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NP > Adolescent > Flashcards

Adolescent Flashcards

1
Q

Adolescence overall age range

A

12 - 20 years

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2
Q

Early adolesence

A

12 - 14 years

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3
Q

Middle adolescence

A

15 - 17 years

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4
Q

Late adolescence

A

18 - 20 years

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5
Q

Physical changes of adolescence

A

rapid physical changes - reproductive, skeletal, muscular, cardiovascular

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6
Q

Piaget’s cognitive stage of adolescence

A

Logical, abstract thinking

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7
Q

Erikson’s major psychosocial task of adolescence

A

identity vs. role confusion

narcissism

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8
Q

Peers vs Parents

who has more influence with adolescents?

A

Parents

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9
Q

HEADSS

A 
Home environment
Employment and education
Activities
Drugs
Social 
Sexuality, Suicide
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10
Q

What may affect vision in an adolescent?

A

Hormone surging may affect vision

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11
Q

Tanner

Boys stage 1

A

Preadolescent

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12
Q

Tanner

Boys stage 2

A

Roughens
Reddens
Enlarges

(all scrotal/testicular)

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13
Q

Tanner

Boys stage 3

A

Penis elongates

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14
Q

Tanner

Boys stage 4

A

Girth
Glans
Rugae

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15
Q

Tanner

Boys stage 5

A

Adult appearance

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16
Q

Tanner

Girls stage 1

A

Preadolescent

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17
Q

Tanner

Girls stage 2

A

Breast buds

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18
Q

Tanner

Girls stage 3

A

Breast enlargement

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19
Q

Tanner

Girls stage 4

A

Areola and nipple project as secondary mound

20
Q

Tanner

Girls stage 5

A

Adult breast - secondary mound smooths

21
Q

Tanner

Pubic hair stage 1

A

Preadolescent

22
Q

Tanner

Pubic hair stage 2

A

Sparse
Pale
Fine

23
Q

Tanner

Pubic hair stage 3

A

Darker
Increased
Curlier

24
Q

Tanner

Pubic hair stage 4

A

Adult-like but smaller area

25
Q

Tanner

Pubic hair stage 5

A

Adult appearance

Has spread to medial thighs

26
Q

At what stage does menarche occur?

A

Breast stage 3 - 4; predominantly 4

27
Q

At what stage does spermarche and onset of nocturnal emissions occur?

A

Genital stage 3

28
Q

Onset of puberty prior to what age is considered precocious?

A

Prior to age 8 for girls

age 9 for boys

29
Q

Which is first skeletal or muscular growth?

A

Skeletal
“long and gangly first”
then muscles catch up

30
Q

How much more growth can a female expect after menarche?

A

Possibly 1 - 2 inches, but growth spurt is done

31
Q

How many kilocalories does an adolescent need?

A

45 kilocalories per kg

32
Q

Developmental warning sign in adolescence?

A 
change in behavior
personality changes
difficulty accepting failure
talk of suicide
withdrawal from friends or family
33
Q

Eating disorders -

anorexia is body weight which is less than ____% of expected weight for height.

A

85%

34
Q

Peak incidences are for eating disorders are at what ages?

A

14 and 18

35
Q

Significance of amenorrhea in eating disorders?

A

Estrogen-progestin balance has been disturbed. Must watch for bone density issues later in life.

36
Q

Tooth enamel erosion in bulemia - early or late sign?

A

Late sign

37
Q

What is Russell’s sign?

A

bruised knuckles

early sign

38
Q

Eating disorder differentials

A

Disease producing weight loss - Type I DM
Pregnancy
Depression
Substance abuse - amphetamine

39
Q

Eating disorder
mild malnutrition
moderate malnutrition
severe malnutrition

A

mild < 20% below ideal body weight (IBW)

moderate < 30% below IBW

40
Q

Tanner III is distinguished from Tanner II by:

A

growth in penile length

41
Q

What can be expected to occur 2 years after breast buds?

A

menarche

42
Q

Which component of identity is likely to develop first?

A

the physical identity

43
Q

Which hormone is responsible for the sexual maturation in males?

A

testosterone

44
Q

Adolescent girls are especially prone to developing what disorder?

A

iron deficiency anemia

45
Q

What is the status of confidentiality for an adolescent?

A

Parents cannot access information without the adolescent’s permission

NP (76 decks)

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