FNP peds-Growth and Development
Exam Questions and Answers
What are the most visible changes during puberty? - ANSWER-Growth in stature
Development of secondary sexual characteristics
What is Tanner Stage 1 for boys? - ANSWER-External genitalia: prepubertal
Pubic hair: prepubertal (can see velus hair similar to abd wall)
Growth: 5-6cm/yr
What is Tanner Stage 2 for boys? - ANSWER-Extern. genitalia: Enlargement of
scrotum/testes; scrotum skin reddens/changes in texture.
Pubic hair: sparse growth of long/slightly pigmented hair, straight or curled, at base of
penis.
Growth: 5-6cm/yr
What is Tanner Stage 3 for boys? - ANSWER-Ext. genitalia: Enlargement of penis
(length first), further testicle growth
Pubic hair: darker, coarser, more curled, spreading sparsely over junction of pubes
Growth: 7-8cm/yr
What is Tanner Stage 4 for boys? - ANSWER-Ext. genitalia: Increased penis size
w/growth in breadth & development of glans; testes/scrotum larger; scrotum skin darker.
Pubic hair: adult in type, covering smaller area than adult; no spread to medial surface
of thighs.
Growth: 10cm/yr
What is Tanner Stage 5 for boys? - ANSWER-Ext. genitalia: Adult genitalia
Pubic hair: adult in type/quantity, with horizontal distribution
Growth: No further ht increase after 17yo
What is Tanner Stage 1 for girls? - ANSWER-Breasts: prepubertal
Pubic hair: prepubertal (can see velus hair similar to abd wall)
Growth: 5-6cm/yr
, What is Tanner Stage 2 for girls? - ANSWER-Breasts: breast bud stage w/elevation of
breast/papilla; enlargement of areola.
Pubic hair: sparse growth of long/slightly pigmented hair; straight or curled; along labia.
Growth: 7-8cm/yr
What is Tanner Stage 3 for girls? - ANSWER-Breasts: Further enlargement of
breast/areola. No separation of their contour.
Pubic hair: Darker, coarser, more curled. Spreading sparsely over junction of pubes.
Growth: 8cm/yr
What is Tanner Stage 4 for girls? - ANSWER-Breasts: Areola/papilla form secondary
mound above breast level.
Pubic hair: adult in type, but covering smaller area than adult. No spread to medial
surface of thighs.
Growth: 7cm/yr
What is Tanner Stage 5 for girls? - ANSWER-Breasts: Mature stage; projection of
papilla only, related to recession of areola.
Pubic hair: adult in type/quantity w/horizontal distribution
Growth: No further ht increase after 16yo.
According to the Denver II Developmental Milestones, when do infants begin to regard
faces? - ANSWER-From birth to about 1mo
According to the Denver II Dev. Milestones, when do infants begin to smile
spontaneously? - ANSWER-Most of the time between 1-2mo (can be earlier)
According to the Denver II Dev. Milestones, when do infants begin to smile
responsively? - ANSWER-Usually between 1.5-2mo (can be earlier)
According to Denver II Dev. Milestones, when do infants begin to regard their own
hand? - ANSWER-Usually between 3-4mo (can be as early as 1mo)
According to Denver II Dev. Milestone, when do infants begin to work for a toy? -
ANSWER-Usually between 5-6mo (can be as early as 4mo)
According to Denver II Dev. Milestone, when do infants begin to feed themselves? -
ANSWER-Usually around 6mo (can be as early as around 5mo)
Exam Questions and Answers
What are the most visible changes during puberty? - ANSWER-Growth in stature
Development of secondary sexual characteristics
What is Tanner Stage 1 for boys? - ANSWER-External genitalia: prepubertal
Pubic hair: prepubertal (can see velus hair similar to abd wall)
Growth: 5-6cm/yr
What is Tanner Stage 2 for boys? - ANSWER-Extern. genitalia: Enlargement of
scrotum/testes; scrotum skin reddens/changes in texture.
Pubic hair: sparse growth of long/slightly pigmented hair, straight or curled, at base of
penis.
Growth: 5-6cm/yr
What is Tanner Stage 3 for boys? - ANSWER-Ext. genitalia: Enlargement of penis
(length first), further testicle growth
Pubic hair: darker, coarser, more curled, spreading sparsely over junction of pubes
Growth: 7-8cm/yr
What is Tanner Stage 4 for boys? - ANSWER-Ext. genitalia: Increased penis size
w/growth in breadth & development of glans; testes/scrotum larger; scrotum skin darker.
Pubic hair: adult in type, covering smaller area than adult; no spread to medial surface
of thighs.
Growth: 10cm/yr
What is Tanner Stage 5 for boys? - ANSWER-Ext. genitalia: Adult genitalia
Pubic hair: adult in type/quantity, with horizontal distribution
Growth: No further ht increase after 17yo
What is Tanner Stage 1 for girls? - ANSWER-Breasts: prepubertal
Pubic hair: prepubertal (can see velus hair similar to abd wall)
Growth: 5-6cm/yr
, What is Tanner Stage 2 for girls? - ANSWER-Breasts: breast bud stage w/elevation of
breast/papilla; enlargement of areola.
Pubic hair: sparse growth of long/slightly pigmented hair; straight or curled; along labia.
Growth: 7-8cm/yr
What is Tanner Stage 3 for girls? - ANSWER-Breasts: Further enlargement of
breast/areola. No separation of their contour.
Pubic hair: Darker, coarser, more curled. Spreading sparsely over junction of pubes.
Growth: 8cm/yr
What is Tanner Stage 4 for girls? - ANSWER-Breasts: Areola/papilla form secondary
mound above breast level.
Pubic hair: adult in type, but covering smaller area than adult. No spread to medial
surface of thighs.
Growth: 7cm/yr
What is Tanner Stage 5 for girls? - ANSWER-Breasts: Mature stage; projection of
papilla only, related to recession of areola.
Pubic hair: adult in type/quantity w/horizontal distribution
Growth: No further ht increase after 16yo.
According to the Denver II Developmental Milestones, when do infants begin to regard
faces? - ANSWER-From birth to about 1mo
According to the Denver II Dev. Milestones, when do infants begin to smile
spontaneously? - ANSWER-Most of the time between 1-2mo (can be earlier)
According to the Denver II Dev. Milestones, when do infants begin to smile
responsively? - ANSWER-Usually between 1.5-2mo (can be earlier)
According to Denver II Dev. Milestones, when do infants begin to regard their own
hand? - ANSWER-Usually between 3-4mo (can be as early as 1mo)
According to Denver II Dev. Milestone, when do infants begin to work for a toy? -
ANSWER-Usually between 5-6mo (can be as early as 4mo)
According to Denver II Dev. Milestone, when do infants begin to feed themselves? -
ANSWER-Usually around 6mo (can be as early as around 5mo)
