Tanner Stages and Pubertal Development

Abstract Puberty typically follows a predictable pattern that can be assessed using the Tanner stages or Sexual Maturity Rating scale. Clinicians can use this tool to evaluate and monitor progress in female and male puberty. The timing and sequence of puberty are important indicators of the growth and development of pediatric patients. Stages of puberty and normal findings must be known before variations can be identified. Pubertal changes that fall outside the normal timeline or trajectory are considered abnormal and must be investigated. Treatments for abnormal variations are based on pathologic versus idiopathic causes. Nurses, as members of the interprofessional collaborative team, serve an important role by obtaining data, monitoring progress, providing health education, performing ongoing assessment/evaluation, and ensuring continuity of care when needed.