Page 570 - Saunders Comprehensive Review For NCLEX-RN

muscle mass, and penis and testicle
size occur.
h. The voice deepens in boys.
i. Normal weight gain during puberty:
Girls gain 15 to 55 pounds (7 to 25 kg);
boys gain 15 to 65 pounds (7 to 30 kg).

j. Careful brushing and care of the

teeth are important, and many
adolescents need to wear braces.

k. Sleep patterns include a

tendency to stay up late; therefore, in
an attempt to catch up on missed sleep,
adolescents sleep late whenever
possible; an overall average of 8 hours
per night is recommended.
2. Vital signs (Box 18-12)

3. Nutrition

a. Teaching about the MyPlate food guide
is important (see
www.choosemyplate.gov).
b. Adolescents typically eat whenever
they have a break in activities.
c. Calcium, zinc, iron, folic acid, and
protein are especially important
nutritional needs.
d. Adolescents tend to snack on empty
calories, and the importance of
adequate and healthy nutrition needs
to be stressed.
e. Body image is important.
4. Skills
a. Gross and fine motor skills are well
developed.
b. Strength and endurance increase.
5. Play
a. Games and athletic activities are the
most common forms of play.
b. Competition and strict rules are
important.

c. Adolescents enjoy activities such

as sports, videos, movies, reading,
parties, dancing, hobbies, computer
games, music, communicating via the

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