A nurse is developing a health program for the parents of school-age boys.Which of the following information about pubescent changes should the nurse include in the program?

The correct answer is Choice C.Choice A rationalePuberty might be delayed if scrotal changes have not occurred by the age of 13½ to 14 years, not 11 years.Choice B rationaleChanges in the voice occur during puberty but do not signal its beginning. Enlargement of the testicles is the first sign of puberty in boys.Choice C rationaleGrowth spurts in height typically occur toward the end of mid-puberty, making this the correct answer.Choice D rationaleGynecomastia, or the development of breast tissue in boys, commonly occurs during mid- puberty, not late puberty. .