SCHOOL NURSE Certification Exam
Questions and Answers 2025
When does growth spurt start and stop for males?
2 years after girls
increases until age 20
When does growth spurt start and stop for females?
during puberty
finished 2 years after menarche
What are secondary sex characteristics for males?
chest growth, facial hair, deep voice
Define secondary sex characteristics
Physical traits that are not directly involved in reproduction but
that indicate sexual maturity.
Difference of body fat changes in boys vs girls
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?
fatty tissue on thighs, hips, breasts, hips broaden,
What body fat is needed for Menarche?
17% to start, but need 22% to maintain menstruation.
What are secondary sex characteristics for both?
pubic hair, increase of sweat glands --> body odor, increase
activity of sebaceous glands --> acne
Psychosocial growth ages 10-13 (early adolescence)
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)
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)
independence from parents
developing a plan for the future
participating in society
gender identity
the gender with which you identify and feel most comfortable
regardless of biologic gender
sexual orientation
the gender(s) that a person is attracted to emotionally, physically,
sexually, and romantically
Cis-gender
Individuals whose gender identity corresponds to their biological
sex
Transgender
umbrella term for all gender-variant people who by nature do not
conform to gender-based expectations
Bisexual
a person who is sexually attracted to both sexes
Cognitive development for adolescence
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?
,Calcium - needed for bone health
High cholesterol can compromise cardiovascular health
Diet habits of teens
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
good oral hygiene
bi-annual dentist appts
final molars (wisdom teeth) may finally erupt
Most common childhood chronic disease
Dental Caries
Health promotion for teens
internet safety (sexting, cyberbullying)
attention to body hygiene, self-care
pregnancy
STI
focus on personal responsibility for health
Methods to talk to teens
motivational interviewing
active listening
open-ended questions
remain nonjudgmental
obtain health-related information
maintain privacy, modesty
Be alert for (when talking to teens)
bullying/cyberbullying
sexual harrassment/abuse
dating violence
, human trafficking
self-harm
social determinants of health
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)
Traumatic events that occur in childhood that have a dose-
response relationship to social and emotional problems
High ACE Score risks increase...
alcohol abuse
depression
heart disease
suicide attempts
smoking
early sexual activity
teen pregnancy
poor academic outcome
Pair of ACEs
Adverse Childhood Experiences + Adverse Community
Environments
Biologic family
born into
Source Family
legally and pragmatically functions as the biologic family
Non-compliant parent
- seek and understanding of the issues and rationales for their
decision
- assist family to overcome barriers
Angry parent
- let them vent, then refocus convo into an action
- do not reciprocate with anger
- assure your own safety
- respect their feelings
Questions and Answers 2025
When does growth spurt start and stop for males?
2 years after girls
increases until age 20
When does growth spurt start and stop for females?
during puberty
finished 2 years after menarche
What are secondary sex characteristics for males?
chest growth, facial hair, deep voice
Define secondary sex characteristics
Physical traits that are not directly involved in reproduction but
that indicate sexual maturity.
Difference of body fat changes in boys vs girls
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?
fatty tissue on thighs, hips, breasts, hips broaden,
What body fat is needed for Menarche?
17% to start, but need 22% to maintain menstruation.
What are secondary sex characteristics for both?
pubic hair, increase of sweat glands --> body odor, increase
activity of sebaceous glands --> acne
Psychosocial growth ages 10-13 (early adolescence)
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)
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)
independence from parents
developing a plan for the future
participating in society
gender identity
the gender with which you identify and feel most comfortable
regardless of biologic gender
sexual orientation
the gender(s) that a person is attracted to emotionally, physically,
sexually, and romantically
Cis-gender
Individuals whose gender identity corresponds to their biological
sex
Transgender
umbrella term for all gender-variant people who by nature do not
conform to gender-based expectations
Bisexual
a person who is sexually attracted to both sexes
Cognitive development for adolescence
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?
,Calcium - needed for bone health
High cholesterol can compromise cardiovascular health
Diet habits of teens
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
good oral hygiene
bi-annual dentist appts
final molars (wisdom teeth) may finally erupt
Most common childhood chronic disease
Dental Caries
Health promotion for teens
internet safety (sexting, cyberbullying)
attention to body hygiene, self-care
pregnancy
STI
focus on personal responsibility for health
Methods to talk to teens
motivational interviewing
active listening
open-ended questions
remain nonjudgmental
obtain health-related information
maintain privacy, modesty
Be alert for (when talking to teens)
bullying/cyberbullying
sexual harrassment/abuse
dating violence
, human trafficking
self-harm
social determinants of health
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)
Traumatic events that occur in childhood that have a dose-
response relationship to social and emotional problems
High ACE Score risks increase...
alcohol abuse
depression
heart disease
suicide attempts
smoking
early sexual activity
teen pregnancy
poor academic outcome
Pair of ACEs
Adverse Childhood Experiences + Adverse Community
Environments
Biologic family
born into
Source Family
legally and pragmatically functions as the biologic family
Non-compliant parent
- seek and understanding of the issues and rationales for their
decision
- assist family to overcome barriers
Angry parent
- let them vent, then refocus convo into an action
- do not reciprocate with anger
- assure your own safety
- respect their feelings
