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A 13-year-old boy states, 'The girls in my class tower over me.' What would be the nurse's most informative response?
- A. It may seem that way because girls have a growth spurt 2 years earlier than boys.
- B. Perhaps your parents are not exceptionally tall.
- C. Boys usually experience a growth spurt 1 year earlier than girls.
- D. You may feel short, but you are actually average height for your age.
Correct Answer: A
Rationale: Although the age for growth spurts during puberty varies, growth spurts occur 2 years earlier for girls than for boys.
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The nurse is documenting the pediatrician's assessment of a female patient. When assessing Tanner's stages of breast development there is elevation of papilla only. What stage of development will the nurse document?
- A. Stage 1
- B. Stage 2
- C. Stage 3
- D. Stage 4
Correct Answer: A
Rationale: According to Tanner's Stages of Sexual Maturity, Stage 1 (preadolescent) is elevation of papilla only.
The school nurse is educating high school students about guidelines to be followed when participating in sports. Which statement by a student alerts the nurse of the need for further information?
- A. I will eat carbohydrates before practice.
- B. I drink large amounts of fluid when working out.
- C. I wear protective gear every time I play sports.
- D. I avoid caffeine when participating in sports.
Correct Answer: B
Rationale: Fluids lost by sweat must be replaced by drinking small amounts of fluid during a workout. Thirst is one guide for intake. Caffeine and alcohol deplete body water and are to be avoided. Carbohydrates that provide both energy and other nutrients are best for athletes. Protective gear should be worn by all team players in any contact sport.
The nurse stresses the need for using a sunscreen with a sun protection factor (SPF) of at least
Correct Answer: 30
Rationale: A sunscreen with an SPF of at least 30 is recommended to block sun rays that cause cancer.
Restlessness in adolescence is most likely attributed to which changes?
- A. Drive to be accepted by society as an individual
- B. Urge for independence
- C. Establishment of a personal identity
- D. Intense libido
- E. Slowing of body changes
Correct Answer: A,B,C,D
Rationale: All the options listed are sources of stress to the adolescent and are stimulants to restlessness except option E body changes are rapid.
The nurse is planning a safety program for high school students. Which is the top cause of accidental deaths during adolescence?
- A. Firearms
- B. Automobiles
- C. Drowning
- D. Diving injuries
Correct Answer: B
Rationale: The chief safety hazard for the adolescent is automobiles.