A 14-year-old girl is anxious about not having reached menarche. ...

[LaDunn]

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]

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.

[LaDunn]

Excellent

[LVPMS]

TYSM