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parent/child: ch 35
| Question | Answer |
|---|---|
| Puberty | Refers to the maturational, hormonal, & growth process that occurs when the reproductive organs begin to function & the secondary sex characteristics develop |
| Postpubescence | A 1- to 2-year period after puberty during which skeletal growth is completed & reproductive functions become fairly well established |
| Adolescence | Literally means “to grow into maturity;” generally regarded as the psychologic, social, & maturational process initiated by the pubertal changes Early: 11 - 14 Middle: 15 - 17 Late: 18 - 20 |
| Teenage years | Used synonymously with adolescence to describe ages 13 through 19 years |
| Primary sex characteristics | The external & internal organs that carry out the reproductive functions (e.g., ovaries, uterus, breasts, penis) |
| Secondary sex characteristics | The changes that occur throughout the body as a result of hormonal changes (e.g., voice alterations, development of facial hair, fat deposits) but that play no direct part in reproduction |
| Physical changes of puberty | Primarily the result of hormonal activity |
| Estrogen | The feminizing hormone |
| Androgens | The masculinizing hormones |
| Tanner stages | The stages of development of secondary sex characteristics & genital development have been defined as a guide for estimating sexual maturity |
| Thelarche | In most girls, the initial indication of puberty is the appearance of breast buds; occurs between 8 & 13 years old |
| Adrenarche | Growth of pubic hair on the mons pubis |
| Menarche | The initial appearance of menstruation; occurs about 2 years after the appearance of the first pubescent changes, approximately 9 months after attainment of peak height velocity, & 3 months after attainment of peak weight velocity |
| Pubertal delay (girls) | Breast development has not occurred by 13 years old |
| Gynecomastia | Temporary breast enlargement & tenderness; normal |
| Pubertal delay (boys) | Should be considered for boys who exhibit no enlargement of the testes or scrotal changes by 14 years old |
| Growth spurt | Most of the growth of the skeletal muscles & internal organs occurs during a 24- to 36-month period; growth in length of the extremities & neck precedes growth in other areas |
| Usual sequence of maturational changes (Girls) | Breast changes -> rapid increase in height & weight -> growth of pubic hair -> appearance of axillary hair -> menstruation (usually begins 2 years after first signs) -> abrupt deceleration of linear growth |
| Usual sequence of maturational changes (boys) | Enlargement of testicles -> growth of hair -> rapid increase in height -> voice changes -> nocturnal emissions (wet dreams) -> abrupt deceleration of linear growth |
| Piaget (Cognitive development) | Abstract thinking; formal operations; they think beyond the present |
| Kohlberg (Moral development) | They seriously question established moral codes, often as a result of observing that adults verbally ascribe to a code but do not adhere to it |
| Spiritual development | Adolescents place more emphasis on the internal aspects of religion & less emphasis on external manifestations |
| Erikson (Psyhcosocial development) | Task of identity: to develop a stable, coherent picture of oneself; identity vs. alienation -> development of a sense of personal identity as opposed to role diffusion |
| Sexual identity | Part of adolescent identity formation |
| Sexual orientation | Defined as a pattern of sexual arousal or romantic attraction toward persons (heterosexual, homosexual, bisexual, transgender, or asexual) |
| Authoritative parenting | Parents should be guided towards this; authority is used to guide the adolescent while allowing developmentally appropriate levels of freedom & providing clear, consistent messages regarding expectations |
| Cyberbullying | Where teens engage in insults, harassment, & publicly humiliating statements online or on cell phones |
| Injury prevention during adolescence | Pg. 947 |
| Immunizations | Tdap, HPV, & meningitis |