A 13-year-old girl tells the nurse she is concerned because she has not had her first menstrual period. What is the best initial response from the nurse?
a. "Your hormone levels may be irregular."
b. "Could you be pregnant?"
c. "Age of first menstrual cycle varies."
d. "Do not worry about it."
ANS: C
Puberty is easily recognized in girls by the onset of menstruation. The first menstrual period is called the menarche. It commonly occurs about age 12 or 13 years, but this varies. It may occur as early as age 10 years or as late as age 15 years.
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Which of the following is an anatomic difference between the GI tract of the child and that of the adult?
1. The capacity of the stomach is less in the child as compared with the adult. 2. The emptying time of the stomach increases with age. 3. Saliva production is less in children as compared with adults. 4. The rate of digestion is faster in infants than in adults.
An advanced practice nurse is assessing the size and density of a patient's abdominal organs. If the results of palpation are unclear to the nurse, what assessment technique should be implemented?
A) Percussion B) Auscultation C) Inspection D) Rectal examination
A child is admitted to the hospital with the diagnosis of laryngotracheobronchitis (LTB). The nurse should be prepared to:
1. Administer nebulized epinephrine and oral or IM dexamethasone. 2. Administer antibiotics and assist with possible intubation. 3. Swab the throat for a throat culture. 4. Obtain a sputum specimen.
A psychiatric–mental health client has a long history of insomnia that is characterized by an inability to fall asleep at bedtime. Which of the following complementary and alternative therapies has the greatest potential to promote sleep?
A) Aromatherapy B) Acupressure C) Therapeutic touch D) Chiropractic