Tanner Staging
Posted by: TheForensicNurse in Education, Forensic Nurse Training, Resources, Sexual Assaults, tags: Breast Development, Documentation, Nurses Notes, Pubic Hair, Tanner StagingWhen documenting a SANE case, its important to use proper terminology when charting a patient. Some of those terms used to describe a level of sexual developmental maturity can be those from the Tanner Staging System. The Tanner stages look at three key components of sexual maturity: Pubic Hair, Breast development, Male Genetalia
Tanner Staging Levels
Pubic Hair
Stage 1: Preadolescent. No pubic hair or hair in pubic region is fine, like that over other areas of the body
Stage 2: Appearance of few, long, lightly pigmented hairs. Straight or curled hair develops at the base of
the penis or along the labia
Stage 3: Hair increases in density, becomes coarse and curled, and darkens
Stage 4: Hair of adult color and texture but covering a smaller area, with no spread to the medial thighs
Stage 5: Adult-like pattern
Breast Development
Stage 1: Preadolescent
Stage 2: Breast bud stage
Stage 3: Further enlargement and elevation of breast areola
Stage 4: Projection of areola and papilla to form secondary mound above the level of the breast
Stage 5: Adult stage, projection of papilla only, areola even with breast
Male Genitalia
Stage 1: Preadolescent
Stage 2: Enlargement of scrotum and testes, without enlargement of penis; scrotum reddens and changes
texture
Stage 3: Continued enlargement of scrotum and testes, now with lengthening of penis
Stage 4: Increase in size of penis and glans
Stage 5: Adult stage
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