Multiple choice Which of the following is a sign of puberty in girls? Increased shoulder width Enlargement of testicles Nightime ejaculations Adrenarche Growth of the penis Reveal answer Fill a bubble to check yourself D Correct answer Explanation The adrenal glands produce hormones that cause increased armpit sweating, body odour, acne, and armpit and pubic hair. This process is called adrenarche and is a sign of puberty in both boys and girls.