Nokea
The nurse is reviewing normal female development with a mother of a 10-year-old daughter. The mother states, I noticed that my daughter developed breast buds about a year ago. When do you think she will start her menstrual cycle? What is the nurse’s best response?
Correct Answer: B
Rationale: The correct answer is B: Likely any time now.
Rationale:
1. Breast development typically precedes menarche by about 2-2.5 years in most girls.
2. Breast buds appearing a year ago indicate the onset of puberty.
3. Thus, it is likely that menarche (first menstrual cycle) will occur soon.
Summary:
A: In about a year - Too specific, timing varies among individuals.
C: Does your daughter know what to expect? - Does not address the timing of menarche.
D: It is impossible to predict when she will start her cycle - Incorrect, general patterns can be observed.