Quarto means: A size of paper (7.5"-10" x 10"-12.5" or 190-254 x 254-312 mm). Formed by folding and cutting one of several standard sizes of paper (15"-20" x 20"-25" or 381-508 x 508-635 mm) twice to form 4 leaves. There is no real cause for parental concern; it is descriptive vocabulary rather than risky behaviour. If your teen uses it, context will usually make the intent clear. A short, curious question about where they heard it is usually all that is needed to know whether to follow up.