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CHAPTER 35: THE ADOLESCENT AND FAMILY PERRY: MATERNAL CHILD NURSING CARE

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CHAPTER 35: THE ADOLESCENT AND FAMILY PERRY: MATERNAL CHILD NURSING CARE 1. In girls, what is the initial indication of puberty? a. Menarche b. Growth spurt c. Growth of pubic hair d. Breast development - CORRECT ANSWER -ANS: D In most girls, the initial indication of puberty is the appearance of breast buds, an event known as the larche. The usual sequence of secondary sexual characteristic development in girls is breast changes, rapid increase in height and weight, growth of pubic hair, appearance of axillary hair, menstruation, and abrupt deceleration of linear growth. 2. The mean age of menarche in the United States is: a. 11.5 years. b. 12.5 years. c. 13.5 years. d. 14 years. - CORRECT ANSWER -ANS: B The average age of menarche is 12 years and 4 months in North American girls, with a normal range of 10.5 to 15 years. 3. By what age should concerns about pubertal delay be considered in boys? a. 12 to 12.5 years b. 12.5 to 13 years c. 13 to 13.5 years d. 13.5 to 14 years - CORRECT ANSWER -ANS: D Concerns about pubertal delay should be considered for boys who exhibit no enlargement of the testes or scrotal changes by 13.5 to 14 years of age. Ages younger than 13.5 years are t

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