In girls, what is the initial indication of puberty?
a. Menarche
b. Growth spurt
c. Growth of pubic hair
d. Breast development
ANS: D
In most girls, the initial indication of puberty is the appearance of breast buds, an event known
as thelarche. The usual sequence of secondary sexual charact...
MATERNAL CHILD NURSING CARE 6TH EDITION PERRY TEST BANK
Chapter 35: The Adolescent and Family
Perry: Maternal Child Nursing Care, 6th Edition
MULTIPLE CHOICE
1. In girls, what is the initial indication of puberty?
a. Menarche
b. Growth spurt
c. Growth of pubic hair
d. Breast development
ANS: D
In most girls, the initial indication of puberty is the appearance of breast buds, an event known
as the larche. The usual sequence of secondary sexual characteristic development in girls is
breast changes, rapid increase in height and weight, growth of pubic hair, appearance of
axillary hair, menstruation, and abrupt deceleration of linear growth.
PTS: 1 DIF: Cognitive Level: Knowledge
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. The mean age of menarche in the United States is:
a. 11.5 years.
b. 12.5 years.
c. 13.5 years.
d. 14 years.
ANS: B NURSINGTB.COM
The average age of menarche is 12 years and 4 months in North American girls, with a normal
range of 10.5 to 15 years.
PTS: 1 DIF: Cognitive Level: Knowledge
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
3. By what age should concerns about pubertal delay be considered in boys?
a. 12 to 12.5 years
b. 12.5 to 13 years
c. 13 to 13.5 years
d. 13.5 to 14 years
ANS: D
Concerns about pubertal delay should be considered for boys who exhibit no enlargement of
the testes or scrotal changes by 13.5 to 14 years of age. Ages younger than 13.5 years are too
young for initial concern.
PTS: 1 DIF: Cognitive Level: Knowledge
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
4. A 14 years old, mentions that he now has to use deodorant but never had to before. The
nurse’s response should be based on what knowledge?
a. Eccrine sweat glands in the axillae become fully functional during puberty.
b. Sebaceous glands become extremely active during puberty.
NURSINGTB.COM
, MATERNAL CHILD NURSING CARE 6TH EDITION PERRY TEST BANK
c. New deposits of fatty tissue insulate the body and cause increased sweat
production.
d. Apocrine sweat glands reach secretory capacity during puberty.
ANS: D
The apocrine sweat glands, nonfunctional in children, reach secretory capacity during puberty.
They secrete a thick substance as a result of emotional stimulation that, when acted on by
surface bacteria, becomes highly odoriferous. They are limited in distribution and grow in
conjunction with hair follicles in the axillae, genital and anal areas, and other areas. Eccrine
sweat glands are present almost everywhere on the skin and become fully functional and
respond to emotional and thermal stimulation. Sebaceous glands become extremely active at
this time, especially those on the genitals and the “flush” areas of the body, such as face, neck,
shoulders, upper back, and chest. This increased activity is important in the development of
acne. New deposits of fatty tissue insulate the body and cause increased sweat production, but
this is not the etiology of apocrine sweat gland activity.
PTS: 1 DIF: Cognitive Level: Comprehension
OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
5. According to Erikson, what is the psychosocial task of adolescence?
a. Intimacy
b. Identity
c. Initiative
d. Independence
ANS: B
Traditional psychosocial theory holds that the developmental crises of adolescence lead to the
NURSINGTB.COM
formation of a sense of identity. Intimacy is the developmental stage for early adulthood.
Initiative is the developmental stage for early childhood. Independence is not one of Erikson’s
developmental stages.
PTS: 1 DIF: Cognitive Level: Comprehension
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
6. According to Piaget, the adolescent is in the fourth stage of cognitive development with a
focus on what area?
a. Formal operations
b. Concrete operations
c. Conventional thought
d. Postconventional thought
ANS: A
Cognitive thinking culminates with capacity for abstract thinking. This stage, the period of
formal operations, is Piaget’s fourth and last stage. The concrete operations stage usually
develops between ages 7 and 11 years. Conventional and postconventional thought refer to
Kohlberg’s stages of moral development.
PTS: 1 DIF: Cognitive Level: Comprehension
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
7. Which aspect of cognition develops during adolescence?
a. Capability to use a future time perspective.
NURSINGTB.COM
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