In providing anticipatory guidance to a 12-year-old female who has developed breast buds, what information should the nurse provide?
A.
Breast self-exam is now important.
B.
First period will occur in 6 months.
C.
Growth of pubic hair will occur next.
D.
Maximum height has been obtained.
ANS: C
Thelarche (breast budding) is followed by the growth of pubic hair. Breast self-exam is not vital until the breasts have developed, and then self-exam is taught as a component of breast awareness. Menarche, the first period, usually occurs 1 year after peak height velocity. It is not possible to state if maximum height has been obtained. Thelarche starts on average at age 9.8 years and is complete on average at age 14.6 years. The growth spurt starts on average at age 10 years and is complete on average by age 11.8
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