Exam (elaborations)
Chapter 15. Health Promotion of the Adolescent and Family
- Course
- Pediatric nursing
- Institution
- Baylor College Of Medicine
Chapter 15. Health Promotion of the Adolescent and Family
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Chapter 15. Health Promotion of the Adolescent and FamilyMULTIPLE CHOICE
1. How does the onset of the pubertal growth spurt compare in girls and boys?
a. In girls, it occurs about 1 year before it appears in boys.
b. In girls, it occurs about 3 years before it appears in boys.
c. In boys. it occurs about 1 year before it appears in girls.
d. It is about the same in both boys and
girls. ANS: A
The average age of onset is 9 1/2 years for girls and 10 1/2 years for boys. Although pubertal
growth spurts may occur in girls 3 years before it appears in boys on an individual basis, the
, b. Teach basic rules of water safety.
average difference is 1 year. Usually girls begin their pubertal growth spurt earlier than
boys. DIF: Cognitive Level: Applying REF: dl. 658
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. In girls, what is the initial indication of puberty?
a. Menarche
b. Growth spurt
c. Breast development
d. Growth of pubic
hair ANS: C
In most girls, the initial indication of puberty is the appearance of breast buds, an event known as
thelarche. The usual sequence of secondary sexual characteristic development in girls is breast
changes, a rapid increase in height and weight, growth of pubic hair, appearance of axillary hair,
menstruation (menarche), and abrupt deceleration of linear growth.
DIF: Cognitive Level: Understanding REF: dl. 654
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
3. Girls experience an increase in weight and fat deposition during puberty. What do nursing
considerations related to this include?
a. Give reassurance that these changes are normal.
, b. Suggest dietary measures to control weight gain.
c. Encourage a low-fat diet to prevent fat deposition.
d. Recommend increased exercise to control weight gain.
ANS: A
A certain amount of fat is increased along with lean body mass to fill the characteristic contours
of the adolescents gender. A healthy balance must be achieved between expected healthy weight
gain and obesity. Suggesting dietary measures or increased exercise to control weight gain would
not be recommended unless weight gain was excessive because eating disorders can develop in
this group. Some fat deposition is essential for normal hormonal regulation. Menarche is delayed
in girls with body fat contents that are too low.
DIF: Cognitive Level: Applying REF: dl. 655
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
4. In boys, what is the initial indication of puberty?
a. Voice changes
b. Growth of pubic hair
c. Testicular enlargement
d. Increased size of
penis ANS: C
Testicular enlargement is the first change that signals puberty in boys; it usually occurs between
the ages of 9 1/2 and 14 years during Tanner stage 2. Voice change occurs between Tanner
stages 3 and 4. Fine pubic hair may occur at the base of the penis; darker hair occurs
during Tanner stage 3. The penis enlarges during Tanner stage 3.
DIF: Cognitive Level: Understanding REF: dl. 655
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
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