Adolescent Health and Development
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Questions and Answers

What is the most common diagnosis in childhood behavior problems according to the text?

  • Attention deficit hyperactivity disorder (ADHD) (correct)
  • Obsessive-compulsive disorder
  • Autism spectrum disorder
  • Anxiety disorder
  • According to DSM-5, what are the three diagnostic subtypes of ADHD?

  • Primarily introverted type, primarily extroverted type, and a combined type
  • Primarily obsessive type, primarily compulsive type, and a combined type
  • Primarily inattentive type, primarily hyperactive-impulse type, and a combined type (correct)
  • Primarily anxious type, primarily depressive type, and a combined type
  • At what age should symptoms of ADHD usually present?

  • Before the age of 10
  • Before the age of 3
  • Before the age of 7 (correct)
  • Before the age of 14
  • What biological factor, mentioned in the text, is considered a predisposing factor for ADHD?

    <p>Family history</p> Signup and view all the answers

    Which environmental influence is mentioned in the text as a possible factor for ADHD?

    <p>Maternal smoking during pregnancy</p> Signup and view all the answers

    What is an essential impairment in ADHD?

    <p>Deficit behavioral inhibition</p> Signup and view all the answers

    What subjective data should be collected during well child checks for school-age children?

    <p>Elimination habits and development</p> Signup and view all the answers

    What lab test should be done once typically at the age of eight for school-age children?

    <p>Hematocrit</p> Signup and view all the answers

    When should the PPD test for tuberculosis be done for school-age children?

    <p>Once before school entry at age four to six, then annually based on risk factors</p> Signup and view all the answers

    What should you discuss with school-age children during well child checks regarding risk factors/behavior?

    <p>Alcohol, tobacco, and other drugs, especially caffeine for older children</p> Signup and view all the answers

    What vaccine should a school-age child receive for school entry?

    <p>MMR vaccine</p> Signup and view all the answers

    What objective data should be obtained during well child checks for school-age children?

    <p>Tanner Staging and BMI</p> Signup and view all the answers

    What is the purpose of obtaining cholesterol levels for school-age children?

    <p>To screen for dyslipidemia or premature cardiac disease</p> Signup and view all the answers

    What percentage of patients with ADHD also have oppositional defiant disorder or conduct disorder?

    <p>50%</p> Signup and view all the answers

    Which diagnostic study involves direct observation in multiple settings?

    <p>Vanderbilt Assessment Tool</p> Signup and view all the answers

    Which medication for ADHD works by increasing the availability of neurotransmitters to increase focus and attention?

    <p>Amphetamines</p> Signup and view all the answers

    What is a potential side effect of short-acting preparations of ADHD medication?

    <p>Insomnia</p> Signup and view all the answers

    What is recommended to avoid when prescribing ADHD medications to minimize insomnia?

    <p>Evening dosage changes</p> Signup and view all the answers

    Which non-pharmacologic treatment is mentioned in the text for school-age children with ADHD?

    <p>All of the above</p> Signup and view all the answers

    What is a reason for being cautious about giving ADHD medications to children according to the text?

    <p>Cardiovascular disease</p> Signup and view all the answers

    What is the management approach mentioned first for children with ADHD in the text?

    <p>Structured environment and operant conditioning techniques</p> Signup and view all the answers

    What is the recommended amount of sleep for children of this age group?

    <p>8-10 hours per night</p> Signup and view all the answers

    According to the American Pediatrics Academy, what should healthcare workers develop with families regarding screen time?

    <p>A family media use plan</p> Signup and view all the answers

    What is the most common form of child abuse according to the text?

    <p>Neglect</p> Signup and view all the answers

    What percentage of abusers are parents based on the information provided?

    <p>80%</p> Signup and view all the answers

    What are potential signs or symptoms of child abuse as indicated in the text?

    <p>Developmental delays and unmet physical needs</p> Signup and view all the answers

    What should healthcare professionals do if they suspect child abuse or neglect?

    <p>Follow required reporting standards and report suspected abuse or neglect</p> Signup and view all the answers

    At what age do girls typically reach their peak height velocity?

    <p>11 to 12 years old</p> Signup and view all the answers

    What BMI range indicates that a child is overweight?

    <p>Between 85th and 95th percentile</p> Signup and view all the answers

    At what weight can the milligram per kilogram per day dosages for medications in children equal an adult dosage?

    <p>65 pounds</p> Signup and view all the answers

    During which stage of Jean Piaget's cognitive development can children grasp concepts of conservation and use deductive reasoning?

    <p>Concrete operational stage</p> Signup and view all the answers

    What is the typical visual acuity for children at this age?

    <p>$20/20$</p> Signup and view all the answers

    At what percentile does a BMI indicate obesity in children?

    <p>Above 95th percentile</p> Signup and view all the answers

    At what age do scoliosis screenings typically begin for children?

    <p>9 years old</p> Signup and view all the answers

    What is the average weight of a 10-year-old child?

    <p>$70$ to $80$ pounds</p> Signup and view all the answers

    Study Notes

    Childhood Behavior Problems

    • Most common diagnosis in childhood behavior problems: ADHD (Attention Deficit Hyperactivity Disorder)

    ADHD Diagnosis

    • Three diagnostic subtypes of ADHD according to DSM-5: Combined Type, Predominantly Inattentive Type, and Predominantly Hyperactive-Impulsive Type
    • Symptoms of ADHD usually present before the age of 12
    • Biological factor considered a predisposing factor for ADHD: genetic predisposition
    • Environmental influence mentioned as a possible factor for ADHD: prenatal exposure to tobacco smoke
    • Essential impairment in ADHD: deficits in social, academic, or occupational functioning

    Well Child Checks for School-Age Children

    • Data to be collected during well child checks: subjective data, including symptoms of ADHD and sleep patterns
    • Lab test to be done once typically at the age of eight: lipid profile
    • PPD test for tuberculosis to be done: at 4-6 years and 11-12 years
    • Discussion topics with school-age children during well child checks: risk factors and behavior regarding substance abuse, safety, and nutrition
    • Vaccine to be received for school entry: Tdap booster
    • Objective data to be obtained during well child checks: height, weight, blood pressure, and BMI
    • Purpose of obtaining cholesterol levels: to identify risk factors for cardiovascular disease

    ADHD Treatment and Management

    • Percentage of patients with ADHD who also have oppositional defiant disorder or conduct disorder: 30-50%
    • Diagnostic study involving direct observation in multiple settings: behavioral observation
    • Medication for ADHD that works by increasing the availability of neurotransmitters: stimulants
    • Potential side effect of short-acting preparations of ADHD medication: insomnia
    • Recommendation to avoid when prescribing ADHD medications: giving them too close to bedtime
    • Non-pharmacologic treatment for school-age children with ADHD: behavioral therapy
    • Reason for being cautious about giving ADHD medications to children: potential side effects and long-term effects on growth
    • Management approach mentioned first for children with ADHD: behavioral therapy and psychoeducation
    • Recommended amount of sleep for children of this age group: 10-11 hours

    General Pediatrics

    • Recommended approach to screen time according to the American Pediatrics Academy: development of a family media plan
    • Most common form of child abuse: neglect
    • Percentage of abusers who are parents: 80%
    • Potential signs or symptoms of child abuse:bruises, burns, or fractures
    • Action to be taken by healthcare professionals if they suspect child abuse or neglect: report to child protective services
    • Age at which girls typically reach their peak height velocity: 10-12 years
    • BMI range indicating that a child is overweight: 85th-94th percentile
    • Weight at which milligram per kilogram per day dosages for medications in children can equal an adult dosage: 40 kg
    • Stage of Jean Piaget's cognitive development where children can grasp concepts of conservation and use deductive reasoning: Formal Operational Stage
    • Typical visual acuity for children at this age: 20/20
    • BMI percentile indicating obesity in children: 95th percentile
    • Age at which scoliosis screenings typically begin for children: 10-12 years
    • Average weight of a 10-year-old child: 30-40 kg

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    Description

    This quiz covers topics related to adolescent health and development, including sexual education, sleep, and media use. It addresses the need for accurate information about sexual intercourse, the importance of sleep, and guidance on media use.

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