The nurse is reviewing normal female development with a mother of a 10-year-old daughter. The mother states, I noticed that my daughter developed breast buds about a year ago. When do you think she will start her menstrual cycle? What is the nurse’s best response?

Correct Answer: B

Rationale: The correct answer is B: Likely any time now. Rationale: 1. Breast development typically precedes menarche by about 2-2.5 years in most girls. 2. Breast buds appearing a year ago indicate the onset of puberty. 3. Thus, it is likely that menarche (first menstrual cycle) will occur soon. Summary: A: In about a year - Too specific, timing varies among individuals. C: Does your daughter know what to expect? - Does not address the timing of menarche. D: It is impossible to predict when she will start her cycle - Incorrect, general patterns can be observed.

Correct Answer: E

Rationale: The correct answer is missing from the choices provided. For a finding of ASCUS on a Pap smear, the next step would typically be to perform HPV testing to determine if further evaluation or treatment is needed. HPV testing helps to identify high-risk strains of the virus that may lead to cervical cancer. Based on the results of the HPV test, the healthcare provider would decide on the appropriate management plan, which could include colposcopy, repeat Pap smear, or other interventions. Therefore, the correct answer should involve HPV testing or further diagnostic procedures rather than therapeutic treatment options or imaging studies like mammography, bone scan, or transvaginal ultrasound.

Correct Answer: C

Rationale: The correct answer is C: Chlamydia. Chlamydia is a sexually transmitted disease that can be easily treated and eradicated with antibiotics. Treatment typically involves a course of antibiotics prescribed by a healthcare professional. Regular testing and treatment are essential to prevent complications and the spread of the infection. Rationale: - Herpes (A) and AIDS (B) are viral infections that cannot be completely eradicated. Treatment can manage symptoms but not cure the diseases. - Venereal warts (D), caused by the human papillomavirus (HPV), can be treated but not eradicated. Recurrence is possible even after treatment.

Correct Answer: A

Rationale: The correct answer is A: Decrease her consumption of caffeine. Caffeine can exacerbate PMS symptoms such as irritability and breast tenderness. By reducing caffeine intake, the patient may experience a reduction in these symptoms. Choice B is incomplete. Choice C is incorrect as alcohol can worsen PMS symptoms. Choice D is incorrect as decreasing fluid intake is not recommended, as it may lead to dehydration and exacerbate symptoms.

Correct Answer: A

Rationale: Performing Kegel exercises strengthens the pelvic floor muscles, which can help improve urinary sphincter control. These exercises involve contracting and releasing the muscles that control urination. This instruction directly targets the issue of regaining control over the urinary sphincter. Choice B is nonsensical and irrelevant. Choice C, voiding every hour while awake, may not address the underlying muscle weakness causing the issue. Choice D is incomplete and does not provide any specific guidance on how to address the problem.