Prime yourself for your Tests
– Study Questions
Chapter 29 Growth and Development of the Adolescent
Maternity and Pediatric Nursing - Third Edition
1. The nurse teaches parents of adolescents that adolescents need the support of
parents and nurses to facilitate healthy lifestyles. Which of the following should be a priority
focus of this guidance?
A) Reducing risk-taking behavior
B) Promoting adequate physical growth
C) Maximizing learning potential
D) Teaching personal hygiene routines
2. The nurse has seen a 15-year-old girl and a 16-year-old boy during health surveillance
visits. Which of the following physical characteristics would be seen in both teenagers?
A) Decreased respiratory rates of 15 to 20 breaths per minute
B) Eruption of last four molars
C) Increased shoulder, chest, and hip widths
D) Fully functioning sweat and sebaceous glands
3. The nurse is performing an assessment of the reproductive system of a 17-year-old
girl.
Which of the following would alert the nurse to a developmental delay in this girl?
A) Areola and papilla separate from the contour of the breast
B) Mature distribution and coarseness of pubic hair
C) Developed breast tissue
D) Occurrence of first menstrual period
, Prime yourself for your Tests
– Study Questions
4. The school nurse is performing health assessments on students in middle school. Of
which of the following developmental milestones should the nurse be aware?
A) Height in girls increases rapidly after menarche and usually ceases
immediately after menarche.
B) Boys' growth spurt usually begins between the ages of 8 and 14 years and
ends between the ages of 131/2 and 171/2 years.
C) Peak height velocity (PHV) occurs at approximately 12 years of age in girls or
about 6 to 12 months after menarche.
D) Boys reach PHV and peak weight velocity (PWV) at about 16 years of age.
5. After assessing a 10-year-old girl, the nurse documents the appearance of breast buds,
identifying this as which of the following?
A) Menarche
B) Thelarche
C) Puberty
D) Tanner stage 5
6. When describing the various changes that occur in organ systems during adolescence,
which of the following would the nurse include?
A) Significant increase in brain size
B) Ossification completed later in girls
C) Decrease in heart rate
D) Decrease in activity of sebaceous glands
7. The school nurse is performing a physical examination on a 13-year-old boy who is on
the soccer team. Which of the following is a physical quality that develops during these early
adolescent years?
A) Coordination
, Prime yourself for your Tests
– Study Questions
B) Endurance
C) Speed
D) Accuracy
8. Based on Erikson's developmental theory, which of the following is the major
developmental task of the adolescent?
A) Gaining independence
B) Finding an identity
C) Coordinating information
D) Mastering motor skills
9. The nurse assesses the spirituality of an adolescent. Which of the following are normal
moral and spiritual milestones in this age group? Select all answers that apply.
A) Adolescents will base their actions on the avoidance of punishment and the
attainment of pleasure.
B) Adolescents develop their own set of morals and values and question the
status quo.
C) Adolescents undergo the process of developing their own set of morals at
different rates.
D) Adolescents are more interested in the spiritualism of their religion than in the
actual practices of their religion.
E) Adolescents can understand the concepts of right and wrong and are
developing a conscience.
F) Adolescents are able to understand and incorporate into their behavior the
concept of the “golden rule.”
10. The school nurse is conducting a seminar for parents of adolescents on how to
communicate with teenagers. Which of the following guidelines might the nurse
recommend? Select all answers that apply.
, Prime yourself for your Tests
– Study Questions
A) Talk face to face and be aware of body language.
B) Ask questions to see why he or she feels that way.
C) Do not give praise unless the adolescent deserves it.
D) Speak to your child as an authority figure, not an equal.
E) Don't admit that you make mistakes.
F) Don't pretend you know all the answers.
11. The nurse is teaching the parents of a 12-year-old boy about appropriate approaches
when raising an adolescent. Which of the following comments should be included in the
discussion?
A) “Find out if his friends are worthy of him.”
B) “Try to be open to his views.”
C) “Maintain a firm set of rules.”
D) “Remind him that he is still your little boy.”
12. The mother of a 14-year-old girl complains to the nurse that her daughter is moody,
shuts herself in her room, and fights with her younger sister. Which of the following
comments is most valuable to the mother? A) “Calmly talk to her about your concerns.”
B) “This is normal for her age.”
C) “She may be hanging with a bad crowd.”
D) “Set some rules for family etiquette.”
13. The adolescent continues to develop self-concept and self-esteem. Which of the
following is most important to a teen's self-esteem?
A) Strong authority figures
B) Spirituality
C) Morals and values
– Study Questions
Chapter 29 Growth and Development of the Adolescent
Maternity and Pediatric Nursing - Third Edition
1. The nurse teaches parents of adolescents that adolescents need the support of
parents and nurses to facilitate healthy lifestyles. Which of the following should be a priority
focus of this guidance?
A) Reducing risk-taking behavior
B) Promoting adequate physical growth
C) Maximizing learning potential
D) Teaching personal hygiene routines
2. The nurse has seen a 15-year-old girl and a 16-year-old boy during health surveillance
visits. Which of the following physical characteristics would be seen in both teenagers?
A) Decreased respiratory rates of 15 to 20 breaths per minute
B) Eruption of last four molars
C) Increased shoulder, chest, and hip widths
D) Fully functioning sweat and sebaceous glands
3. The nurse is performing an assessment of the reproductive system of a 17-year-old
girl.
Which of the following would alert the nurse to a developmental delay in this girl?
A) Areola and papilla separate from the contour of the breast
B) Mature distribution and coarseness of pubic hair
C) Developed breast tissue
D) Occurrence of first menstrual period
, Prime yourself for your Tests
– Study Questions
4. The school nurse is performing health assessments on students in middle school. Of
which of the following developmental milestones should the nurse be aware?
A) Height in girls increases rapidly after menarche and usually ceases
immediately after menarche.
B) Boys' growth spurt usually begins between the ages of 8 and 14 years and
ends between the ages of 131/2 and 171/2 years.
C) Peak height velocity (PHV) occurs at approximately 12 years of age in girls or
about 6 to 12 months after menarche.
D) Boys reach PHV and peak weight velocity (PWV) at about 16 years of age.
5. After assessing a 10-year-old girl, the nurse documents the appearance of breast buds,
identifying this as which of the following?
A) Menarche
B) Thelarche
C) Puberty
D) Tanner stage 5
6. When describing the various changes that occur in organ systems during adolescence,
which of the following would the nurse include?
A) Significant increase in brain size
B) Ossification completed later in girls
C) Decrease in heart rate
D) Decrease in activity of sebaceous glands
7. The school nurse is performing a physical examination on a 13-year-old boy who is on
the soccer team. Which of the following is a physical quality that develops during these early
adolescent years?
A) Coordination
, Prime yourself for your Tests
– Study Questions
B) Endurance
C) Speed
D) Accuracy
8. Based on Erikson's developmental theory, which of the following is the major
developmental task of the adolescent?
A) Gaining independence
B) Finding an identity
C) Coordinating information
D) Mastering motor skills
9. The nurse assesses the spirituality of an adolescent. Which of the following are normal
moral and spiritual milestones in this age group? Select all answers that apply.
A) Adolescents will base their actions on the avoidance of punishment and the
attainment of pleasure.
B) Adolescents develop their own set of morals and values and question the
status quo.
C) Adolescents undergo the process of developing their own set of morals at
different rates.
D) Adolescents are more interested in the spiritualism of their religion than in the
actual practices of their religion.
E) Adolescents can understand the concepts of right and wrong and are
developing a conscience.
F) Adolescents are able to understand and incorporate into their behavior the
concept of the “golden rule.”
10. The school nurse is conducting a seminar for parents of adolescents on how to
communicate with teenagers. Which of the following guidelines might the nurse
recommend? Select all answers that apply.
, Prime yourself for your Tests
– Study Questions
A) Talk face to face and be aware of body language.
B) Ask questions to see why he or she feels that way.
C) Do not give praise unless the adolescent deserves it.
D) Speak to your child as an authority figure, not an equal.
E) Don't admit that you make mistakes.
F) Don't pretend you know all the answers.
11. The nurse is teaching the parents of a 12-year-old boy about appropriate approaches
when raising an adolescent. Which of the following comments should be included in the
discussion?
A) “Find out if his friends are worthy of him.”
B) “Try to be open to his views.”
C) “Maintain a firm set of rules.”
D) “Remind him that he is still your little boy.”
12. The mother of a 14-year-old girl complains to the nurse that her daughter is moody,
shuts herself in her room, and fights with her younger sister. Which of the following
comments is most valuable to the mother? A) “Calmly talk to her about your concerns.”
B) “This is normal for her age.”
C) “She may be hanging with a bad crowd.”
D) “Set some rules for family etiquette.”
13. The adolescent continues to develop self-concept and self-esteem. Which of the
following is most important to a teen's self-esteem?
A) Strong authority figures
B) Spirituality
C) Morals and values
