Heslth Promotion Of Adolescent

Question 1

Puberty

Answer 1

Assume fertility after first menarche or ejaculation

Question 2

Female

Answer 2

1st menses 2 years after Breast buds

Regular periods 12 months after 1st menses

Precocious puberty: >7 years breast/hair development

Delayed:

• no breast development by 13years
• no menses within 2 years of breast development

After menses 95% of height

• increase in fat mass
• dissatisfied with appearance

Question 3

Males

Answer 3

Initial changes:

• testicular enlargement
• pubic hair

Final change:
- deepening of voice

Gynecomastia: 50% of boys
- painful, big Nipples; out pains aids over them so no friction, normal

Precocious: secondary changes <9 years old

Height growth ceases by 20 years old

Decrease in fat mass, increase in muscle mass

Question 4

Psychosocial development

Answer 4

Identity:

• cohesive picture of past, present, future
• affected by experiences and opportunities
• autonomy, risk taking behaviors, look to friends more so than family

Sexuality:
-62% of senior girls and 61% of senior boys are sexually active

Sexual Orientation:
- most heterosexual

Peer Groups:
- include groups of opposite sex

Intimate relationships:

• doesn’t always include sexual relations
• includes sharing of private, sensitive info
• concern for each others well being
• common interests/activities

Question 5

Health concerns

Answer 5

Body art

-piercings/tattoos = identity