NURSING 101Chapter 24: Alterations of the Female Reproductive System

1. In 95% of children of delayed puberty, the problem is caused by: a. Disruption in the hypothalamus c. Deficit in estrogen or testosterone b. Disruption of the pituitary d. Physiologic hormonal delays ANS: D In 95% of children with delayed puberty, the delay is physiologic; that is, hormonal levels are normal and the hypothalamic-pituitary-gonadal (HPG) axis is intact, but maturation is slowly happening. This option is the only answer that accurately describes the most common cause of delayed puberty. PTS: 1 REF: Page 802 2. What is the first sign of puberty in girls? a. Breast enlargement c. Menstruation b. Growth of pubic hair d. Vaginal discharge ANS: A Of the options available, the first sign of puberty in girls is usually thelarche or breast development. PTS: 1 REF: Page 802 3. Which type of precocious puberty causes the child to develop some secondary sex characteristics of the opposite sex? a. Mixed c. Isosexual b. Incomplete d. Homosexual