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What is the nurse's best response?
- A. Worrying is not the answer.'
- B. I will talk to the pediatrician about a gynecological referral.'
- C. I can only discuss this with your daughter.'
- D. Early cycles are often irregular.'
Correct Answer: D
Rationale: Early cycles are often irregular and may be anovulatory. Regular cycles are usually established within 6 months to 2 years of the menarche.
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The nurse knows that which is the most favorable pelvic type for vaginal birth?
- A. Gynecoid
- B. Android
- C. Anthropoid
- D. Platypelloid
Correct Answer: A
Rationale: The gynecoid pelvis is typical female pelvis and is most favorable for vaginal birth.
Which hormone initiates the maturation of the ovarian follicle?
- A. Estrogen
- B. Follicle-stimulating hormone
- C. Progesterone
- D. Luteinizing hormone
Correct Answer: B
Rationale: Follicle-stimulating hormone (FSH) stimulates the maturation of a follicle.
What physical changes of puberty will the nurse indicate are related to the production of testosterone?
- A. Stimulation of production of white cells and platelets
- B. Promotion of growth of small bones
- C. Increase in muscle mass and strength
- D. Decrease in production of sebaceous gland secretions
Correct Answer: C
Rationale: Testosterone increases muscle mass, promotes strength and growth of long bones, and enhances production of red blood cells.
What day of her cycle can the woman anticipate ovulation?
- A. 14
- B. 16
- C. 18
- D. 20
Correct Answer: C
Rationale: Ovulation occurs when a mature ovum is released from the follicle about 14 days before the onset of the next menstrual period. In a 32-day cycle, this is approximately day 18.
What will the nurse state based on an understanding of changes associated with puberty?
- A. Your daughter will have her first period.'
- B. You'll recognize puberty by the mood swings.'
- C. The child becomes interested in the opposite sex.'
- D. Secondary sex characteristics, such as pubic hair, appear.'
Correct Answer: D
Rationale: Puberty begins when the secondary sex characteristics appear.