A nurse is teaching an adolescent about Tanner stages. Which ...

[mia]

A nurse is teaching an adolescent about Tanner stages. Which statement best describes Tanner staging?
 
  a. Predictable stages of puberty that are based on chronological age
  b. Staging of puberty based on the initiation of menarche and nocturnal emissions
  c. Predictable stages of puberty that are based on primary and secondary sexual characteristics
  d. Staging of puberty based on the initiation of primary sexual characteristics

Question 2

What should be the nurse's first action when a child with a head injury complains of double vision and a headache and then vomits?
 
  a. Immobilize the child's neck.
  b. Report this information to the physician.
  c. Darken the room and put a cool cloth on the child's forehead.
  d. Restrict the child's oral fluid intake.

[Meganchabluk]

Answer to Question 1

C
Tanner sexual-maturing ratings are based on the development of stages of primary and secondary sexual characteristics. They are not based on chronological age. The age at which an adolescent enters puberty is variable. The puberty stage in girls begins with breast development. The puberty stage in boys begins with genital enlargement. Primary sexual characteristics are not the basis of Tanner staging.

Answer to Question 2

B
Any indication of increased intracranial pressure should be promptly reported to the physician. Stabilizing the child's neck does not address the child's symptoms. Darkening the room and putting a cool cloth on the child's forehead may facilitate the child's comfort. It would not be the nurse's first action. The child's episode of vomiting does not necessitate a fluid restriction.

[mia]

TYSM

[jamesnevil303]

Gracias!