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Flashcards in Adolescent Deck (45):
1

Adolescence overall age range

12 - 20 years

2

Early adolesence

12 - 14 years

3

Middle adolescence

15 - 17 years

4

Late adolescence

18 - 20 years

5

Physical changes of adolescence

rapid physical changes - reproductive, skeletal, muscular, cardiovascular

6

Piaget's cognitive stage of adolescence

Logical, abstract thinking

7

Erikson's major psychosocial task of adolescence

identity vs. role confusion
narcissism

8

Peers vs Parents
who has more influence with adolescents?

Parents

9

HEADSS

Home environment
Employment and education
Activities
Drugs
Social
Sexuality, Suicide

10

What may affect vision in an adolescent?

Hormone surging may affect vision

11

Tanner
Boys stage 1

Preadolescent

12

Tanner
Boys stage 2

Roughens
Reddens
Enlarges

(all scrotal/testicular)

13

Tanner
Boys stage 3

Penis elongates

14

Tanner
Boys stage 4

Girth
Glans
Rugae

15

Tanner
Boys stage 5

Adult appearance

16

Tanner
Girls stage 1

Preadolescent

17

Tanner
Girls stage 2

Breast buds

18

Tanner
Girls stage 3

Breast enlargement

19

Tanner
Girls stage 4

Areola and nipple project as secondary mound

20

Tanner
Girls stage 5

Adult breast - secondary mound smooths

21

Tanner
Pubic hair stage 1

Preadolescent

22

Tanner
Pubic hair stage 2

Sparse
Pale
Fine

23

Tanner
Pubic hair stage 3

Darker
Increased
Curlier

24

Tanner
Pubic hair stage 4

Adult-like but smaller area

25

Tanner
Pubic hair stage 5

Adult appearance
Has spread to medial thighs

26

At what stage does menarche occur?

Breast stage 3 - 4; predominantly 4

27

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

Genital stage 3

28

Onset of puberty prior to what age is considered precocious?

Prior to age 8 for girls
age 9 for boys

29

Which is first skeletal or muscular growth?

Skeletal
"long and gangly first"
then muscles catch up

30

How much more growth can a female expect after menarche?

Possibly 1 - 2 inches, but growth spurt is done

31

How many kilocalories does an adolescent need?

45 kilocalories per kg

32

Developmental warning sign in adolescence?

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

33

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

85%

34

Peak incidences are for eating disorders are at what ages?

14 and 18

35

Significance of amenorrhea in eating disorders?

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

36

Tooth enamel erosion in bulemia - early or late sign?

Late sign

37

What is Russell's sign?

bruised knuckles
early sign

38

Eating disorder differentials

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

39

Eating disorder
mild malnutrition
moderate malnutrition
severe malnutrition

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

40

Tanner III is distinguished from Tanner II by:

growth in penile length

41

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

menarche

42

Which component of identity is likely to develop first?

the physical identity

43

Which hormone is responsible for the sexual maturation in males?

testosterone

44

Adolescent girls are especially prone to developing what disorder?

iron deficiency anemia

45

What is the status of confidentiality for an adolescent?

Parents cannot access information without the adolescent's permission