Nokea
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.
Correct Answer: C
Rationale: 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 GOAT varies. It may occur as early as age 10 years or as late as age 15 years.
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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 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.
What foods would be a healthy choice for an adolescent who just finished playing in a strenuous sports game?
- A. A cheeseburger and soda
- B. A hot fudge sundae
- C. Two sausage and egg breakfast sandwiches and orange juice
- D. A bagel and skim milk
Correct Answer: D
Rationale: A bagel provides a rapid supply of carbohydrates to the muscles, and skim milk provides a slow release of carbohydrates to the muscles.
A 16-year-old boy excitedly tells his parents that he was offered a part-time job. Which response represents an effective problem-solving approach for his parents?
- A. Your studies are too important for you to have a part-time job.
- B. When we went to high school, academics were the adolescent's priority.
- C. We want you to put your earnings in a savings account.
- D. How do you think you will manage your school work and a job?
Correct Answer: D
Rationale: An effective approach to help adolescents learn to solve problems is for parents to guide them in exploring alternatives.
What does an adolescent's peer group serve as related to development?
- A. Social outlet
- B. Association to blur personal identity
- C. Platform for 'group think'
- D. Initial separation from family
Correct Answer: D
Rationale: Being a member of a peer group and communicating with and seeking approval from this group are hallmarks of the first separation from the family.