Chapter 15: Health Promotion of the Adolescent and Family Hockenberry: Wong’s Essentials of Pediatric Nursing, 10th Edition

1. What is the initial indication of puberty in girls? a. Menarche b. Growth spurt c. Growth of pubic hair d. Breast development ANS: D In most girls, the initial indication of puberty is the appearance of breast buds, an event known as thelarche. The usual sequence of secondary sex characteristic development in girls is breast changes, rapid increase in height and weight, growth of pubic hair, appearance of axillary hair, menstruation, and abrupt deceleration of linear growth. DIF: Cognitive Level: Understand REF: p. 448 TOP: Integrated Process: Nursing Process: Assessment MSC: Area of Client Needs: Health Promotion and Maintenance 2. A school nurse is teaching a group of preadolescent girls about puberty. Which is the mean age of menarche for girls in the United States? a. years b. years c. years d. 14 years ANS: B The average age of menarche is 12 years 9.5 months in North American girls, with a normal range of to 15 years. Ages , , and 14 are within the normal range for menarche, but these are not the average ages. DIF: Cognitive Level: Remember REF: p. 448 TOP: Integrated Process: Teaching/Learning MSC: Area of Client Needs: Health Promotion and Maintenance 3. A school nurse is teaching a group of preadolescent boys about puberty. By which age should concerns about pubertal delay be considered? a. 12 years b. 13 years c. 14 years d. 15 years ANS: C Concerns about pubertal delay should be considered for boys who exhibit no enlargement of the testes or scrotal changes from to 14 years. Ages 12 to years is too young for initial concern. NURSINGTB.COM WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TEST BANK This study source was downloaded by from CourseH on :09:28 GMT -05:00 NURSINGTB.COM DIF: Cognitive Level: Remember REF: p. 449 TOP: Integrated Process: Teaching/Learning MSC: Area of Client Needs: Health Promotion and Maintenance 4. A 14-year-old male mentions that he now has to use deodorant but never had to before. The nurse’s response should be based on knowledge that which occurs during puberty? a. Eccrine sweat glands in the axillae become fully functional during puberty. b. Sebaceous glands become extremely active during puberty. c. New deposits of fatty tissue insulate the body and cause increased sweat production. d. Apocrine sweat glands reach secretory capacity during puberty. ANS: D The apocrine sweat glands, nonfunctional in children, reach secretory capacity during puberty. They secrete a thick substance as a result of emotional stimulation that, when acted on by surface bacteria, becomes highly odoriferous. They are limited in distribution and grow in conjunction with hair follicles, in the axilla, genital, anal, and other areas. Eccrine sweat glands are present almost everywhere on the skin and become fully functional and respond to emotional and thermal stimulation. Sebaceous glands become extremely active at this time, especially those on the genitalia and the “flush” areas of the body such as face, neck, shoulders, upper back, and chest. This increased activity is important in the development of acne. New deposits of fatty tissue is not the etiology of apocrine sweat gland activity. DIF: Cognitive Level: Understand REF: p. 449 TOP: Integrated Process: Teaching/Learning MSC: Area of Client Needs: Health Promotion and Maintenance 5. According to Erikson, which psychosocial task is developing in adolescence? a. Intimacy b. Identity c. Initiative d. Independence ANS: B Traditional psychosocial theory holds that the developmental crises of adolescence lead to the formation of a sense of identity. Intimacy is the developmental stage for early adulthood. Independence is not one of Erikson’s developmental stages. DIF: Cognitive Level: Understand REF: p. 453 TOP: Integrated Process: Nursing Process: Assessment MSC: Area of Client Needs: Health Promotion and Maintenance 6. A nurse is planning a teaching session for a group of adolescents. The nurse understands that by adolescence the individual is in which stage of cognitive development? a. Formal operations b. Co