The nurse is providing anticipatory teaching to parents about pubescent changes in school-aged and young adolescent girls. Which of the following changes should the nurse include in the teaching?

A. Vocal changes are more pronounced in boys during puberty; girls typically do not experience significant vocal changes. B. Height does not decrease; instead, girls experience a growth spurt during puberty before reaching their adult height. C. Breast development is one of the first signs of puberty in girls, typically occurring between ages 8 and 13. D. Menarche, the first menstrual period, usually occurs later in puberty and is an important milestone indicating the onset of reproductive capability. E. Increased axillary hair growth is also a common change that occurs during puberty as hormone levels rise.