School Nurse Certification Exam (NBCSN - unofficial).
What is the first sign of puberty in females? - Correct Answer Breast development
approx age 10 (7-13), about 3 years to develop
When does Menses begin? - Correct Answer ages 8-16
first is irregular and w/o ovulation
What is FSH?
What does it do in females? - Correct Answer FSH - follicle stimulating hormone
Females - stimulates ovarian development and estrogen production.
What is FSH?
What does it do in males? - Correct Answer FSH - follicle stimulating hormone
males - develops tubes in testes --> spermatogenesis & fertility
What age does penis reach adult size? - Correct Answer 17
What age does sperm emission start? - Correct Answer age 13
What is the first sign of puberty in males, and around what age? - Correct Answer
Testicular enlargement - around age 11-15
What is LH? - Correct Answer Luteninizing hormone (LH)
What does LH do? - Correct Answer stimulates testosterone release from leydig cells
(testicular enlargement)
Does sperm emission happen before or after pubic hair development and growth spurt -
Correct Answer Before
Role of Pituitary gland in puberty - Correct Answer Releases Luteninizing hormone (LH)
and follicle stimulating hormone (FSH)
Role of Hypothalamus in puberty - Correct Answer produces gonadotropin-releasing
hormone. starts the process.
this tells the Pituitary gland to start
Define Puberty - Correct Answer the physical changes to the body due to hormone activity
as per the Tanner Scale
,What is the Tanner Scale - Correct Answer The hormone activity which produces
secondary sex characteristics.
13-19 Developmental Tasks
- Physical
(2 major answers) - Correct Answer - Rapid period of growth, completes physical growth
- May appear clumsy while adjusting
Young males and breast growth - Correct Answer Some kids may have growth and
tenderness. Will resolve as testosterone level increase.
ASSURE child this is normal
When does growth spurt start and stop for males? - Correct Answer 2 years after girls
increases until age 20
When does growth spurt start and stop for females? - Correct Answer during puberty
finished 2 years after menarche
What are secondary sex characteristics for males? - Correct Answer chest growth, facial
hair, deep voice
Define secondary sex characteristics - Correct Answer Physical traits that are not directly
involved in reproduction but that indicate sexual maturity.
Difference of body fat changes in boys vs girls - Correct Answer Boys - decrease body fat
from 14.3% at Tanner Stage 1 to 11.2%
Girls - INCREASE body fat from 15.7% (Tanner 1) to 26.7% (Tanner 4)
What are secondary sex characteristics for females? - Correct Answer fatty tissue on
thighs, hips, breasts, hips broaden,
What body fat is needed for Menarche? - Correct Answer 17% to start, but need 22% to
maintain menstruation.
What are secondary sex characteristics for both? - Correct Answer pubic hair, increase of
sweat glands --> body odor, increase activity of sebaceous glands --> acne
Psychosocial growth ages 10-13 (early adolescence) - Correct Answer copes with
changes in physical self
- fantasy role play in different situations
,- test their independence
- peers are important
Psychosocial growth ages 14-17 (middle adolescence) - Correct Answer explores and
identifies personal values and defines self
- influenced by peers and their values, fads
- need to conform
- interest in sex increases, attraction
- may initiate sexual relationships
- family tensions may increase
Psychosocial growth ages 18-19 (late adolescence) - Correct Answer independence from
parents
developing a plan for the future
participating in society
gender identity - Correct Answer the gender with which you identify and feel most
comfortable regardless of biologic gender
sexual orientation - Correct Answer the gender(s) that a person is attracted to emotionally,
physically, sexually, and romantically
Cis-gender - Correct Answer Individuals whose gender identity corresponds to their
biological sex
Transgender - Correct Answer umbrella term for all gender-variant people who by nature
do not conform to gender-based expectations
Bisexual - Correct Answer a person who is sexually attracted to both sexes
Cognitive development for adolescence - Correct Answer abstract thinking
ability to analyze and synthesize
use logic
Begins awareness of the long-term consequences of their actions.
Nutritional intake influences adult health status how? - Correct Answer Calcium - needed
for bone health
High cholesterol can compromise cardiovascular health
Diet habits of teens - Correct Answer skipping meals (esp bkst)
increased snacking
fast food
- a social event, influenced by peers
May become weight-conscious and develop unhealthy dieting habits
, Dental concerns for teens - Correct Answer good oral hygiene
bi-annual dentist appts
final molars (wisdom teeth) may finally erupt
Most common childhood chronic disease - Correct Answer Dental Caries
Health promotion for teens - Correct Answer internet safety (sexting, cyberbullying)
attention to body hygiene, self-care
pregnancy
STI
focus on personal responsibility for health
Methods to talk to teens - Correct Answer motivational interviewing
active listening
open-ended questions
remain nonjudgmental
obtain health-related information
maintain privacy, modesty
Be alert for (when talking to teens) - Correct Answer bullying/cyberbullying
sexual harrassment/abuse
dating violence
human trafficking
self-harm
social determinants of health - Correct Answer The conditions in which people are born,
grow, live, work, and age, shaped by the distribution of money, power, and resources at
global, national, and local levels
Adverse Childhood Experiences (ACEs) - Correct Answer Traumatic events that occur in
childhood that have a dose-response relationship to social and emotional problems
High ACE Score risks increase... - Correct Answer alcohol abuse
depression
heart disease
suicide attempts
smoking
early sexual activity
teen pregnancy
poor academic outcome
Pair of ACEs - Correct Answer Adverse Childhood Experiences + Adverse Community
Environments
Biologic family - Correct Answer born into
What is the first sign of puberty in females? - Correct Answer Breast development
approx age 10 (7-13), about 3 years to develop
When does Menses begin? - Correct Answer ages 8-16
first is irregular and w/o ovulation
What is FSH?
What does it do in females? - Correct Answer FSH - follicle stimulating hormone
Females - stimulates ovarian development and estrogen production.
What is FSH?
What does it do in males? - Correct Answer FSH - follicle stimulating hormone
males - develops tubes in testes --> spermatogenesis & fertility
What age does penis reach adult size? - Correct Answer 17
What age does sperm emission start? - Correct Answer age 13
What is the first sign of puberty in males, and around what age? - Correct Answer
Testicular enlargement - around age 11-15
What is LH? - Correct Answer Luteninizing hormone (LH)
What does LH do? - Correct Answer stimulates testosterone release from leydig cells
(testicular enlargement)
Does sperm emission happen before or after pubic hair development and growth spurt -
Correct Answer Before
Role of Pituitary gland in puberty - Correct Answer Releases Luteninizing hormone (LH)
and follicle stimulating hormone (FSH)
Role of Hypothalamus in puberty - Correct Answer produces gonadotropin-releasing
hormone. starts the process.
this tells the Pituitary gland to start
Define Puberty - Correct Answer the physical changes to the body due to hormone activity
as per the Tanner Scale
,What is the Tanner Scale - Correct Answer The hormone activity which produces
secondary sex characteristics.
13-19 Developmental Tasks
- Physical
(2 major answers) - Correct Answer - Rapid period of growth, completes physical growth
- May appear clumsy while adjusting
Young males and breast growth - Correct Answer Some kids may have growth and
tenderness. Will resolve as testosterone level increase.
ASSURE child this is normal
When does growth spurt start and stop for males? - Correct Answer 2 years after girls
increases until age 20
When does growth spurt start and stop for females? - Correct Answer during puberty
finished 2 years after menarche
What are secondary sex characteristics for males? - Correct Answer chest growth, facial
hair, deep voice
Define secondary sex characteristics - Correct Answer Physical traits that are not directly
involved in reproduction but that indicate sexual maturity.
Difference of body fat changes in boys vs girls - Correct Answer Boys - decrease body fat
from 14.3% at Tanner Stage 1 to 11.2%
Girls - INCREASE body fat from 15.7% (Tanner 1) to 26.7% (Tanner 4)
What are secondary sex characteristics for females? - Correct Answer fatty tissue on
thighs, hips, breasts, hips broaden,
What body fat is needed for Menarche? - Correct Answer 17% to start, but need 22% to
maintain menstruation.
What are secondary sex characteristics for both? - Correct Answer pubic hair, increase of
sweat glands --> body odor, increase activity of sebaceous glands --> acne
Psychosocial growth ages 10-13 (early adolescence) - Correct Answer copes with
changes in physical self
- fantasy role play in different situations
,- test their independence
- peers are important
Psychosocial growth ages 14-17 (middle adolescence) - Correct Answer explores and
identifies personal values and defines self
- influenced by peers and their values, fads
- need to conform
- interest in sex increases, attraction
- may initiate sexual relationships
- family tensions may increase
Psychosocial growth ages 18-19 (late adolescence) - Correct Answer independence from
parents
developing a plan for the future
participating in society
gender identity - Correct Answer the gender with which you identify and feel most
comfortable regardless of biologic gender
sexual orientation - Correct Answer the gender(s) that a person is attracted to emotionally,
physically, sexually, and romantically
Cis-gender - Correct Answer Individuals whose gender identity corresponds to their
biological sex
Transgender - Correct Answer umbrella term for all gender-variant people who by nature
do not conform to gender-based expectations
Bisexual - Correct Answer a person who is sexually attracted to both sexes
Cognitive development for adolescence - Correct Answer abstract thinking
ability to analyze and synthesize
use logic
Begins awareness of the long-term consequences of their actions.
Nutritional intake influences adult health status how? - Correct Answer Calcium - needed
for bone health
High cholesterol can compromise cardiovascular health
Diet habits of teens - Correct Answer skipping meals (esp bkst)
increased snacking
fast food
- a social event, influenced by peers
May become weight-conscious and develop unhealthy dieting habits
, Dental concerns for teens - Correct Answer good oral hygiene
bi-annual dentist appts
final molars (wisdom teeth) may finally erupt
Most common childhood chronic disease - Correct Answer Dental Caries
Health promotion for teens - Correct Answer internet safety (sexting, cyberbullying)
attention to body hygiene, self-care
pregnancy
STI
focus on personal responsibility for health
Methods to talk to teens - Correct Answer motivational interviewing
active listening
open-ended questions
remain nonjudgmental
obtain health-related information
maintain privacy, modesty
Be alert for (when talking to teens) - Correct Answer bullying/cyberbullying
sexual harrassment/abuse
dating violence
human trafficking
self-harm
social determinants of health - Correct Answer The conditions in which people are born,
grow, live, work, and age, shaped by the distribution of money, power, and resources at
global, national, and local levels
Adverse Childhood Experiences (ACEs) - Correct Answer Traumatic events that occur in
childhood that have a dose-response relationship to social and emotional problems
High ACE Score risks increase... - Correct Answer alcohol abuse
depression
heart disease
suicide attempts
smoking
early sexual activity
teen pregnancy
poor academic outcome
Pair of ACEs - Correct Answer Adverse Childhood Experiences + Adverse Community
Environments
Biologic family - Correct Answer born into
