Growth and Nutrition: Tanner Stages of Breast Development Quiz

Tanner stage 1 in males is characterized by only the ______ being raised above the level of the breast

Tanner stage 2 in males is known as the ______ stage

In Tanner stage 3, the ______ and areola are enlarged

Tanner stage 4 in males involves increasing ______ deposits

The ______ in Tanner stage 4 forms a secondary elevation above that of the breast

Tanner stage 5 in males is the ______ stage

Delayed onset of puberty may be a normal variant and is usually accompanied by a lag of ______ growth

Pubertal changes in males follow the same sequence of development as for other adolescents, but it may occur over a different ______ span

Of older adults in the United States in 2017–18, 42.4% of men and 43.3% of women were ______

Testes, scrotum, and penis are the same size and shape as in the young child. This corresponds to Tanner stage ______

Enlargement of scrotum and testes, with the scrotum becoming redder, thinner, and wrinkled, is characteristic of Tanner stage ______

Enlargement of the penis, especially in length, further enlargement of testes, and descent of scrotum are seen in Tanner stage ______

Continued enlargement of the penis, sculpturing of the glans, and increased pigmentation of scrotum describe Tanner stage ______

Scrotum ample, with the penis reaching nearly to the bottom of the scrotum, is characteristic of Tanner stage ______

Acromegaly is a rare disease of excessive growth and distorted proportions caused by hypersecretion of growth hormone and insulin-like growth factor after closure of the epiphyses. It is most common in middle-aged ______

Growth hormone excess leads to slow skeletal growth and soft tissue enlargement, and it is most common in middle-aged ______

Patients with a prepregnancy BMI of 19.8 to 26.0 should gain ________ to ________ kg over the entire pregnancy

To provide guidance in weight gain during pregnancy, first determine the ________ BMI

If an adolescent stops taking GnRH analogs, puberty will ________

P4—Tanner 4. Hair coarse and curly, abundant but less than ________

Initial, scarcely pigmented straight hair, especially along medial border of the ________

Sparse, dark, visibly pigmented, curly pubic hair on ________

P3—Tanner 3. Sparse, dark, visibly pigmented, curly pubic hair on ________

Patients with a prepregnancy BMI of 19.8 to 26.0 should gain 25 to ________ lb over the entire pregnancy

Underweight patients with a twin or triplet pregnancy should adjust the recommended weight gain to prevent complications such as gestational hypertension and preeclampsia

Obese patients are at increased risk of complications during pregnancy such as gestational hypertension, preeclampsia, gestational diabetes, cesarean delivery, and failure to initiate breastfeeding due to their higher body mass index

Pregnant ______ younger than 16 years, or less than 2 years after menarche, may require higher weight gains during pregnancy to achieve an optimal infant birth weight due to their ongoing growth spurt

First trimester weight gain during ______ is variable, ranging from 1.4 to 2.7 kg (3 to 6 lb)

Weekly weight gain in the second and third ______ should be approximately 0.23 to 0.45 kg (0.5 to 1 lb) per week to ensure a healthy pregnancy

Patients who gain too little weight during ______ are at risk for having a low-birth-weight infant

Older ______ should have their BMI calculated using the same procedures as other ______ to monitor their health status

Identify any problems with ______ in older adults that could be associated with a health condition or food insecurity to provide appropriate care

Puberty blockers work by suppressing the secretion of LH and FSH which ultimately suppress the body’s release of sex hormones, including ______ and estrogen, during puberty.

In those identified as male at birth, GnRH analogs decrease the growth of facial and body hair, prevent voice deepening, and limit the growth of ______.

In those identified as female at birth, GnRH analogs stop breast development, widening of the hips, and delay or stop ______.

Puberty blockers do not stop acne, body odor, or axillary and pubic hair development, as these changes are not controlled only by estrogen or ______.

The use of GnRH analogs does not cause permanent changes in an adolescent’s ______.

Further evaluation is needed if no evidence of pubertal development is seen in a male by 14 years of age or a female by ______ years of age.

Early development of sexual hair without signs of sexual maturation may be an indication of premature ______.

In these children, pubescence usually occurs at the expected time, as with healthy ______.