A. Onset of menarche
B. Appearance of breast buds
C. Appearance of axillary and pubic hair
D. Onset of growth spurt
Correct Answer: B. Appearance of breast buds
Explanation
The first evidence of pubertal development in females is usually manifested as:
Breast budding (Thelarche)
- This is the development of small, firm, tender lumps under the nipple (breast buds).
- It typically occurs around 8–13 years of age.
- Thelarche is generally followed by pubic hair growth (Pubarche) and later menarche (first menstrual period), which occurs about 2–2.5 years after breast budding.
Sequence of female puberty
- Thelarche – breast budding (first sign)
- Pubarche – pubic and axillary hair
- Growth spurt
- Menarche – first menstrual period (final stage)
Correct answer:
✔ Breast budding (Thelarche)
Other Options Details
Here is the description of all the options:
A. Onset of menarche
- Menarche refers to the occurrence of the first menstrual period in a female.
- It usually occurs towards the end of puberty, around the age of 11–14 years (may vary).
- It indicates that the female reproductive system has matured enough for ovulation to occur.
B. Appearance of breast buds
- This is the first physical sign of puberty in females.
- Breast buds are small, firm lumps under the nipple area, indicating the beginning of breast development.
- It usually begins around 8–11 years of age.
C. Appearance of axillary and pubic hair
- As puberty progresses, pubic hair appears first, followed later by axillary (underarm) hair.
- This occurs due to increased androgen hormones.
- It generally develops after breast budding and before or around menarche.
D. Onset
- This refers to the beginning or start of any developmental process.
- In the context of puberty, onset means the initial appearance of physical or hormonal changes indicating puberty has started.
Key point
The first evidence of pubertal development in females is the appearance of breast buds.
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Writer: Vandita Singh, Lucknow (GS India Nursing Group