Health Promotion of the School-Age Child and Family

Question 1

Average age of puberty

Answer 1

12 in girls and 14 in boys.

Question 2

Tanner stages

Answer 2

Tanner Stages are used to categorize
the physical changes that occur
during puberty.

Tanner stages are from 1 to 5 with 5 being the most mature (fully developed)

Question 3

puberty

The age of occurrence varies (boys, girls, and among different ethnic groups).

first sign of puberty in girls?
Average age of menarche?

Answer 3

Sequence of physical changes is predictable (Tanner Stages)

Puberty in boys begins about two years later than in girls.

The first sign of puberty in a girl is breast development.

Average age of menarche (first menstruation) ~ 12yrs

Question 4

Precocious puberty
Early puberty

Answer 4

development of secondary sex characteristics before age 8 in girls and 9 in boys.

Question 5

Preconscious puberty causes

Answer 5

-Idiopathic (unknown)—the most common cause

-Genetic and environmental factors.

-Family history of precocious puberty.

-CNS causes—including tumors involving the hypothalamus or malformations of the hypothalamus.
Referred to Endocrinology for further evaluation