Question

According to the tanner stages of secondary sex characteristics, which finding is characteristic of the highest level of breast development?

Answer 1

The Answer is areolae and papillae form a secondary mound.

The areola and nipple enlarge and form a second mound, which is elevated above the rest of the breast. This usually occurs between ages 13 and 14 years. However, some girls skip this stage and move directly from Tanner Stage III to V. In stage V, the areola recedes, which eliminates the second mound.

• Puberty in females begins with the development of breast buds under the areola, also known as thelarche, and represents entry into Tanner Stage 2

• Areola forms a separate contour from the rest of the breast creating what is referred to as the "mound on the mound" appearance.
• The areolae and papillae elevate above the level of the breasts and form secondary mounds with further development of the overall breast tissue.

• Delayed puberty should be considered if females have not reached Tanner 2 thelarche by age 13 years old or if males have not reached Tanner 2 gonadarche by age 14 years. Primary amenorrhea is defined as a failure to start menses within 3 years of Tanner Stage 2 (thelarche) or by age 15 years.

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