Certified Sexual Assault Nurse Examiner-Pediatric (SANE-P) Practice Exam

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Which option best characterizes Tanner stage V in girls?

Hair is fully matured with thigh spread.

Secondary mounds.

Hair adult-like with thigh spread.

Adult development.

Tanner stage V in girls signifies full physical maturation from puberty, meaning both breast development and pubic hair have reached adult form. The breasts achieve a mature contour with the nipple and areola integrated into the breast as in an adult, and the pubic hair is adult-type, spreading to the inner thighs. That combination is why the best descriptor is “adult development”—it captures the complete transition to adult-appearing secondary sexual characteristics. The other descriptions address only a single aspect (pubic hair or breast changes) or describe earlier stages, so they don’t reflect the full maturation that defines stage V.

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