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Flashcards in Adolescent Deck (35):
1

age range of adolescent

11-21

2

Thelarche

breast development-first visible sign of puberty

3

Menarche

first menses, average age 12 yo

4

Tanner staging

breast and pubic hair development in girls and boys

5

first visible sign of puberty in males

increase in testicular volume

6

early adolescent

11-14 yo

7

middle adolescent

15-17 yo

8

late adolescent

18-21 yo

9

what stage is this: prepubertal, with no palpable breast tissue

stage 1

10

what stage is this: breast and papilla elevated as small mound; areolar diameter increased

stage 2

11

what stage is this: breast and areola enlarged; no contour separation

stage 3

12

what stage is this: areola and papilla form secondary mound

stage 4

13

what stage is this: mature; nipple projects, areola part of the general breast contour

stage 5

14

what stage is this: no pubic hair

stage 1

15

what stage is this: sparse, slightly pigmented, straight, at medial border of labia

stage 2

16

what stage is this: darker, beginning to curl, increased amount

stage 3

17

what stage is this: course, curly, abundant, but amount less than in adult stage

stage 4

18

what stage is this: adult feminine triangle, spread to medial surface of thigh

stage 5

19

what stage is this (male): pubic hair is darker, starting to curl, small amount

stage 3

20

when does menarche usually occur for a women

between breast stage 4 and pubic hair stage 5

21

when do males reach their peak height velocity

after pubic hair has started but before there is sperm in the urine; usually around age 13

22

when do females reach their peak height velocity

after breast development has started but before menarche: usually around age 11

23

screening recommendations for adolescents engaged in sexual activity

screen for STIs and HIV; HIV screening in sexually active beginning at age 13

24

By what age should patients be seen alone

11 or 12 yo

25

list the legal exceptions to informed consent requirement 

  • emergency
  • emancipated minor
  • mature minor
  • other exceptions are based on specific medical conditions (state laws vary) 

26

In AZ, under what conditions can minors consent for thier own care 

  • emancipated, homeless, married
  • emergencies
  • STI/HIV test
  • sexual assault if > or = 12 yo
  • substance abuse if > or = 12 yo

27

AZ: rules of minor consent in relation to chemical dependency

  • consent is implied if minor is under the influence of a substance
  • parents/gaurdians must be notified once admitted for treatment 

28

AZ: rules of minor consent in relation to mental health screening or treatment 

  • need to obtain written or oral consent of a parent or legal custodian of the minor child
    • exception: mental health treatment prevents serious injury to or saves life of a minor child

29

AZ: rules of minor consent in relation to pregnancy

generally recieve care under "mature minor"

30

AZ: rules of minor consent in relation to contraceptives 

confidential access

31

AZ: rules of minor consent in relation to emergency contraception

parental consent is not required for Plan B 

32

AZ: rules of minor consent in relation to abortion

  • minor may NOT consent for care for abortion in AZ 
  • exceptions
    • emancipated
    • judicial bypass
    • inappropriate sexual misconduct
    • pregnancy is harmful to patient's health

33

recommendations of preventitive services from AAP/Bright Futures 

  • annual routine health visits
  • immunizations
  • anticipatory guidelines

34

what is the HEEADSSS assesment 

  • Home
  • Education
  • Eating
  • Activities
  • Drugs
  • Safety
  • Sex
  • Suicidality 

35

if a patient admits to drugs, you should ask the CRAFFT questionnaire. what does it ask?

  • Car
  • Relax
  • Alone
  • Forget
  • Friends/Family
  • Trouble