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At which Tanner Stage do the areola and nipple project to form a secondary mound?

  1. Stage 1

  2. Stage 2

  3. Stage 4

  4. Stage 5

The correct answer is: Stage 4

The Tanner stages are a widely recognized system for assessing the stages of sexual maturation during adolescence. In females, the development of breast tissue occurs in distinct stages. At Tanner Stage 4, the areola and nipple undergo significant changes whereby they project to form a secondary mound above the level of the surrounding breast tissue. This stage represents a critical point in the development where the breasts are more prominent and defined, indicating that the individual is moving closer to full maturity. In contrast, earlier stages, such as Stage 1, involve prepubescent breast development with no breast tissue; Stage 2 involves minimal development with small lumps under the areola; and Stage 5 represents full adult breast development with a mature configuration. Understanding these stages is crucial for accurately assessing sexual maturation and addressing health-related concerns in adolescents.