Ch 35 hockenberry adolescent and family Flashcards

1
Q

initial indication of puberty in girls is the appearance of

A

breast buds, an event known as the larche

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2
Q

sequence of secondary sexual characteristic development in girls

A

is breast changes, rapid increase in
height and weight, growth of pubic hair, appearance of axillary hair, menstruation, and abrupt deceleration of
linear growth.

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3
Q

average age of menarche is

A

12.5 years

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4
Q

normal range of menarche is

A

10.5 to 15 year

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5
Q

Concerns about pubertal delays for boys is age

A

13.5 to 14 yr

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6
Q

apocrine sweat glands reach secretory capacity during puberty

A

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

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7
Q

are present almost everywhere on the skin and become

fully functional and respond to emotional and thermal stimulation.

A

Eccrine sweat glands

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8
Q

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

A

Sebaceous glands

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9
Q

psychosocial task of adolescence

A

identity

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10
Q

Piaget, the adolescent

A

formal operations

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11
Q

are based on the development of stages of primary and secondary sexual characteristics.

A

Tanner sexual-maturing ratings/ tanner stage

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12
Q

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

A

Tanner sexual-maturing ratings/ tanner stage (boys)

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13
Q

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.

A

appearance of early adolescent children.

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14
Q

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

A

androgen dependent.

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15
Q

Testicular tumors during adolescence are generally

A

malignant

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16
Q

Individuals with anorexia nervosa are described as

A

perfectionist, academically high achievers, conforming(comply w/rules), and conscientious.

17
Q

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

A

Symptoms of anorexia nervosa

18
Q

include erosion of tooth enamel, increased dental caries from vomited gastric acid, throat complaints, fluid and electrolyte disturbances, and abdominal complaints from laxative abuse

A

signs of bulimia

19
Q

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;

A

Physical dependence

20
Q

such as amphetamines and cocaine produce a strong psychologic dependence.

A

Central nervous system stimulants

21
Q

leads to violent, aggressive behavior or psychotic episodes characterized by paranoia, uncontrollable agitation, and restlessness.

A

Acute intoxication

22
Q

firearms are followed by hanging and overdose

A

adolescent boys

23
Q

most common complete suicide

A

firearms

24
Q

attempt suicide

A

overdose or ingestion of potentially toxic substances such as drugs.

25
Q

is a significant factor in distinguishing adolescents who will kill themselves from those who
will not

A

Social isolation

26
Q

Two areas of antismoking campaigns that have shown success are those that are

A

peer-led and use media in

education related to smoking prevention.

27
Q

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.

A

successful antismoking campaigns

28
Q

vision, hearing, and scoliosis screening tests according to the school districts required schedule

A

adolescent