ch 34: school age: 6-12 yo Flashcards
EXAM 1 content
what is the age of the school age?
6-12 yo
when does the school age start physiologically?
shedding of first deciduous teeth
when does the school age end physiologically?
ends at puberty with final permanent teeth
what is the height rate and total height gained of the school age?
height increases by 2 inches per year with total height gain of 1-2 feet
what is the weight rate of school age?
2-3 kg/year or 4.5-6.5 lbs/year
what is the average 6 year old lbs and height?
46 lbs, 45 inches
what is the average 12 year old lbs and height
88 lbs, 59 inches
what type of bones are growing at a faster rate? what results in that?
long bones –> tripping, clumsiness, won’t know where limbs are
- they continue to ossify
how are school age kids changing in facial proportions?
they lose their baby fat & it lengthens
what is happening to their bladder?
increases capacity
- teachers try to only let them go 2-3 times
- peeing so much is not good educationally
- parents might think they have DM
what is happening to their heart?
it is smaller to the rest of the body
how is their immune system?
it is increasing it effectiveness –> only sick 2-4x a year
what do we need to remember about physical maturity & emotional + social maturity?
they are not correlated
when does prepubescence start?
2 year before 13 yo (10-12 yo, varies)
what age does puberty begin in girls?
10 yo
what age does puberty being in boys?
12 yo
what stage of Freud is school age in? What does he describe it as?
latency – a time of tranquility
in the latency period where do school age kids’ relationships revolve around?
same sex parents& peers
what stage of Erikson is school age in?
industry vs inferiority
what is the industry part of industry vs inferiority all about for school age kids?
accomplishment + peers approval
- develop skills and participate in work
- personal and interpersonal competence
- growing sense of independence
- copies peers
what is the inferiority part of industry vs inferiority all about for school age kids?
if they can not accomplish their assumed responsibilities
- they all feel some degree of inferiority when it comes to skills they can not master (they can’t be like everyone else)
- parents can worsen this feeling ^^
what stage of Piaget are school age kids in?
concrete operations
what are concrete operations all about
big collections + concrete thinking
- understands relationships b/w things & ideas –> cause & effect
- can make judgement based of reasoning
- masters the concept of conservation –> thinks ab the world, recycling
- classification skills
what stage of Kohlberg are school age kids in?
rewards and punishment (6-7 yo)
what can older school age judge based on moral development?
judge an act by the intentions that prompted it
- rules & judgements become more founded on needs and desires of others
who is very important to school age kids in their social development?
their peer group
- are strongly influenced by peer relationships
what happens in clubs & peer groups?
- formalized groups
- bullying, cyber bullying –> boys/girls only club
who are the primary influences in shaping school age kids’ personality, behavior, & value system?
parents
what is the parents primary goal?
increasing independence - they are NOT friends
what types of play do school age kids do?
- rules & rituals (board games & team sports)
- team play
- quiet games & activities
- ego mastery
what is happening with a school age’s child development of self?
- conscious awareness of abilities, values & appearance
- positive self concept –> self respect, self confidence, & happiness
- adults can help them succeed
what is happening with a school ages’ child development of body image?
- they like their physical selves less as they grow
- increased awareness of differences and might make them feel inferior
what is the most important part of their body?
head – hair & eye color
who is influencing a school age body image?
significant others
who are the primary sources of sex education?
parents & peers
- sex play curiosity is normal
what is your job as the nurse when it comes to sex education?
- knowing that sex is normal part of growth & development
- know between sex vs sexuality
- problem solving skills
- open communication
what is happening during the school experience?
school is second to family as their socializing agent
- values of society as transmitted in school
- peers become super important
what are latchkey children? what type of children should we not allow?
children that go home from school by themselves
- do not let these children do this: autism, disability, kindergarten
what kind of behavior is increasing in school age? is this normal? what type of behaviors result if they get caught?
being dishonest in order to avoid punishment
- older kids might lie to meet expectations
- they become stressed & fearful
what kind of nutrition do school age children need?
balanced diet to promote growth
what is a trick to make children eat, but can also risk of fast weight gain?
to let them eat in front of the tv because they won’t think about what’s on their plate
what should the plate look like for school age children?
colorful & bite sized
how many hours of sleep should school age children get?
9-11 hours
what age do school age children tend to resist going to bed? and why?
8-11 yo
- they are very hard wired & wants to be on the phone
when are kids resistant to bed times?
12 yo +
what type of activities do school age kids like?
competition
what can disrupt growth?
anything the disrupts the growth hormone –> risk of infection
- endocrine dysfunction
- chromosome aberration
- chronic disease
- stress
- poor nutrition
how can being taller than everyone affect a school age kid?
can cause anxiety and be perceived as a social handicap
what can you assume about kids being smaller than average/ everyone else?
- first manifestation of underlying disorder
- common cause of malnutrition
- related to chronic disease, endocrine dysfunction, primary gonadal failure
(however there might be no consequence to health)
what is school phobia? what age is it common?
does not want to go to school at all because of anxiety or fear of school, common @ 10 yo +
what are the s/s of school phobia?
- physical symptoms that go away when staying at home
what is enuresis & how do you as a nurse treat it?
cant control pee –> pee in bed
- education, behavior modification, reassurance
- medications & complementary + alternative medication
what is encopresis & how do you as a nurse treat it?
uncontrollable pooping yourself because of constipation
- rule out structure issues
- find cause
- diet modifications
- bowel retraining
- behavior therapy
what is pediculosis capitis?
LICE – they love their oiy hair
- black = eggs
- mostly behind ear
what are scabies?
bugs that lay ends under the skin
- super itchy
- in creases of skin
how do you treat scabies?
using a special lotion all over the skin –> sleep –> shower it off –> repeat 2-3x
what is tinea corporis & tinea capitis?
a fungal infection that shows as a pink circle, can be called “ring worm”
how do you treat tinea corporis & tinea capitis?
Griseofulvin (anti fungal)
what is molluescum contagiosum?
a disease that shows pink circle donut like bumps – face, arms & legs
how is molluescum contagiosum spread?
through touch
how do you treat molluescum contagiosum?
usually get resolved on its on
- antibiotics
