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NBCSN SCHOOL NURSE CERTIFICATION
EXAM WITH BEST SOLUTIONS
Define Puberty
the physical changes to the body due to hormone
activity as per the Tanner Scale
What is the Tanner Scale
The hormone activity which produces secondary
sex characteristics.
13-19 Developmental Tasks
- Physical
(2 major answers)
- Rapid period of growth, completes physical
growth
- May appear clumsy while adjusting
What is the first sign of puberty in females?
Breast development
approx age 10 (7-13), about 3 years to develop
When does Menses begin?
, Page 2 of 90
ages 8-16
first is irregular and w/o ovulation
What is FSH?
What does it do in females?
FSH - follicle stimulating hormone
Females - stimulates ovarian development and
estrogen production.
What is FSH?
What does it do in males?
FSH - follicle stimulating hormone
males - develops tubes in testes -->
spermatogenesis & fertility
What age does penis reach adult size?
17
What age does sperm emission start?
age 13
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What is the first sign of puberty in males,
and around what age?
Testicular enlargement - around age 11-15
What is LH?
Luteninizing hormone (LH)
What does LH do?
stimulates testosterone release from leydig cells
(testicular enlargement)
Does sperm emission happen before or after
pubic hair development and growth spurt
Before
Role of Pituitary gland in puberty
Releases Luteninizing hormone (LH) and follicle
stimulating hormone (FSH)
Role of Hypothalamus in puberty
produces gonadotropin-releasing hormone. starts
the process.
this tells the Pituitary gland to start
Young males and breast growth
Some kids may have growth and tenderness. Will
resolve as testosterone level increase.
, Page 4 of 90
ASSURE child this is normal
When does growth spurt start and stop for
males?
2 years after girls
increases until age 20
When does growth spurt start and stop for
females?
during puberty
finished 2 years after menarche
What are secondary sex characteristics for
males?
chest growth, facial hair, deep voice
Define secondary sex characteristics
Physical traits that are not directly involved in
reproduction but that indicate sexual maturity.
Difference of body fat changes in boys vs
girls
NBCSN SCHOOL NURSE CERTIFICATION
EXAM WITH BEST SOLUTIONS
Define Puberty
the physical changes to the body due to hormone
activity as per the Tanner Scale
What is the Tanner Scale
The hormone activity which produces secondary
sex characteristics.
13-19 Developmental Tasks
- Physical
(2 major answers)
- Rapid period of growth, completes physical
growth
- May appear clumsy while adjusting
What is the first sign of puberty in females?
Breast development
approx age 10 (7-13), about 3 years to develop
When does Menses begin?
, Page 2 of 90
ages 8-16
first is irregular and w/o ovulation
What is FSH?
What does it do in females?
FSH - follicle stimulating hormone
Females - stimulates ovarian development and
estrogen production.
What is FSH?
What does it do in males?
FSH - follicle stimulating hormone
males - develops tubes in testes -->
spermatogenesis & fertility
What age does penis reach adult size?
17
What age does sperm emission start?
age 13
, Page 3 of 90
What is the first sign of puberty in males,
and around what age?
Testicular enlargement - around age 11-15
What is LH?
Luteninizing hormone (LH)
What does LH do?
stimulates testosterone release from leydig cells
(testicular enlargement)
Does sperm emission happen before or after
pubic hair development and growth spurt
Before
Role of Pituitary gland in puberty
Releases Luteninizing hormone (LH) and follicle
stimulating hormone (FSH)
Role of Hypothalamus in puberty
produces gonadotropin-releasing hormone. starts
the process.
this tells the Pituitary gland to start
Young males and breast growth
Some kids may have growth and tenderness. Will
resolve as testosterone level increase.
, Page 4 of 90
ASSURE child this is normal
When does growth spurt start and stop for
males?
2 years after girls
increases until age 20
When does growth spurt start and stop for
females?
during puberty
finished 2 years after menarche
What are secondary sex characteristics for
males?
chest growth, facial hair, deep voice
Define secondary sex characteristics
Physical traits that are not directly involved in
reproduction but that indicate sexual maturity.
Difference of body fat changes in boys vs
girls
