CCRN Critical Care Nursing

Category - Pediatrics

A mother is upset because her 8-year-old daughter developed a right breast mass. She asks the nurse what she should do. The nurse bases her response on knowing that the breast mass is most likely due to which of the following:
  1. Gynecomastia
  2. Precocious pseudo puberty
  3. Precocious thelarche
  4. The onset of puberty
Explanation
Answer: D - The onset of puberty may start as early as age 8, with development possibly beginning unilaterally. Gynecomastia is the development of breast tissue in males. Precocious pseudo puberty is a precocity that develops with no early secretion of gonadotropin. Precocious thelarche occurs before the onset of the pubertal period, which can start as young as age 8
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