Adolescence

Question 1

what are the 3 stage of adolescence?

Answer 1

early adolescence: 11-14 yrs
middle adolescence: 15-17 yrs
late adolescence: 18-21 yrs

Question 2

what does adolescence begin and end with?

Answer 2

begins: appearance of 2° sexual characteristics
ends: when somatic growth is completed and the individual is psychologically mature

Question 3

growth spurt…
girls is age ___-___
Boys is age ___-___

Females gain up to ___ lbs
males gain up to __ lbs

Answer 3

10-14
12-16

55lbs
65lbs

Question 4

by age 13, the adolescent is ___x their birth length

Answer 4

3x

Question 5

growth in Ht ceases at age….
__-__ in females
__-__ in males

Answer 5

16-17

18-20

Question 6

what are the goal in physical and sexual maturity of an adolescent

Answer 6

• healthy sexuality and gender identity
• positive and realistic body image
• healthy eating habits
• physical activity

Question 7

What is cognitive and behavior development like in adolescents

Answer 7

complex thought processes (idealism, abstract thinking, reasoning, judgment, decision-making, planning, impulse control)

Dev. of beliefs and values guided by moral principles

School performance and future career/vocational planning

Question 8

What is emotional development and behavior like in adolescents

Answer 8

Self-identity, more self-directed and independent

Self-esteem, competence, confidence to handle challenges

Ability to manage moods and emotions

Question 9

what is Social development and behavior like in adolescents

Answer 9

Ability to negotiate new roles, responsibilities and independence w/in family

Ability to form healthy friendships & handle peer pressures

Avoidance of high-risk behavior (unsafe driving, alcohol, drugs, tobacco, sex)

Question 10

What are Special concerns in adolescents

Answer 10

Early or late onset of puberty

Distorted body image, eating d/o

Early sexual activity, STIs, pregnancy, sexual abuse, rape

Peer pressures, isolation

Learning problems, absenteeism

Poor self-esteem, depression, suicidal ideation

Lack of impulse control, aggressive or violent behaviors, exposure to violence

Cruelty to other persons or to animals

Substance use: drugs, alcohol, tobacco, steroids

Problems w/ the law: theft, selling drugs, gang activity

Question 11

What might Anticipatory guidance for Adolescence include?

Answer 11

Might include safe driving, substance use and abuse, sexual activity, social interactions, or violence and suicide prevention

Question 12

What anticipatory guidance may you give the child and parents during adolescents?

Answer 12

Always use seat belts

Seek help if depressed, angry, hopeless

Learn strategies for stress and anger management

Get accurate info about sex from trusted adults

Question 13

What Anticipatory Guidance may you provide about puberty to an adolescent?

Answer 13

Prepare for various changes according to Sexual Maturity Rating (SMR) stage

Prepare girls for menarche

Prepare boys for erection

Encourage relationships w/ trusted adults if questions about sexuality

Prepare both for risks of sexual activity and offer support in obtaining protection

Question 14

what anticipatory guidance may you provide an adolescent about adolescent issues?

Answer 14

• Nutrition
• Physical activity
• Sexuality related behavior
• Tobacco, alcohol, drug use
• Behaviors that contribute to injury
• Violence
• Emotional well-being; attention to the developmental tasks of adolescence
• Early dx/tx of mental health issues

Question 15

what are nutrition concerns for adolescents?

Answer 15

↑ need for energy, Ca++, nitrogen, & Fe due to the ↑ in lean muscle mass

Most do not take in the RDAs for: Ca++, Vit. A, Vit. C, Fe