Adolescent Health and Development

Question 1

Order of biological development for boys

Answer 1

BIG - balls begin to grow
HAIRY - pubic hair development
PENIS - penile growth

Question 2

Order of biological development for girls

Answer 2

BOYS- breast development
HATE - pubic hair development
PERIODS - menarche appears 2 years after breast development

Question 3

Early adolescent themes

Answer 3

parent/teen bickering
kid seems withdrawn
teen doesn’t want parent in room during exam
child begins to discuss their own health concerns
vague future plans
some self esteem issues

Question 4

Middle Adolescent themes

Answer 4

more parent/teen conflict
less physical appearance preoccupation
peers play a bigger role
teen involved in clubs and sports, more narrow future goals

Question 5

Late adolescent themes

Answer 5

more willing to ask parents for guidance
realistic future goals
1:1 relationships
increased risk taking behavior

Question 6

What to ask during well adolescent care visit

Answer 6

HEADSSS
Home
Education/Employment
Activities
Drugs/EtOH/Tobacco
Sexuality
Suicide/pSychologic
Safety

Question 7

Anticipatory guidelines for parents

Answer 7

PANTSED
Physical changes of puberty
Alcohol/drugs/substance
Need for privacy/independence
Talk
Sex and sexuality
Emotional changes of puberty
Diet/exercise