What does the nurse learn that predisposes the adolescent to feel an increased need for sleep?

Infants and children have open growth plates, also known as epiphyseal plates, at the ends of
their long bones. These plates are responsible for bone growth and are not fully fused until
the child reach skeletal maturity. Due to the presence of open growth plates, infants and
children are more prone to fractures because their bones are still developing and are less
dense than those of adults.

Their bones have less blood flow in (Option A) is incorrect because cchildren’s bones
actually have a greater blood flow compared to adults. This increased blood flow supports the
rapid growth and development of bones in children.

Growth occurs in children as a result of an increase in the number of muscle fibers in (option
B) is incorrect because ggrowth in children occurs primarily due to the elongation and
thickening of existing muscle fibres, not an increase in their number. This option inaccurately
suggests that children's muscles increase in fibber count to facilitate growth.

Because soft tissues are resilient in children, dislocations and spirals are less common than in
adults in (Option D is) incorrect. While soft tissues may be more resilient in children, it does
not mean that dislocations and sprains are less common than in adults. In fact, children's
ligaments and joint structures are still developing and may be more susceptible to injuries
such as sprains and dislocations compared to adults.

The first sign of pubertal change seen with boys is testicular enlargement. This is known as testicular or scrotal growth and is one of the earliest physical signs of puberty in boys. Testicular enlargement is followed by other changes such as the growth of pubic hair, penile growth, voice deepening, and facial hair growth.

voice deepening in (option A) is incorrect because it, typically occurs after testicular enlargement and is associated with the growth and development of the larynx during puberty.

scrotal enlargement in (option B) is incorrect because it, may occur simultaneously or shortly after testicular enlargement as part of overall genital growth during puberty.

, facial hair growth in (option C) is incorrect because it, is a later sign of pubertal development in boys and typically occurs after the initial testicular enlargement and growth of pubic hair.