Answer to Question 1
D
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A Incorrect. The nurse will not most likely find that a child with true precocious puberty will express sexual provocativeness, active sexual involvement, and lack of involvement with caregivers.
B Incorrect. The nurse will not most likely find that a child with true precocious puberty will display normal or elevated levels of gonadotropin-releasing Gn-RH), luteinizing hormone (LH), follicle-stimulating hormone (FSH), and estrogen or testosterone.
C Incorrect. The nurse will not most likely find that a child with true precocious puberty will exhibit low self-esteem, fear related to being more sexually developed than peers.
D Correct. The child with precocious puberty will have an accelerated growth rate, an advanced bone age, evidence of secondary sexual characteristics, acne, an adult body odor, and sometimes behavioral changes. Psychosocial development is typically age-appropriate. Emotional lability, aggressive behavior, and mood swings may occur.
Answer to Question 2
B
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A Incorrect. Playing alongside but not with playmates, taking toys away from others, using a pounding bench, and playing with a musical toy does not best describe a 4-year-old.
B Correct. A 4-year-old's play is interactive; the child cooperates with another child, obeying limits, creating an imaginary friend, and engaging in fantasy play.
C Incorrect. Engaging in group sports or games and playing with puppets does not best describe a 4-year-old.
D Incorrect. Playing by him- or herself in the corner, engaged in putting a puzzle together does not best describe a 4-year-old.
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