Nokea
Girls experience an increase in weight and fat deposition during puberty. What do nursing considerations related to this include?
- A. Give reassurance that these changes are normal.
- B. Suggest dietary measures to control weight gain.
- C. Encourage a low-fat diet to prevent fat deposition.
- D. Recommend increased exercise to control weight gain.
Correct Answer: A
Rationale: A certain amount of fat is increased along with lean body mass to fill the characteristic contours of the adolescents gender. A healthy balance must be achieved between expected healthy weight gain and obesity. Suggesting dietary measures or increased exercise to control weight gain would not be recommended unless weight gain was excessive because eating disorders can develop in this group. Some fat deposition is essential for normal hormonal regulation. Menarche is delayed in girls with body fat contents that are too low.
You may also like to solve these questions
What is an important consideration for the school nurse planning a class on injury prevention for adolescents?
- A. Adolescents generally are not risk takers.
- B. Adolescents can anticipate the long-term consequences of serious injuries.
- C. Adolescents need to discharge energy, often at the expense of logical thinking.
- D. During adolescence, participation in sports should be limited to prevent permanent injuries.
Correct Answer: C
Rationale: The physical, sensory, and psychomotor development of adolescents provides a sense of strength and confidence. There is also an increase in energy coupled with risk taking that puts them at risk. Adolescents are risk takers because their feelings of indestructibility interfere with understanding of consequences. Sports can be a useful way for adolescents to discharge energy. Care must be taken to avoid overuse injuries.
According to Piaget, adolescents tend to be in what stage of cognitive development?
- A. Concrete operations
- B. Conventional thought
- C. Postconventional thought
- D. Formal operational thought
Correct Answer: D
Rationale: Cognitive thinking culminates in the capacity for abstract thinking. This stage, the period of formal operations, is Piagets fourth and last stage. Concrete operations usually occur between ages 7 and 11 years. Conventional and postconventional thought refers to Kohlbergs stages of moral development.
The school nurse recognizes that pubertal delay in girls is considered if breast development has not occurred by which age?
- A. 10 years
- B. 11 years
- C. 12 years
- D. 13 years
Correct Answer: D
Rationale: Girls may be considered to have pubertal delay if breast development has not occurred by age 13 years or if menarche has not occurred within 2 to 2 1/2 years of the onset of breast development.
A 16-year-old adolescent boy tells the school nurse that he is gay. The nurses response should be based on what?
- A. He is too young to have had enough sexual activity to determine this.
- B. The nurse should feel open to discussing his or her own beliefs about homosexuality.
- C. Homosexual adolescents do not have concerns that differ from those of heterosexual adolescents.
- D. It is important to provide a nonthreatening environment in which he can discuss this.
Correct Answer: D
Rationale: The nurse needs to be open and nonjudgmental in interactions with adolescents. This will provide a safe environment in which to provide appropriate health care. Adolescence is when sexual identity develops. The nurses own beliefs should not bias the interaction with this student. Homosexual adolescents face very different challenges as they grow up because of societys response to homosexuality.
How does the onset of the pubertal growth spurt compare in girls and boys?
- A. In girls, it occurs about 1 year before it appears in boys.
- B. In girls, it occurs about 3 years before it appears in boys.
- C. In boys, it occurs about 1 year before it appears in girls.
- D. It is about the same in both boys and girls.
Correct Answer: A
Rationale: The average age of onset is 9 1/2 years for girls and 10 1/2 years for boys. Although pubertal growth spurts may occur in girls 3 years before it appears in boys on an individual basis, the average difference is 1 year. Usually girls begin their pubertal growth spurt earlier than boys.