Exam 1: Adolescence Flashcards
True or False: Middle Adolescence (14-17) are preoccupied with self and pubertal changes, it is all about them.
false: early adolescence 11-13
What kind of friendships do early adolescence have?
intense relationships with same sex
True or false: early adolescence have an increase in fantasy world.
true
True or False: Early adolescence don’t care about privacy much.
false
True or False: Late adolescence 18-20 have a lack of impulse control.
false: early adolescence
At what age is the peak of parental conflict?
middle adolescence 14-17
True or false: middle adolescence 14-17 are concerned about making their body more attractive.
true
True or False: there is an increase in sexual activity and experimentation during early adolescence.
false: middle adolescence
True or False: middle adolescence think nothing will happen to them so they often take part in risky behavior.
true
True or False in late adolescence 18-20 there is more time spent with intimate relationships.
true
What kind of goals do late adolescence have?
practical, realistic, vocational goals.
When is vision and hearing screening done?
12, 15 , 18
When do you screen for anemia?
between 11-20 approx. age 14
When do you check urinalysis in adolescence?
between 11-20 approx. 16
True or false all adolescence should be screened for STD’s annually.
false: only if sexually active.
When does pelvic exam required if sexually active?
annually beginning at age 18.
How much activity a day should adolescence get?
60 mins.
True or false during adolescence there is an acceleration in secondary sex characteristics for example: increase in muscle mass, adipose tissue, body hair, mature ovaries and testicles, breasts.
true.
What should you be on the look out for in adolescences?
eating disorders: bulimia, anorexia, binge-eating.
What could you do if patient is wanting to lose weight?
discuss diets, suggest modifying behaviors with a friend, involve whole family in life style modification.
What is the first pubertal change in males and at what age does it occur?
increase in testicle size age 11.
When is growth spurt usually in males ?
age 14: increase in 4 in/yr and 20lbs/yr
when does spermarche, acne, and axillary perspiration begin? (boys)
tanner 3
when do axillary hair and facial hair arise? (boys)
tanner 3/early 4
When does voice change occur in boys?
tanner 4 and 5
When is full pubertal development reached?
14.5- 18.
At what stage does penis grow in length?
tanner 3
What is the first pubertal change in females?
thelarche (breast development) around age 10
When is the growth spurt in girls?
tanner 3 around age 12 usually just preceding menarche
3 in/yr and 17.5lbs/yr
When do acne and axillary perspiration begin in females?
tanner 3
When does menarche usually begin?
tanner 3 and 4 around 12.5 yrs
When does axillary hair arise? (female)
tanner 4
When is full puberty reached in females?
12.5 and 18 yrs
What tanner stage is there a mound on mound in breasts?
tanner 4
What does HEAADDDS stand for?
home: family relationships
education: academic performances
auto safety: seat belts, driving safety, drunk driving
ambition: future goals
activities: how free time is spent
drugs: assess for drug use
discuss peer pressure
depression: screen for signs
sex: have bf/gf? contraception, safe sex.
