Ch 35 hockenberry adolescent and family Flashcards
initial indication of puberty in girls is the appearance of
breast buds, an event known as the larche
sequence of secondary sexual characteristic development in girls
is breast changes, rapid increase in
height and weight, growth of pubic hair, appearance of axillary hair, menstruation, and abrupt deceleration of
linear growth.
average age of menarche is
12.5 years
normal range of menarche is
10.5 to 15 year
Concerns about pubertal delays for boys is age
13.5 to 14 yr
apocrine sweat glands reach secretory capacity during puberty
secrete a thick substance as a result of emotional stimulation that, when acted on by surface bacteria, becomes highly odoriferous
- grow in conjunction with hair follicles in the axillae, genital and anal areas, and other areas
are present almost everywhere on the skin and become
fully functional and respond to emotional and thermal stimulation.
Eccrine sweat glands
become extremely active at this time, especially those on the genitals and the flush areas of the body, such as face, neck, shoulders, upper back, and chest
-development of acne
Sebaceous glands
psychosocial task of adolescence
identity
Piaget, the adolescent
formal operations
are based on the development of stages of primary and secondary sexual characteristics.
Tanner sexual-maturing ratings/ tanner stage
s testicular enlargement>testosterone secretion (stage 2) increases, the penis, testes, and scrotum enlarge. During Tanner
stages 4 and 5, rising levels of testosterone cause the voice to deepen and facial hair appears at the corners of
the upper lip and chin
Tanner sexual-maturing ratings/ tanner stage (boys)
Growth in length of the extremities and neck precedes growth in other areas
-these parts are the
first to reach adult length, the hands and feet appear larger than normal during adolescence
-Increases in hip and chest breadth take place in a few months, followed several months later by an increase in shoulder width
-This sequence of changes is responsible for the characteristic long-legged, gawky appearance of early adolescent children.
appearance of early adolescent children.
Beard, mustache, and body hair on the chest, upward along the linea alba, and sometimes on other areas (e.g., back and shoulders) appears in males
androgen dependent.
Testicular tumors during adolescence are generally
malignant
Individuals with anorexia nervosa are described as
perfectionist, academically high achievers, conforming(comply w/rules), and conscientious.
include lower body temperature, severe weight loss, decreased blood pressure, dry skin, brittle nails, altered metabolic activity, and presence of lanugo hair. Amenorrhea(absence of period), and cold intolerance, Bradycardia
Symptoms of anorexia nervosa
include erosion of tooth enamel, increased dental caries from vomited gastric acid, throat complaints, fluid and electrolyte disturbances, and abdominal complaints from laxative abuse
signs of bulimia
is an involuntary response to the pharmacologic characteristics of drugs such as opioids
or alcohol. A person can be physically dependent on a narcotic/drug without being addicted;
Physical dependence
such as amphetamines and cocaine produce a strong psychologic dependence.
Central nervous system stimulants
leads to violent, aggressive behavior or psychotic episodes characterized by paranoia, uncontrollable agitation, and restlessness.
Acute intoxication
firearms are followed by hanging and overdose
adolescent boys
most common complete suicide
firearms
attempt suicide
overdose or ingestion of potentially toxic substances such as drugs.
is a significant factor in distinguishing adolescents who will kill themselves from those who
will not
Social isolation
Two areas of antismoking campaigns that have shown success are those that are
peer-led and use media in
education related to smoking prevention.
School-based programs have also shown success and can be strengthened by expansion into the community and youth groups. Teens respond much better to education that focuses on the immediate effects of smoking.
successful antismoking campaigns
vision, hearing, and scoliosis screening tests according to the school districts required schedule
adolescent