the first sign of puberty in girls is
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Nursing Elites

ATI RN

RN Nursing Care of Children Online Practice 2019 A

1. What is the first sign of puberty in girls?

Correct answer: C

Rationale: The correct answer is C, Thelarche. Thelarche refers to the onset of breast development, which is typically the first sign of puberty in girls. This occurs before menarche (the first menstrual period). Choices A and B, acne and hair growth in the pubic area and underarms, are not the first signs of puberty in girls. While acne can be a common occurrence during puberty, it usually appears after other physical changes. Hair growth in the pubic area and underarms also occurs later in the puberty process.

2. The nurse observes that a newborn is having problems after birth. What should indicate a tracheoesophageal fistula?

Correct answer: C

Rationale: Excessive frothy saliva is a hallmark sign of tracheoesophageal fistula. The abnormal connection between the esophagus and trachea causes difficulty in swallowing, leading to an accumulation of saliva in the mouth. This symptom is crucial for early identification and management of tracheoesophageal fistula. Choices A, B, and D are incorrect as they are not specific indicators of tracheoesophageal fistula.

3. The nurse is conducting a teaching session for parents on nutrition. Which characteristics of families should the nurse consider that can cause families to struggle in providing adequate nutrition? (Select all that apply.)

Correct answer: D

Rationale: Factors like homelessness, lower income, and migrant status can create barriers to providing adequate nutrition for children.

4. The nurse is taking a health history of an adolescent. Which best describes how the chief complaint should be determined?

Correct answer: B

Rationale: Asking the adolescent directly about the reason for their visit encourages open communication and helps the nurse understand the primary concern from the patient's perspective.

5. Which family theory explains how families react to stressful events and suggests factors that promote adaptation to these events?

Correct answer: B

Rationale: Family stress theory explains how families respond to stress and identifies factors that help families adapt to and manage stressful events effectively.

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