Author Question: The nurse is explaining Tanner staging to an adolescent and her mother. Which statement best ... (Read 90 times)

jho37 · **on:** Jun 27, 2018

The nurse is explaining Tanner staging to an adolescent and her mother. Which statement best describes Tanner staging?

a. Predictable stages of puberty that are based on chronologic 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

An 18-year-old pregnant woman, gravida 1, is admitted to the labor and birth unit with moderate contractions every 5 minutes that last 40 seconds. The woman states, My con-tractions are so strong that I don't know what to do.

The nurse should: a. Assess for fetal well-being.
b. Encourage the woman to lie on her side.
c. Disturb the woman as little as possible.
d. Recognize that pain is personalized for each individual.

dmurph1496 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

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

Answer to Question 2

D

Feedback
A This scenario includes no information that would indicate fetal distress or a log-ical reason to be overly concerned about the well-being of the fetus.
B The left lateral position is used to alleviate fetal distress, not maternal stress.
C The nurse has an obligation to provide physical, emotional, and psychosocial care and support to the laboring woman. This woman clearly needs support.
D Each woman's pain during childbirth is unique and is influenced by a variety of physiologic, psychosocial, and environmental factors. A critical issue for the nurse is how support can make a difference in the pain of the woman during la-bor and birth.