Perry: Maternal Child Nursing Care
[Test Bank for Perry’s Maternal Child
Nursing Care in Canada – 3rd Edition by
Lisa Keenan-Lindsay am
Chapter 35: The Adolescent and Family |
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, Chapter 35: The Adolescent and Family
Perry: Maternal Child Nursing Care
2. 1. In girls, what is the initial indi- ANS: D
cation of puberty? am In most girls, the initial indication of puberty is the ap-
a. Menarche pearance of breast buds, an event known as the larche.
b. Growth spurt The usual sequence of secondary sexual characteristic
c. Growth of pubic hair development in girls is breast changes, rapid increase
d. Breast development in height and weight, growth of pubic hair, appearance
of axillary hair, menstruation, and abrupt deceleration of
linear growth.
3. 2. The mean age of menarche in ANS: B
the United States is: am The average age of menarche is 12 years and 4 months in
a. 11.5 years. North American girls, with a normal range of 10.5 to 15
b. 12.5 years. years.
c. 13.5 years.
d. 14 years.
4. 3. By what age should concerns ANS: D
about pubertal delay be consid- Concerns about pubertal delay should be considered for
ered in boys? am boys who exhibit no enlargement of the testes or scrotal
a. 12 to 12.5 years changes by 13.5 to 14 years of age. Ages younger than
b. 12.5 to 13 years 13.5 years are too young for initial concern.
c. 13 to 13.5 years
d. 13.5 to 14 years
5. 4. A 14 years old, mentions that ANS: D
he now has to use deodorant but The apocrine sweat glands, nonfunctional in children,
never had to before. The nurse's reach secretory capacity during puberty. They secrete a
response should be based on thick substance as a result of emotional stimulation that,
what knowledge? am when acted on by surface bacteria, becomes highly odor-
a. Eccrine sweat glands in the ax- iferous. They are limited in distribution and grow in con-
illae become fully functional dur- junction with hair follicles in the axillae, genital and anal
, Chapter 35: The Adolescent and Family
Perry: Maternal Child Nursing Care
ing puberty. areas, and other areas. Eccrine sweat glands are present
b. Sebaceous glands become ex- almost everywhere on the skin and become fully func-
tremely active during puberty. tional and respond to emotional and thermal stimulation.
c. New deposits of fatty tissue Sebaceous glands become extremely active at this time,
insulate the body and cause in- especially those on the genitals and the "flush" areas of
creased sweat production. the body, such as face, neck, shoulders, upper back, and
d. Apocrine sweat glands reach chest. This increased activity is important in the develop-
secretory capacity during puber- ment of acne. New deposits of fatty tissue insulate the
ty. body and cause increased sweat production, but this is
not the etiology of apocrine sweat gland activity.
6. 5. According to Erikson, what is ANS: B
the psychosocial task of adoles- Traditional psychosocial theory holds that the develop-
cence? am mental crises of adolescence lead to the formation of a
a. Intimacy sense of identity. Intimacy is the developmental stage for
b. Identity early adulthood. Initiative is the developmental stage for
c. Initiative early childhood. Independence is not one of Erikson's
d. Independence developmental stages.
7. 6. According to Piaget, the adoles- ANS: A
cent is in the fourth stage of cog- Cognitive thinking culminates with capacity for abstract
nitive development with a focus thinking. This stage, the period of formal operations, is Pi-
on what area? am aget's fourth and last stage. The concrete operations stage
a. Formal operations usually develops between ages 7 and 11 years. Conven-
b. Concrete operations tional and postconventional thought refer to Kohlberg's
c. Conventional thought stages of moral development.
d. Postconventional thought
8. 7. Which aspect of cognition de- ANS: A
velops during adolescence? Adolescents are no longer restricted to the real and actual.
a. Capability to use a future time They are also concerned with the possible; they think be-