Author Question: A 14-year-old girl is anxious about not having reached menarche. When taking the health history, the ... (Read 46 times)

LaDunn · **on:** Jun 25, 2018

A 14-year-old girl is anxious about not having reached menarche. When taking the health history, the nurse should ascertain which of the following? The age that:

a. The girl began to develop breasts.
b. Her mother developed breasts.
c. She began to develop pubic hair.
d. She began to develop axillary hair.

Question 2

If a patient reports a recent breast infection, then the nurse should expect to find ________ node enlargement.

a. Nonspecific
b. Ipsilateral axillary
c. Contralateral axillary
d. Inguinal and cervical

karlss · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
Full development from stage 2 to stage 5 takes an average of 3 years, although the range is 1 to 6 years. Pubic hair develops during this time, and axillary hair appears 2 years after the onset of pubic hair. The beginning of breast development precedes menarche by approximately 2 years. Menarche occurs in breast development stage 3 or 4, usually just after the peak of the adolescent growth spurt, which occurs around age 12 years

Answer to Question 2

ANS: B
The breast has extensive lymphatic drainage. Most of the lymph, more than 75, drains into the ipsilateral, or same side, axillary nodes.