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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.
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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 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.
What is the correct nursing response?
- A. An increase in height
- B. Breast development
- C. Appearance of axillary hair
- D. The first menstrual period
Correct Answer: B
Rationale: The first outward change of puberty in girls is the development of breasts at about 10 to 11 years of age.
Where are the secretions responsible for nourishing sperm excreted from?
- A. Vas deferens
- B. Epididymis
- C. Cowper's gland
- D. Scrotum
Correct Answer: C
Rationale: The Cowper's gland secretions nourish the sperm.
The nurse knows that when a patient breastfeeds, which portions of the breast secrete milk?
- A. Lactiferous sinuses
- B. Lobes
- C. Montgomery's glands
- D. Alveoli lobules
Correct Answer: D
Rationale: The alveoli secrete milk.