Older Pediatrics Flashcards

1
Q

What age is the greatest “value imprint”? What is this?

A

6-11 years old

-the age where the parent’s values are most imprinted before peer socialization sets in

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2
Q

What is a major contributor to a middle-childhood self image?

A

Self esteem

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3
Q

How is growth defined? How many times a year?

A

Discontinuous; 3-6 times per year

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4
Q

What are weight gain averages form children 6-11 years per year?

A

3-3.5kg

Height is 2.4-2.8in per year

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5
Q

What can sedentary habits in the middle childhood lead to?

A

Lifetime of sedentary activity, cardiovasc issues, and obesity later on

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6
Q

How young do children express body dissatisfaction now? What can be the cause of this?

A

5-6 years old

-lack of physical activity and higher instances of obesity/ social pressure

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7
Q

What age range do children generally take more interest in the other gender?

A

Middle childhood

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8
Q

What age should children have a “conscience”?

A

6 years old

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9
Q

What are some issues that can impair an ability to use home as a secure base?

A

Domestic violence, divorce, parental spousal abuse, and mental health problems

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10
Q

What issues can arise form helicopter parenting, and lack of real decision making on the child’s part?

A

Increased instances of depression and anxiety

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11
Q

What are the characteristics of puberty?

A

Secondary sex characteristics, increased height, change in body composition, and reproductive capacity

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12
Q

What hormones are the hallmark of puberty?

A

GnRH, LH and FSH

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13
Q

When can testicular enlargement occur in males? What is this called?

A

SMR2

As early as 9.5 years old

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14
Q

When does peak growth occur? (Kinda stages)

A

SMR4

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15
Q

What is the percentage of males who develop breast tissue?

A

40-65%

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16
Q

When do breast buds appear in pubescent females?

A

7-12 years old

17
Q

What are hallmarks of puberty for females?

A

Ovaries, uterus, labia, and clitoris enlargement

Clear vaginal discharge may be present before menarche

18
Q

What is the average age of mensuration during female puberty?

A

12.5 years (9.5-15 years)

19
Q

What are the contributing factors to menarche?

A

Genetics (primary)

Adiposity, chronic illness, nutritional status, and physical and psychosocial environment

20
Q

Increased obesity causes leptin stimulation, which causes earlier and earlier what in female pediatric patients?

A

Breast formation

21
Q

What is SMR?

A

Sexual maturity rating

22
Q

What is SMR 1 for males?

A

Preadolescent

23
Q

What is SMR2 for pubic hair for males?

A

Scant, long, slight pigmentation

24
Q

What is SMR2 for testes and penis?

A

Minimal change and enlargement/ enlarged scrote and altered texture

25
Q

What is SMR 3 for pubic hair, penis, and testes?

A

PH: darker, curling, small amount

Penis: Lengthens

Testes: Enlarged

26
Q

What is male SMR4 for penis, pubic hair, and testes?

A

Penis: Larger, glans and breadth increase in size

Pubic Hair: Resembles adult type, coarse, curly

Testes: Larger, darker scrote

27
Q

What is SMR 5 for pubic hair, penis, testes?

A

Pubic hair: Adult distribution, spread to medial surface of thighs

Penis: adult size

Testes: Adult size

28
Q

What is female SMR 1 for pubic hair and breasts?

A

Preadolescent

29
Q

What is female SMR 2 for pubes and breasts?

A

Pubic hair: Sparse, lightly pigmented, straight, medial border of labia

Breasts: small mount, incr diameter of areola

30
Q

What is female SMR3 for pubic hair and breasts?

A

PH: Darker, curl, incr amount

Breasts: enlarged, no contour separation

31
Q

What is female SMR4 for pubic hair and breasts?

A

PH: course, curly, abundant (less than adult)

Breasts: Areola and papilla from 2* mound

32
Q

What is female SMR 5 for PH and breasts?

A

Both are adult

PH: medial surface of thighs

Breasts: Mature, nipple projects, areola part of breast contour