighborhood cat

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The open, healthy family system finds its connection to people and organizations outside the family. The nurse identifies that communication within this open family system becomes:

A) A way to communicate the rules of the family B) The structure for the family's system of operation C) A basic human need and part of hierarchy of needs D) A traditional response to a real or imagined threat

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A new mother is concerned that after breastfeeding her baby, her breasts will become saggy. Which of the following explanations best describes the age-related change in breast tissue?

A) Breasts become less fibrous. B) Muscle mass and tone decrease. C) Adipose tissue decreases. D) Glandular tissue increases.

Nursing