RNSG 1412 (Ob/Pedi) - Exam 1, PPT & Learning Guide:
Growth & Development- Safety & Prevention Questions
With Complete Solutions
Tanner Stage 1 (Prepubertal) - female
Breasts: No glandular tissue; the chest is flat, and there is no
breast development.
Pubic Hair: No pubic hair.
Age Range: Typically before age 8.
Tanner Stage 2 (Beginning of Puberty) - female
Breasts: Small breast buds form; the areola begins to widen.
Pubic Hair: Sparse, light, and straight hair begins to grow along
the labia (side of the vulva).
Age Range: Usually between 8-11 years.
Tanner Stage 3 (Middle Puberty) - female
Breasts: The breast and areola continue to grow, but there is no
separation in their contour.
Pubic Hair: Hair becomes coarser, curlier, and begins to spread
over the pubic area.
Age Range: Typically 11-13 years.
Tanner Stage 4 (Late Puberty) - female
Breasts: The areola and nipple form a secondary mound above
the level of the breast tissue.
,Pubic Hair: Hair is adult-like in texture but has not yet spread
to the inner thighs.
Age Range: Usually 13-15 years.
Tanner Stage 5 (Full Maturity) - female
Breasts: The breast reaches adult size, and the areola becomes
part of the general breast contour (no longer forming a separate
mound).
Pubic Hair: Hair is adult in quantity and quality, and it has
spread to the thighs.
Age Range: Typically around 15 years and older.
Tanner Stage 1 (Prepubertal) - male
Genitals: No significant enlargement of the penis, testes, or
scrotum; child-like appearance.
Pubic Hair: No pubic hair.
Age Range: Typically before age 9.
Tanner Stage 2 (Beginning of Puberty) - male
(Beginning of Puberty)
Genitals: The testes and scrotum begin to enlarge, and the
scrotum starts to thin and redden. There is little or no penis
growth.
Pubic Hair: Sparse, straight, light-colored hair appears at the
base of the penis.
Age Range: Usually between 9-11 years.
,Tanner Stage 3 (Middle Puberty) - male
Genitals: The penis begins to lengthen, and the testes and
scrotum continue to enlarge.
Pubic Hair: Hair becomes darker, coarser, and starts to curl. It
spreads over the pubic area.
Age Range: Typically 11-13 years.
Tanner Stage 4 (Late Puberty) - male
Genitals: The penis grows in both length and girth, and the
glans (tip of the penis) develops. The testes and scrotum
continue to grow, and the scrotum becomes darker.
Pubic Hair: Hair is adult-like in texture but hasn't yet spread to
the thighs.
Age Range: Usually 13-15 years.
Tanner Stage 5 (Full Maturity) - male
Genitals: The penis, testes, and scrotum reach adult size and
shape.
Pubic Hair: Hair is adult in quantity and distribution, extending
to the thighs.
Age Range: Typically around 15 years and older.
What are the periods of fastest growth throughout childhood?
#1= infancy
#2=Toddler and Early Childhood (1 to 3 years):
Safety and Prevention
, Unintentional injury is the leading cause of death in children.
What can we do as nurses to prevent childhood injuries?
parent education
Why Children are Vulnerable
Children are curious and like to explore
• Children are focused on accomplishing new tasks and learning
new skills
• Children do not understand how to complete tasks safely and
attempt to activities before they are developmentally able to do
so
• Children often challenge rules
• Children want to be accepted in social groups and may give in
to peer pressure
Preventable Childhood Injuries
• Motor Vehicle Accidents (MVA)
• Burns • Drowning
• Bodily injury/fractures
• Asphyxiation
Motor Vehicle Safety
• Risk greatest when child is not properly restrained
• Children should be restrained rear facing with a 3 or 5 point
harness until 2 years of age
• Children should remain in a booster seat until they reach 4'9"
• NEVER leave a child unattended in a car
Growth & Development- Safety & Prevention Questions
With Complete Solutions
Tanner Stage 1 (Prepubertal) - female
Breasts: No glandular tissue; the chest is flat, and there is no
breast development.
Pubic Hair: No pubic hair.
Age Range: Typically before age 8.
Tanner Stage 2 (Beginning of Puberty) - female
Breasts: Small breast buds form; the areola begins to widen.
Pubic Hair: Sparse, light, and straight hair begins to grow along
the labia (side of the vulva).
Age Range: Usually between 8-11 years.
Tanner Stage 3 (Middle Puberty) - female
Breasts: The breast and areola continue to grow, but there is no
separation in their contour.
Pubic Hair: Hair becomes coarser, curlier, and begins to spread
over the pubic area.
Age Range: Typically 11-13 years.
Tanner Stage 4 (Late Puberty) - female
Breasts: The areola and nipple form a secondary mound above
the level of the breast tissue.
,Pubic Hair: Hair is adult-like in texture but has not yet spread
to the inner thighs.
Age Range: Usually 13-15 years.
Tanner Stage 5 (Full Maturity) - female
Breasts: The breast reaches adult size, and the areola becomes
part of the general breast contour (no longer forming a separate
mound).
Pubic Hair: Hair is adult in quantity and quality, and it has
spread to the thighs.
Age Range: Typically around 15 years and older.
Tanner Stage 1 (Prepubertal) - male
Genitals: No significant enlargement of the penis, testes, or
scrotum; child-like appearance.
Pubic Hair: No pubic hair.
Age Range: Typically before age 9.
Tanner Stage 2 (Beginning of Puberty) - male
(Beginning of Puberty)
Genitals: The testes and scrotum begin to enlarge, and the
scrotum starts to thin and redden. There is little or no penis
growth.
Pubic Hair: Sparse, straight, light-colored hair appears at the
base of the penis.
Age Range: Usually between 9-11 years.
,Tanner Stage 3 (Middle Puberty) - male
Genitals: The penis begins to lengthen, and the testes and
scrotum continue to enlarge.
Pubic Hair: Hair becomes darker, coarser, and starts to curl. It
spreads over the pubic area.
Age Range: Typically 11-13 years.
Tanner Stage 4 (Late Puberty) - male
Genitals: The penis grows in both length and girth, and the
glans (tip of the penis) develops. The testes and scrotum
continue to grow, and the scrotum becomes darker.
Pubic Hair: Hair is adult-like in texture but hasn't yet spread to
the thighs.
Age Range: Usually 13-15 years.
Tanner Stage 5 (Full Maturity) - male
Genitals: The penis, testes, and scrotum reach adult size and
shape.
Pubic Hair: Hair is adult in quantity and distribution, extending
to the thighs.
Age Range: Typically around 15 years and older.
What are the periods of fastest growth throughout childhood?
#1= infancy
#2=Toddler and Early Childhood (1 to 3 years):
Safety and Prevention
, Unintentional injury is the leading cause of death in children.
What can we do as nurses to prevent childhood injuries?
parent education
Why Children are Vulnerable
Children are curious and like to explore
• Children are focused on accomplishing new tasks and learning
new skills
• Children do not understand how to complete tasks safely and
attempt to activities before they are developmentally able to do
so
• Children often challenge rules
• Children want to be accepted in social groups and may give in
to peer pressure
Preventable Childhood Injuries
• Motor Vehicle Accidents (MVA)
• Burns • Drowning
• Bodily injury/fractures
• Asphyxiation
Motor Vehicle Safety
• Risk greatest when child is not properly restrained
• Children should be restrained rear facing with a 3 or 5 point
harness until 2 years of age
• Children should remain in a booster seat until they reach 4'9"
• NEVER leave a child unattended in a car
