A mother brings her 9-year-old daughter to the family practice ...

[piesebel]

A mother brings her 9-year-old daughter to the family practice clinic. She is worried because the daughter already has definite breast buds and is asking to wear a bra. What response by the nurse is best?
 
  A.
  At what age did you develop breast buds or start menstruating?
  B.
  Does anyone in your family have a history of precocious development?
  C.
  The average age for breast budding is 9.8 years, so she is normal.
  D.
  This is too early for breast buds; she may need endocrine studies.

Question 2

A nurse working with a couple in the infertility clinic notes the diagnosis of cryptorchidism on the man's chart. What assessment question by the nurse is most important?
 
  A.
  Did you have surgery for your undescended testes?
  B.
  Do you have a family history of testicular cancer?
  C.
  Do you use lead shielding when you get x-rays?
  D.
  For how long did you undergo chemotherapy?

[ebe]

Answer to Question 1

ANS: C
The average age that breast budding begins is 9.8 years, so this child is normal. The other responses are not relevant for this situation.

Answer to Question 2

ANS: A
Cryptorchidism is a condition in which the testes fail to descend, and if they are not surgically placed into the scrotum, infertility can result. The other questions are not related to this condition.