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Pediatrics Ch20.

General Growth and Development of the Adolescent

QuestionAnswer
What is puberty The stage in which the reproductive organs become functional and secondary sex characteristics develop
What are male hormones called Androgens
What are female hormones called Estrogens
When do both sexes produce equal amounts of androgens and estrogens During childhood
Which endocrine glands secrete hormones Adrenals, Ovaries, Testes
Where do the endocrine glands secrete hormones to The bloodstream
What stimulates the endocrine glands to secrete hormones Pituitary gland
What signals the pituitary gland to signal the endocrine glands Hypothalamus
When does the hypothalamus signal the pituitary gland to signal the endocrine glands to secrete hormones During puberty
When do boys begin to secrete more androgen than estrogen During puberty
When do girls begin to secrete more estrogen than androgen During puberty
What is the age of puberty It varies, but is earlier for girls than boys
What is a growth spurt and when does it occur When the final 20% of mature height is achieved during adolescence – by age 18
What is the general appearance of adolescents Awkward, long-legged, gangly
What causes the general appearance of adolescents Asynchrony
What causes asynchrony Different body parts maturing at different rates
What contributes to the commonness of oily skin and acne Very active sweat glands
Which sinuses are present at birth Ethmoid, Maxillary, Sphenoid
Which sinuses appear at age 6 Frontal
Which sinuses reach maximum size between ages 7 and 14 Ethmoid
Which sinuses mature after puberty Maxillary, Sphenoid
What is the developmental pattern of lymphnoid tissue Reaches adult size by age 6, hypertrophies during childhood, recedes to adult size in adolescence
Who’s eating patterns can precipitate nutritional anemia 2 year old’s & Adolescents
How do leukocytes change during adolescence They decrease to adult levels
What increases during periods of rapid bone growth Alkaline phosphatase
What is the pattern of pulse and respirations from birth to adulthood Decrease sharply after age 2 and gradually throughout childhood
What is the pattern of blood pressure from birth to adulthood Rises steadily from 6 years to adulthood
What is linked to sexual maturity due to hormone influences Skeletal growth
What affects the excretion of drugs Kidney and liver maturity
What are the ages for early adolescence 10 – 13
What are the ages for middle adolescence 14 – 16
What are the ages for late adolescence 17 – 21
During which period of adolescence do the secondary sex characteristics appear Early
During which period of adolescence is there a growth spurt in height Middle
During which period of adolescence does growth slow Late
During which period of adolescence is the child self conscious Early
During which period of adolescence does the child experiment with different images and looks Middle
During which period of adolescence does the child accept the body image Late
During which period of adolescence does the child adjust to pubertal changes Early
During which period of adolescence does the personality emerge Late
During which period of adolescence is there low self esteem and a denial of reality Early
During which period of adolescence is there impulsiveness, impatience, and identity confusion Middle
During which period of adolescence is there a empathetic, independent thinker with a positive self image Late
During which period of adolescence does the child behave for rewards Early
During which period of adolescence does the child behave to conform Middle
During which period of adolescence does the child show responsible behavior Late
During which period of adolescence is there sexual interest Early
During which period of adolescence is there sexual experimentation Middle
During which period of adolescence does the sexual identity emerge with the development of caring relationships Late
During which period of adolescence are there cliques of unisex friends, a best friend, hero worship, and adult crushes Early
During which period of adolescence does the child begin dating, need to please a significant peer, and develop a heterosexual peer group Middle
During which period of adolescence does the child value individual relationships and partner selection Late
During which period of adolescence is the child ambivalent to family while striving for independence Early
During which period of adolescence does the child struggle for autonomy and acceptance while rebelling/withdrawing and demanding privacy Middle
During which period of adolescence does the child achieve independence and reestablish family relationships Late
During which period of adolescence is the child a concrete thinker with the here and now being most important Early
During which period of adolescence is the child an early abstract thinker with daydreams and fantasies, and starts inductive and deductive reasoning Middle
During which period of adolescence is the child idealistic and capable of abstract thinking Late
During which period of adolescence is socializing a priority Early
During which period of adolescence are goals unreasonable Early
During which period of adolescence does the child identify skills/interests and become a superacheiver or a drop out Middle
During which period of adolescence does the child identify career goals and enter work or college Late
During which period of adolescence are the nursing interventions to convey limits and encourage verbalization Early
During which period of adolescence are the nursing interventions to help solve problems with choices, use peer group sessions, and provide privacy Middle
During which period of adolescence are the nursing interventions to discuss goals, allow participation in decisions, and provide confidentiality Late
Created by: futurenurse