Adolescent

Question 1

Adolescence overall age range

Answer 1

12 - 20 years

Question 2

Early adolesence

Answer 2

12 - 14 years

Question 3

Middle adolescence

Answer 3

15 - 17 years

Question 4

Late adolescence

Answer 4

18 - 20 years

Question 5

Physical changes of adolescence

Answer 5

rapid physical changes - reproductive, skeletal, muscular, cardiovascular

Question 6

Piaget’s cognitive stage of adolescence

Answer 6

Logical, abstract thinking

Question 7

Erikson’s major psychosocial task of adolescence

Answer 7

identity vs. role confusion

narcissism

Question 8

Peers vs Parents

who has more influence with adolescents?

Answer 8

Parents

Question 9

HEADSS

Answer 9

Home environment
Employment and education
Activities
Drugs
Social 
Sexuality, Suicide

Question 10

What may affect vision in an adolescent?

Answer 10

Hormone surging may affect vision

Question 11

Tanner

Boys stage 1

Answer 11

Preadolescent

Question 12

Tanner

Boys stage 2

Answer 12

Roughens
Reddens
Enlarges

(all scrotal/testicular)

Question 13

Tanner

Boys stage 3

Answer 13

Penis elongates

Question 14

Tanner

Boys stage 4

Answer 14

Girth
Glans
Rugae

Question 15

Tanner

Boys stage 5

Answer 15

Adult appearance

Question 16

Tanner

Girls stage 1

Answer 16

Preadolescent

Question 17

Tanner

Girls stage 2

Answer 17

Breast buds

Question 18

Tanner

Girls stage 3

Answer 18

Breast enlargement

Question 19

Tanner

Girls stage 4

Answer 19

Areola and nipple project as secondary mound

Question 20

Tanner

Girls stage 5

Answer 20

Adult breast - secondary mound smooths

Question 21

Tanner

Pubic hair stage 1

Answer 21

Preadolescent

Question 22

Tanner

Pubic hair stage 2

Answer 22

Sparse
Pale
Fine

Question 23

Tanner

Pubic hair stage 3

Answer 23

Darker
Increased
Curlier

Question 24

Tanner

Pubic hair stage 4

Answer 24

Adult-like but smaller area

Question 25

Tanner | Pubic hair stage 5

Answer 25

Adult appearance | Has spread to medial thighs

Question 26

At what stage does menarche occur?

Answer 26

Breast stage 3 - 4; predominantly 4

Question 27

At what stage does spermarche and onset of nocturnal emissions occur?

Answer 27

Genital stage 3

Question 28

Onset of puberty prior to what age is considered precocious?

Answer 28

Prior to age 8 for girls | age 9 for boys

Question 29

Which is first skeletal or muscular growth?

Answer 29

Skeletal "long and gangly first" then muscles catch up

Question 30

How much more growth can a female expect after menarche?

Answer 30

Possibly 1 - 2 inches, but growth spurt is done

Question 31

How many kilocalories does an adolescent need?

Answer 31

45 kilocalories per kg

Question 32

Developmental warning sign in adolescence?

Answer 32

``` change in behavior personality changes difficulty accepting failure talk of suicide withdrawal from friends or family ```

Question 33

Eating disorders - | anorexia is body weight which is less than ____% of expected weight for height.

Answer 33

85%

Question 34

Peak incidences are for eating disorders are at what ages?

Answer 34

14 and 18

Question 35

Significance of amenorrhea in eating disorders?

Answer 35

Estrogen-progestin balance has been disturbed. Must watch for bone density issues later in life.

Question 36

Tooth enamel erosion in bulemia - early or late sign?

Answer 36

Late sign

Question 37

What is Russell's sign?

Answer 37

bruised knuckles | early sign

Question 38

Eating disorder differentials

Answer 38

Disease producing weight loss - Type I DM Pregnancy Depression Substance abuse - amphetamine

Question 39

Eating disorder mild malnutrition moderate malnutrition severe malnutrition

Answer 39

mild < 20% below ideal body weight (IBW) | moderate < 30% below IBW

Question 40

Tanner III is distinguished from Tanner II by:

Answer 40

growth in penile length

Question 41

What can be expected to occur 2 years after breast buds?

Answer 41

menarche

Question 42

Which component of identity is likely to develop first?

Answer 42

the physical identity

Question 43

Which hormone is responsible for the sexual maturation in males?

Answer 43

testosterone

Question 44

Adolescent girls are especially prone to developing what disorder?

Answer 44

iron deficiency anemia

Question 45

What is the status of confidentiality for an adolescent?

Answer 45

Parents cannot access information without the adolescent's permission