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25 Cards in this Set
- Front
- Back
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Teen development is the blank period of rapid development? |
2nd |
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Female stats |
Gain 2-8 inches in ht 1st period is onset of adolescence |
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Male stats |
Gain 4-12 inches in ht Sperm production is onset of adolescence |
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Female Body changes in puberty |
-wider hips -larger breasts -narrower waists -vocal cords longer -voice is richer and fuller |
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Male Body changes in puberty |
-Narrower hips -broader shoulders -larger arms and legs -vocal box enlarges -voice deepens |
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body system changes |
Primarily changes occur in integumentary and endocrine systems |
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Integumentary system changes |
-sweat glands increase in productivity (armpits, anus, near genitals) -r/t stimuli such as emotions, heat or even meds Also sebaceous glands come into play causing acne |
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Endocrine |
increased production of sex hormones -2ndary sex characteristics appear |
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D/t increase in sexual interest at this age also increases? |
Misconceptions about sex and learn from misinformed peers about it |
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Important when teaching teen about sex: |
1. Just the facts Jack. 2.DO NOT I REPEAT DO NOT BE JUDGY! 3.Be supportive in questions about physical and emotional changes in their own bodies |
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What does the term "wet dreams" mean? |
Refers to the nocturnal ejaculations during sleep {important to tell teen that this is a normal occurrence} |
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Vitals for Teen |
Temp: 97-99 Pu:70/min Resp:20 min B/P:120/70 |
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Formal Operational development? |
Piaget= cognitive -reason abstractly -use scientific method for problem solving -imagine possibilities rather than drawing on only previous experiences -Same cognitive development as adults |
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Important to let teen do these things with formal operational development? |
1. Problem solve 2.Provide more than one solution to an issue 3.Need to be encouraged and practice skills |
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Identity vs. Role confusion |
Erickson- Psychosocial development -teen struggles with identity -needs parent but wants independence -in life searches for what they believe not based on parental belief or peer belief |
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R/t bodies and life decisions- identity vs. role confusion |
Teens are dealing with body image, looking towards future and what it involves such as college, marriage, kids- this increases level of confusion and anxiety for teen Leads to moodiness based on confusion and need for parental permission vs their independence |
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Friends (Peers) VS Parents |
Friends are more accepting of behaviors than parents according to teens in turn teens want to do everything their friends do - desire to fit in, needing to belong to a group Parents need to help teen with this bc of potential of gaining acceptance with gangs and drug users |
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Hospitalized Teens |
1. fear the unknown 2.Should be direct and honest with teen about care 3.Relieve feelings of inadequacy, powerlessness 4. Help with pain management 5.Ask teen if they prefer parents in the room with them or not before care or questions 6. Have teen encourage visitation from peers |
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Acne Vulgaris |
d/t: increase in sebaceous and sudoriforous gland secretions affects back, face,neck and upper chest black heads, white heads (propionibacterium) Teen can feel discouraged with it and feel isolated |
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Factors for Acne Vulgaris |
d/t increased oil production 2nd to hormone elevation
emotional stress hot humid environment hormonal shift during menstrual cycle NOT CAUSED BY EATING SWEETS OR FATTY FOODS! |
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Topical Treatment for acne |
topical: benzoyl peroxide= clearsil, tretin A Salicylic acid, sulfur-all dry and peel existing acules |
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Tx for Moderate Acne |
Antibiotics- tetracycline Accutane* isotretinoin prescribed for cystic acne *females take pregnancy test b4 adminstration d/t severe abnormalities it causes in the fetus by crossing over placental barrier*( Birth control with is med to prevent pregnancy) Side effects include: photo sensitivity, nose bleeds,joint and muscle pain |
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STDs and Teens |
Education is needed for teens both sexually active and not sexually active b/c of the easy transmission of STD or STIs. |
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Few notes on dealing with Teens |
1. Provide emotional support 2.Normal for teens to listens to peers more than adults 3.Do not want to show their feelings can appear broody and tough 4. When questioning teen have open ended ?'s and provide space for teen to talk 6. Provide privacy and confidentially with teen 7. Monitor reactions of rage,anger, extreme saddness, thoughts of suicide and harming themselves or others. |
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Lab values important for Teen review |
Albumin- 3.5-5.5 mg/dL RBCs- 3.5 mil to 5.5 mil per mcL (microliter) WBCs-4.5 to 11,000 mm3 Platelets-150,000 to 400,000 mm3 Hemo & Hemato(%)- (Male) 14 – 18 g/dL (Female) 11 – 16 g/dL Hct (Male) 39 – 54% Hct (Female) 34 – 47% Ca-8.5-10.2 mg/dL Na-135-145 meq/L K+- 3.5-5.5 meq/L |
