Certified Pediatric Nurse (CPN)

The choice that states menarche occurs late in puberty after the height spurt is accurate. During puberty, adolescents experience several physical changes, including a growth spurt, which occurs earlier in boys compared to girls. In girls, the peak height velocity typically occurs around the ages of 11 to 12 years, with menarche generally occurring about 1 to 2 years later. As such, the majority of height growth has already occurred by the time a girl experiences her first menstrual cycle. For a 14-year-old who experienced menarche one year ago, it is likely that she has already reached a significant portion of her adult height. By this stage, most girls are close to their maximum height since the growth plates in their long bones begin to fuse shortly after menarche. Therefore, understanding the correlation between menarche and growth patterns helps inform the young girl about her growth potential and physical development during adolescence.