Children and Adolescents Flashcards

1
Q

the head grows proportionately to body size, reaching 90% of its full size at what age

A

6 years

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2
Q

children remain farsighted until what ages

A

6-7 years

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3
Q

Children have 20 deciduous teeth, which are lost between the
what ages

A

6 and 12 years

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4
Q

thelarche may occur and
breasts continue to develop in stages at what ages

A

8-13 years

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5
Q

the apical pulse reaches the fifth intercostal space and the mid-clavicular line by the time of what age

A

7 years

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6
Q

A third heart sound (S3) may
be heard at the apex in children

Is this normal?

A

Yes

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7
Q

Prepubertal:
Elevation of nipple
only

what stage

A

stage 1

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8
Q

Breast bud stage;
elevation of breast
and nipple as small
mound, enlargement
of areolar diameter

what stage

A

stage 2

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9
Q

Enlargement of the
breasts and areola
with no separation
of contours

what stage

A

stage 3

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10
Q

Projection of areola
and nipple to form
secondary mound
above level of
breast

what stage

A

stage 4

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11
Q

Adult configuration;
projection of nipple
only, areola receded
into contour of
breast

what stage

A

stage 5

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12
Q

Male genitalia generally develop over a __ to __ year period, beginning from preadolescence to adulthood

A

2 to 5

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13
Q

Bone growth occurs in two dimensions

what are they

A

diameter and length

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14
Q

The anterior curve in the lumbar region of the vertebral
column develops between ages __ and __ months

A

12 and 18

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15
Q

growth is considerable during the adolescent growth spurt,
which usually peaks at __ years in girls and __ years in boys

A

12; girls
14; boys

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16
Q

Genitalia: Prepubertal
Pubic Hair: Prepubertal: No pubic hair; fine
vellus hair

what stage

A

stage 1

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17
Q

Genitalia: Initial enlargement of scrotum and testes
with rugation and reddening of the scrotum
Pubic Hair: Sparse, long, straight, downy hair

what stage

A

stage 2

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18
Q

Genitalia: Elongation of the penis;
testes and scrotum further enlarge
Pubic Hair: Darker, coarser, curly;
sparse over entire pubis

what stage

A

stage 3

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19
Q

Genitalia: Increase in size and width of penis and
the development of the glans; scrotum darkens
Pubic Hair: Dark, curly, and abundant in pubic area;
no growth on thighs or up toward umbilicus

what stage

A

stage 4

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20
Q

Genitalia: Adult configuration
Pubic Hair: Adult pattern (growth up toward
umbilicus may not be seen); growth continues
until mid-20s

what stage

A

stage 5

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21
Q

Prepubertal: No pubic hair; fine vellus hair

what stage

A

stage 1

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22
Q

Sparse, long, straight, downy hair

what stage

23
Q

Darker, coarser, curly; sparse over mons pubis

what stage

24
Q

Dark, curly, and abundant on mons pubis;
no growth on medial thighs

what stage

25
Adult pattern of inverse triangle; growth on medial thighs what stage
stage 5
26
Toddler’s attention span ranges between __ and __ minutes
5 and 10
27
preschooler’s attention span ranges between __ and __ minutes
10 and 15
28
school-age child’s attention span ranges between __ and __ minutes
30 and 45
29
Loud noises; falling and sudden movements in the environment; stranger anxiety who do these fears belong to
Infants
30
Loss of parents—separation anxiety; stranger anxiety; loud noises; going to sleep; large animals; certain people (doctor, Santa Claus); certain places (doctor’s office); large objects or machines who do these fears belong to
Toddlers
31
The dark; being left alone, especially at bedtime; animals (particularly large dogs); ghosts and other supernatural beings; body mutilation; pain; objects and people associated with painful experiences who does these fears belong to
Preschoolers
32
Failure at school; bullies; intimidating teachers; supernatural beings; storms; staying alone; scary things in TV and movies; consequences related to unattractive appearance; death who do these fears belong to
Schoolagers
33
Relationships with people of the opposite sex; homosexual tendencies; ability to assume adult roles; drugs; AIDS; divorce; gossip; public speaking; plane and car crashes; death who do these fears belong to
Adolescents
34
Restlessness, rocking, playing with toys, crying, thumb sucking, sleeping coping mechanisms for who
Infants
35
Asking questions, wanting order, holding favorite toy, learning by trial and error, tantrums, aggression, thumb sucking, withdrawal, regression coping mechanisms for who
Toddler/Preschoolers
36
Trying problem solving; communicating, fantasizing, acting out situations, quiet, denial, regression, reaction formation coping mechanisms for who
Schoolagers
37
Problem solving, philosophical discussions, conforming with peers, asserting control, acting out, using drugs/alcohol, denial, projection, rationalization, intellectualization coping mechanisms for who
Adolescents
38
Physical assessment approach for toddlers
Allow toddler to sit on parent’s lap; enlist parent’s aid; use play; praise cooperation
39
Physical assessment approach for preschoolers
Use story telling; use doll and puppet play; give choices when able
40
Physical assessment approach for schoolagers
Maintain privacy; use gown; explain procedures and equipment; teach about their bodies
41
Physical assessment approach for adolescents
Ensure privacy and confidentiality; provide option of having parent present or not; emphasize normality; provide health teaching
42
For a toddler, what position do lay them in to take rectal temp
supine and lift lower legs up
43
average pulse rate for children 3 mo-2 y
80-150
44
average pulse rate for children 2-10 y
70-110
45
average pulse rate of children 10 y-adult
55-90
46
normal ranges of respiratory rate for children 6 mo-2 y
20-30
47
normal ranges of respiratory rate for children 3-10 y
20-28
48
normal ranges of respiratory rate for children 10-18 y
12-20
49
This birthmark consisting of capillaries is dark red or bluish and darkens with exertion or temperature exposure. It appears as a large, irregular, macular patch on the scalp or face. Unlike a hemangioma, this birthmark does not fade with time
Port-Wine Stain
50
This birthmark is a light brown, round or oval patch. If there are more than six separate, large (⬎1.5 cm) patches, an inherited neurocutaneous disease may be present
Café au Lait Spot
51
This skin variation is caused by an increased amount of blood vessels in the dermis
Hemangioma
52
Tool that assists the nurse in noting the developmental milestones of the child at that particular age
Denver Developmental tool
53
Enlargement of breast tissue on boys
Gynecomastia