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Flashcards in ADOLESCENT ISSUES Deck (31):
1

adolescence age ranges along with early, middle, late

12 through 20 years.
Early: 12-14 years
Middle: 15-17 years
Late: 18-20 years

2

Physical focus of adolescence

Rapid changes in the reproductive, skeletal, muscular and cardiovascular systems. Peak height velocity (PHV)- growth spurt

3

Primary influence

parental figure

4

cognitive focus in adolescence

logical and abstract thinking

5

psychosocial focus in adolescence

sense of identity, narcissism

6

immunizations

completion of vaccine series; meningococcal vaccine, Tdap, HPV

7

Framework for well child checks

Guidelines for adolescent preventative services (GAPS) by the American Medical Association

8

What does HEADSS stand for

Home environment, employment and education, activities, drugs, social, sexuality

9

MOst dramatic physical changes are the

secondary sexual characteristics

10

Tanner 1 for boys

Preadolescent testes, scrotum, penis. Pubic hair is preadolescent

11

Tanner 2 for boys

secondary sexual characteristic is enlargement of scrotum and testes, scrotum roughens and reddens. Pubic hair is sparse, pale, and fine

12

Tanner 3 for boys

secondary sexual characteristics; penis enlarges. Public hair is darker, increased amount, curlier

13

Tanner 4 for boys

Penis enlarges in breadth and development of glans, ruguae appear. Pubic hair is adult in character but not as voluminous

14

Tanner 5 for boys

Secondary sexual characteristics are adult in shape and appearance, pubic hair is in adult pattern

15

Tanner 1 for girls

Breast development is preadolescent breasts. pubic hair is preadolescent

16

Tanner 2 for girls

Breast development are breast buds with areolar enlargement, pubic hair is sparse, pale and fine

17

Tanner 3 for girls

Breast enlargement without separate nipple contour. Pubic hair is darker, increased amount, curlier

18

Tanner 4 for girls

Breast development- the areola and nipple project as secondary mound. Pubic hair is adult in character but not as voluminous

19

Tanner 5 for girls

breast are adult breasts, areola recess, nipple retracts. Pubic hair is in adult pattern

20

How is the sexual maturity rating (SMR) obtained ?

by taking the average from both Tanner stage rates (genital/breast+ pubic hair development)

21

What is PHV (peek height velocity) associated with?

Tanner staging

22

When does menarche occur

between breast development, stages 3 and 4, predominately in stage 4

23

When might males being nocturnal emissions

spermarche occurs shortly after genital stage 3

24

What age is precocious puberty for boys and girls

before 8 in girls and 9 in boys

25

What is the cognitive stage in ericksons theory

Identity vs role confusion

26

what is the cognitive stage according to piaget

abstract thinking stage;
cognitive ability progresses to adulthood, younger adolescent daydreams; trouble staying focused

27

Russell's Sign

Bruised knuckles, early sign, non-dominant hand

28

Mild, moderate and severe malnutrition values

mild=

29

How long after PHV do you screen for scoliosis?

until 2 years after PHV

30

When do PAPs begin and when would you do a PAP before then?

PAPs begin at 21. If adolescent needs pelvic exam due to sexually active or irregular menses… do a PAP with the pelvic

31

When is the time of ovulation in relationship to menses?

about 14 days before the onset of the next menstrual period