Care of Mother, Child and Adolescent (Well-

Clients)
STUDENT ACTIVITY SHEET BS NURSING / SECOND YEAR
Session # 23

LESSON TITLE: THE FAMILY WITH AN ADOLESCENT

Materials:
Book, pen, notebook and SAS

LEARNING OUTCOMES:
At the end of the lesson, the student nurse can:
1. Describe the growth and development of an adolescent.
Reference:
2. Assess the adolescent for normal growth and
development
Pilliteri, Adele and Silbert-Flagg, JoAnne (2018)
3. Identify the parental concerns in the care of an
Maternal and Child Health Nursing, 8th Edition.
adolescent.
USA: Lippincott Williams and Wilkins
4. Provide health teachings for parents on the care for an
adolescent

LESSON REVIEW/PREVIEW (5 minutes)

MAIN LESSON (45 minutes)

Please refer to Chapter 32: Nursing Care of a Family with a School-Age Child p.855

GROWTH AND DEVELOPMENT OF AN ADOLESCENT

DEFINITIONS: SEXUAL MATURATION IN GIRLS
ADOLESCENCE- begins with gradual appearance of 2ary  THELARCHE- breast development (9-13 ½)
sex characteristics at 11 to 12 years old & ends with  ADRENARCHE- pubic hair
cessation of body growth at 18 to 20 yrs. old  MENARCHE- ist menstruation 2 yrs after
changes(9 ½ to 12 years old)
PUBERTY- the maturational, hormonal & growth  OVULATION- 6 to 14 mos after MENARCHE
processes that occur when the reproductive organs begin  Growth spurt
to function & the secondary sex characteristics begin to  Widening of the hips
develop (3 stages)  Vaginal secretions increase
 Axillary hair
PREPUBESCENCE- 2 years before puberty
SEXUAL MATURATION IN BOYS
PUBERTY- sexual maturity is achieved; menarche  enlargement & thinning, reddening &
increasing looseness of scrotum (9 ½-14 yo)
POSTPUBESCENCE-1-2 yrs after puberty  Pubic hair, axillary & facial hair
 Penile enlargement
3 PHASES OF ADOLESCENCE:  Increasing muscularity
 Voice changes
EARLY ADOLESCENCE- 11-14 yrs old  GYNECOMASTIA
 Growth spurt
MIDDLE ADOLESCENCE- 15 to 17 yrs old  NOCTURNAL EMISSIONS
 SPERMATOGENESIS
LATE ADOLESCENCE- 18 to 20 yrs old
PHYSICAL GROWTH
 ACNE
 APOCRINE SWEAT GLANDS active
 GROWTH SPURT- extremities & neck first

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SOCIAL DEVELOPMENT PLAYS AND GAMES
 IDENTITY VS ROLE CONFUSION  LEISURE/RECREATIONA L ACTIVITIES
 Easily influenced into forming concept of self;  PARTIES, OUTING, PICNICS, MOVIES
choose ROLE MODELS & avoid Labeling  FANTASY & DAYDREAMING
 PEER GROUP influence  TELEPHONE CONVERSATIONS
 Vacillates between considerable maturity  COMPUTER GAMES
&childlike behavior  READING ROMANCE NOVELS
 MOOD SWINGS  SPORTS
 AMBIVALENCE bw independence & fear of  HOBBIES
responsibilities
PROBLEMS WITH ADOLESCENTS
COGNITIVE DEVELOPMENT  Fatigue, poor posture
 ABSTRACT THINKING- no longer restricted  ACNE VULGARIS
to the real & actual (CONCRETE) but also  SUICIDE
considers the possibilities  DRUG EXPERIMENTA TION
 FORMAL OPERATIONAL AGE  ALCOHOLISM
 Scientific reasoning
 Can imagine thinking other than their own CAUSES OF INJURIES
 MOTOR VEHICULAR ACCIDENTS
MORAL DEVELOPMENT  SPORTS ACCIDENTS
 INTERNALIZED SET OF MORAL  DROWNING
PRINCIPLES- refers to moral code  ALCOHOL
 DRUGS
 SUICIDE
 TEENAGE PREGNANCY

CHECK FOR UNDERSTANDING (25 minutes)

You will answer and rationalize this by pair. This will be recorded as your quiz. One (1) point will be given to correct
answer and another one (1) point for the correct ratio. Superimpositions or erasures in you answer/ratio is not allowed.

Multiple Choice
1. The parents of an adolescent boy are concerned about the amount of sleep he seems to require. What advice
would you give them?
A. “As long as he seems otherwise well, this sounds like a typical teenager. ”
B. “Adolescents only need 8 hours of sleep a night; anything over this is excessive.”
C. “Your son is probably engaged in too many activities and is wearing himself out. ”
D. “Your son may be taking drugs; the side effect of many drugs is to cause sleepiness. ”
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
_______________________________________________________________ _______________________

2. The nurse working with adolescents understands which to be the most widely used drug among adolescents?
A. Alcohol
B. Heroin
C. Cocaine
D. Speed
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
_______________________________________________________________ _______________________

3. When encouraging an adolescent who is hospitalized and physically challenged or chronically ill to develop
and maintain a sense of identity, which is the best nursing action?
A. Providing the opportunity for individual decision making
B. Providing physical comfort to the individual
C. Asking the parents what the adolescent is capable of doing
D. Providing care until the adolescent insists on being independent
ANSWER: ________

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RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
______________________________________________________________________________________

4. The following is/are fears of adolescents. Which is the LEAST common?

A. hospitalization
B. Acne
C. Obesity
D. Death
ANSWER: ________
RATIO:__________________________________________________________________________________________
___________________________________________________ ______________________________________________
______________________________________________________________________________________

5. Fred, age 14, considers which of these persons as most important?

A. girlfriend
B. classmates
C. mother
D. professor
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
______________________________________________ ________________________________________

6. Fifteen-year-old Janice makes an unprovoked rude gesture to a staff member of the university. It most likely
indicates that she is___
A. manipulative
B. threatening to others
C testing boundaries
D. showing signs of immaturity
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
______________________________________________________________________________________

7. The female adolescent will likely show signs of pubertal changes such as menstruation. What is the term used
for the first menses?
A. dysmenorrhea
B. menarche
C. menopause
D. menorrhagia
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
______________________________________________ ________________________________________

8. Which is least likely a characteristic of puberty in boys?

A. enlargement of the testes
B. pubic and axillary hair
C. nocturnal emission
D. enlargement of the prostate
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
_______________________________________________________________ _______________________

9. Piaget’s cognitive theory in adolescence identifies which of these behaviors?

A. object permanence
B. abstract thinking
C. animism
D. global organization
ANSWER: ________

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RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
_______________________________________________________________ _______________________

10. Which of these statements characterize the formal operations stage according to Piaget?
A. The child develops logical thought.
B. The child begins to understand the environment.
C. The child develops abstract thinking
D. The child has difficulty separating fantasy from reality.
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
_______________________________________________________________ _______________________

RATIONALIZATION ACTIVITY (THIS WILL BE DONE DURING THE FACE TO FACE INTERACTION)
The instructor will now rationalize the answers to the students. You can now ask questions and debate among yourselves.
Write the correct answer and correct/additional ratio in the space provided.

1. ANSWER: ________
RATIO:_______________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________
2. ANSWER: ________
RATIO:_______________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________ ________________
3. ANSWER: ________
RATIO:_______________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________
4. ANSWER: ________
RATIO:_______________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________
5. ANSWER: ________
RATIO:_______________________________________________________________________________________
_____________________________________________________________________________________________
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6. ANSWER: ________
RATIO:_______________________________________________________________________________________
_____________________________________________________________________________________________
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7. ANSWER: ________
RATIO:_______________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________
8. ANSWER: ________
RATIO:_______________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________
9. ANSWER: ________
RATIO:_______________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________
10. ANSWER: ________
RATIO:_______________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________

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LESSON WRAP-UP (5 minutes)
You will now mark (encircle) the session you have finished today in the tracker below. This is simply a visual to help you
track how much work you have accomplished and how much work there is left to do.

You are done with the session! Let’s track your progress.

Period 1 Period 2 Period 3

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

AL STRATEGY: CAT: Student Response Cards

1. The instructor will give you response card and will explain the choices that was included with the card.
2. The Instructor will give a question to the class regarding information just covered in your lesson.
3. Hold up your card with the corresponding answer to the instructor’s question.

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