The nurse in an endocrine clinic is assessing an 8-year-old girl who has not yet started menstruating and is Tanner stage II. Which statement by the nurse to the parent is most appropriate?
A.
"Bring her back when she starts menstruating."
B.
"She may have a deficiency of luteinizing hormone."
C.
"Your child's development is appropriate for her age."
D.
"We will test her for levels of the female hormones."
ANS: D
Precocious puberty in a female is suspected when any secondary sex characteristics begin to develop before the age of 9 years. A child who is assessed at Tanner stage II has some breast development, pubic hair development, or both.
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