Peds Exam 1 - Adolescent

Question 1

what is the difference of height and weight when referring to adolescents

Answer 1

differentiates by gender

Question 2

height in females

Answer 2

-fastest in early puberty
-gain 5-20cm (2-8 in)

Question 3

height in males

Answer 3

-fastest in mid puberty
-gain 10-30 cm (4-12 in)

Question 4

weight in females

Answer 4

gains 7-25 kg (15-55lbs)

Question 5

weight in males

Answer 5

gains 7-30 kg (15-65 lbs)

Question 6

adolescent ages

Answer 6

13-18 y/o

Question 7

secondary sex characteristics in females

Answer 7

earliest change is in breast development -> 2 to 6 mo later pubic hair

Question 8

how long after breast development does a female usually get their period

Answer 8

2 years after
good to educate parents about this

Question 9

pubertal delay indications in females

Answer 9

no breast development by age 13 OR no menarche within 2-2.5 yrs of the onset of breast development

Question 10

precocious puberty in females

Answer 10

goes into puberty early
breast development or public hair occurs before 6 or 7 yrs old

Question 11

secondary sex characteristics in males

Answer 11

first testicular enlargement between 9.5-14 yo then pubic hair grows

Question 12

gynecomastia

Answer 12

breast development in males (mid puberty)

Question 13

pubertal delay in males

Answer 13

-no testicular or scrotum enlargement by 14 yp
-genital growth is not complete 4 yrs after testicles enlarge

Question 14

precocious puberty in males

Answer 14

secondary sex characteristics occur before age 9

Question 15

what causes stress to an adolescent

Answer 15

-inept social performance
-social isolation
-sexuality
-drugs/war/divorce
-crowds
-gossip
-public speaking
-death

Question 16

2 myths that adolescents believe

Answer 16

-they are “on stage” w/ the attention of others constantly
-indestructible (ex: can have sex w/o gettting pregnant or speed & not get caught)

Question 17

what is not developed in an adolescent

Answer 17

the frontal lobe which leads to immaturity and poor decision making

Question 18

adolescent sleep

Answer 18

9.5 hrs

Question 19

what can cause clumsiness

Answer 19

growth spurts

Question 20

what % of adolescent girls are trying to lose weight

Answer 20

60% (1-3% have EDs)
sensitive

Question 21

how does sexual development affect an adolescent

Answer 21

-feels awkward towards opposite sex parent side hug
-ask more questions about sex esp if parent is more open to talking

Question 22

adolescent play

Answer 22

organized & recreational play or even just listening to music w/ friends
increase reading & language skills, body image, rapid & marked physical growth

Question 23

what is the #1 safety concern

Answer 23

motor vehicle accidents

Question 24

safety concerns for adolescents

Answer 24

-MVA
-rec sports
-substance abuse
-firearms
-sex
-depression & SI

Question 25

erikson: identity vs role confusion

Answer 25

-determine identity and what they believe in
-establish values
the more experiences the better

Question 26

piaget: formal operation

Answer 26

-abstract thinking
-think logical and into the future
-think & feel love
-career & future
-religion
still can be self centered