Peds Exam 1 - Adolescent Flashcards
what is the difference of height and weight when referring to adolescents
differentiates by gender
height in females
-fastest in early puberty
-gain 5-20cm (2-8 in)
height in males
-fastest in mid puberty
-gain 10-30 cm (4-12 in)
weight in females
gains 7-25 kg (15-55lbs)
weight in males
gains 7-30 kg (15-65 lbs)
adolescent ages
13-18 y/o
secondary sex characteristics in females
earliest change is in breast development -> 2 to 6 mo later pubic hair
how long after breast development does a female usually get their period
2 years after
good to educate parents about this
pubertal delay indications in females
no breast development by age 13 OR no menarche within 2-2.5 yrs of the onset of breast development
precocious puberty in females
goes into puberty early
breast development or public hair occurs before 6 or 7 yrs old
secondary sex characteristics in males
first testicular enlargement between 9.5-14 yo then pubic hair grows
gynecomastia
breast development in males (mid puberty)
pubertal delay in males
-no testicular or scrotum enlargement by 14 yp
-genital growth is not complete 4 yrs after testicles enlarge
precocious puberty in males
secondary sex characteristics occur before age 9
what causes stress to an adolescent
-inept social performance
-social isolation
-sexuality
-drugs/war/divorce
-crowds
-gossip
-public speaking
-death
2 myths that adolescents believe
-they are “on stage” w/ the attention of others constantly
-indestructible (ex: can have sex w/o gettting pregnant or speed & not get caught)
what is not developed in an adolescent
the frontal lobe which leads to immaturity and poor decision making
adolescent sleep
9.5 hrs
what can cause clumsiness
growth spurts
what % of adolescent girls are trying to lose weight
60% (1-3% have EDs)
sensitive
how does sexual development affect an adolescent
-feels awkward towards opposite sex parent side hug
-ask more questions about sex esp if parent is more open to talking
adolescent play
organized & recreational play or even just listening to music w/ friends
increase reading & language skills, body image, rapid & marked physical growth
what is the #1 safety concern
motor vehicle accidents
safety concerns for adolescents
-MVA
-rec sports
-substance abuse
-firearms
-sex
-depression & SI
erikson: identity vs role confusion
-determine identity and what they believe in
-establish values
the more experiences the better
piaget: formal operation
-abstract thinking
-think logical and into the future
-think & feel love
-career & future
-religion
still can be self centered
