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PEDS - CHAP 20
Pediatrics Chapter 20 - CCC
Question | Answer |
---|---|
The adolescent has an appearance of secondary what? | sex characteristics |
What ends with cessation of growth and emotional maturity? | adolescent |
what is the first sign of adolescence in boys? | testicles |
what is divided into early, middle and late because of the changes that occu between 13 and 18 years of age? | adolescent |
a major task of an adolescent is to establish a what? | identity |
a major task of an adolescent is to seperate from who? | family |
a major task of an adolescent is to initiate what? | intimacy |
a major task of an adolescent is to develop career choices for economic what? | independence |
adjustinc to rapid physical and physiological changes are major challenges for who? | adolescent |
a major challenge for an adolescent is to maintain what? | privacy |
coping with social stresses and pressures are major challenges for who? | adolescent |
a major challenge for adolescents is to maintain open what? | communication |
developing positive health care practices and lifestyle choices are major challenges for who? | adolescent |
what age surge toward independence more pronounced? | adolescent |
it is difficult for adolescents to get along with who? | parents |
in adolescents what rapidly changes? | bodies |
adolescents experience intense what? | sexual drives |
what is one of the strongest needs of adolescents in society? | conformity |
Erikson is associated with what stage? | intimacy |
Piaget is associated with what stage? | abstract reasoning |
Freud is associated with what stage? | genital |
Adolescence begins in girls what age? | 10-13 |
Adolescence is marked by rapid changes in _______ and function of various body parts | structure |
adolescence is distinguished by what? | puberty |
during childhood, boys and girls produce somewhat equal amounts of what? | androgens and estrogen |
what signals pituitary gland to stimulate other endocring glands to secrete hormones? | hypothalamus |
in adolesence, the age of what varies? | puberty |
adolesence occurs 2 years earlier in who? | girls |
growth spurt occurs by when? | 18 years |
major cause of weight gain is due to increased what? | skeletal mass |
the general apperance of adolescence tends to be what? | awkward |
long-legged and gangling (asynchrony) because different body parts mature how? | different rates |
sweat glands in adolescence are what? | very active |
oily skin and what are common in adolescence? | acne |
puberty begins with hormonal changes between what ages in boys? | 10-13 |
what begins to grow on face, chest, axillae and pubic areas in boys? | hair |
what widen in boys? | shoulders |
what do pectoral muscles do in boys? | enlarge |
true/false: the voice deepens in boys | true |
genitals increase in size, pigment changes occur, and noctural emissions occur in who? | boys |
in boys, it is important to teach what | testicle self-exams |
puberty changes occur ___ - ____ before they occur in boys | 6 months-2 years |
early recognition in girls is by the onset of menustration which is called what? | menarche |
adolescence commonly occurs around what age? | 12-13 years |
in girls, what is deposited in hips, thighs and breasts? | fat |
in girls, energy balance, activity, and nutrition are important factors to evaluate when what is delayed? | menustration |
in psychosocial development, fluctuates during adolescence and molded by demands from a variety of people are included in the sense of what? | identity |
in psychosocial development, closely entwined with resolving of a person's sense of identity, period of trying and testing and need practice in making decisions are included in the sense of what? | intimacy |
in psychoscoial development, good of family takes precedence over personal goals, focus on values and ideals of family, decided to either embrace or seperate from family values and ideals are what considerations? | cultural and spiritual |
In psychosocial development, believe everyone is looking at them, take pride in their abilities and every effort is made to be like peers - grooming is important at this stage and it also includes daydreaming? | realistic body image |
In cognitive development, whose stage is systematic, sequential and orderly? | Piaget |
In cognitive development, whose stage is still in concrete phase of thinking? | Piaget |
In cognitive development, by middle adolescence, the ability to think abstractly has increased in whose stage? | Piaget |
In cognitive development, whose stage is formal operations? | Piaget |
In cognitive development, older adolescents can see situations from many what? | viewpoints |
in cognitive development, what kind of thinking emerges? | abstract |
nurse must focus on concrete issues and concerns when teaching early who? | adolescents |
able to sympathize and empathize are both important in what kind of development? | cognitive |
in what kind of development, can they understand their own values and actions? | cognitive |
in what kind of development, can you understand and accept differing values and actions from others? | cognitive |
what kind of relationships help adolescents feel like they belong? | peer |
what assumes an important role in peer relationships? | school |
in peer relationships, belonging to a what is extremely important? | group |
in peer relationships, what form? | cliques |
in peer relationships, develop close personal relationship with one peer of the? | same sex |
what is vitally important in helping adolescents define themselves? | peer relationships |
socail norms and pressures exerted by peers may cause what? | problems |
in career plans, to choose a career that is best-suited for them, they must first know what? | themselves |
who should observe intrests of their children and encourage them to take advantage of their talents? | parents |
school guidance counselor administers what kind of tests? | aptitude |
to be happy in career choices, adolescent must choose it how? | own free will |
in responsibility, parents must encourage their children to take on new challenges like what? | working and driving |
in order to take responsibility, the adolescent must be taught the value of what? | money |
in order to take responsibility, the adolescent must be taught how to use and balance what? | checkbook |
what is normal and natural behavior for this group? | daydreams |
daydreams are usually considered what? | harmless |
what is a valuable safety valve for the expression of strong feelings? | daydreams |
in sexual behavior, adolescents must meet and become acquainted with members of who? | opposite sex |
what is done in groups, couples or single couples? | dating |
what often occurs as a response to peer pressure? | sexual experimentation |
sexual behavior can affect what? | growth and development |
unplanned pregnancy and stis are 2 major complications of adolescent sexual interaction because few use what? | protection |
what can be challenging for the adolescent? | sex education |
what should be presented as age-appropriate? | sex education |
coping skills for dating and sexuality, pregnancy and birth can be reviewed in what? | sex education |
abstinence and contraception are discussed in what? | sex education |
in sex education, what is emphasized? | decision-making |
studies show that adolescents who obtain early sex education information from caring parents or well-informed adults do not have a higher rate of what? | sexual activity |
in sex education, concerns about being different include sexual maturity not being the same as what? | peers |
in sex education, homosexuality is what in adolescene? | not uncommon |
can it be difficult for parents to cope with adolescents? | yes |
some parents are unsure of their what and may hesitate to exert authority? | opinions |
adolescents need to talk about their what? | fears |
who need assistance in sorting out confused feelings? | parents |
in parenting, it is important to keep lines of communication what? | open |
health promotion includes adolescent warning signs and need for what? | intervention |
spending time on the what, early in the morning | computer |
changes the screen on the computer when a parents does what? | enters the room |
what kind of material is usually on the computer? | pornographic |
makes what kind of frequent calls? | long-distance |
in nutrition, what kind of deficiences are more common? | dietary |
what kind of requirements are more strongly correlated with sexual maturity ratings than with age? | nutritional |
in adolescents, skipped-meals, more between-meal snacks and does what more? | eats out |
in nutrition, what is most likely to be inadequately supplied, such as calcium, iron, vitamin b12 | elements |
what kind of diet needs good source of zinc, nuts and lagums? | vegetarian |
in vegetarian diet, high intake of grains, bran and foods rich in oxalic acid can impair absorption of what? | iron |
athletes exhaust reserves of what? | muscle glycogen |
eating a slowly absorbed glucose source will prevent the development of chronic low muscle what? | energy stores |
what deplete body water and should be avoided? | caffeine and alcohol |
what are detrimental to bone growth? | anabolic steroids |
in personal care, what is more frequent because of body changes? | bathing |
true/false: body piercings are common | true |
in dental health, what are adolescents at risk for because of inadequate dental maintenance and snack foods? | dental caries |
what fosters growth of plaque and accumulation of food particles? | lack of hygiene |
in personal care, sunbathing is important to teach and enforce the need for adequate sun protection to prevent what? | skin cancer |
it is important to protect eyes from prolonged exposure to what? | sun |
what is the most common accidents that kill and cripple adolescents at an alarming rate? | motor vehicle |
who should assess for eating disorder, amenorrhea and osteoporosis? | nurse |
in substance abuse, the need to conform, to be accepted, peer pressure and the emotional depression that often occur are strong influences for drug what? | experimentation |
if 2 or more letters of what are problem areas, the adolescent may be at risk for drug abuse? | pace |
drug use can precede the development of what? | depression |
a change in school performance, appearance or behavior can be a warning sign of what? | depression |
a threat of what is a call for help that must be taken care of without delay? | suicide |
who can help with depression by: recognizing depression, encouraging open communication, posting the numbers of available hotlines, identifying appropriate mechanisms and providing professional referrals? | school nurse |
what kind of pregnancy occurs while the girl is still struggling to deal with developmental issues? | adolescent |
age at which pregnancy intake, nutrition, taking vitamins-folic acid, sexual act are risk factors for what? | adolescent pregnancy |
tasks of an unplanned pregnancy can be broken down into how many trimesters? | 3 |
what is the first task of adolescent pregnancy? | confirmation |
what is the second task of adolescent pregnancy? | focus on newborns real |
what is the third task of adolescent pregnancy? | preparation for newborn and birth process |
the nursing approach to adolescents are open lines of what? | communication |
the nursing approach to provide for what? | privacy |
the nursing approach is to ensure what? | confidentiality and respect |
guide parents concerning the need to listen, understand and share with their adolescent is the nursing approach to what? | adolescents |
nutrition, dental care, personal care, accident prevention, money and time managment and substance abuse are factors of what? | health care teaching |
period of human development beginning with puberty and ending with young adulthood | adolescence |
lack of occurence in time, a growing child may look gangling because of this | asynchrony |
the beginning of menstrual and reproductive functions in girls | menarche |
the period during which the secondary sexual characteristics develop and the ability to procreate is attained | puberty |