ch20: school age (5-12 yrs) Flashcards
erikson’s psychosocial dev for school age child
industry vs inferiority
- self esteem, school influence, sense of control
piaget’s cognitive dev for school age child
concrete operations
- less egocentric
- classifying and ordering
- germ theory????
kohlberg’s theory of morality
- younger school age
- older school age
younger: preconventional (self interest)
older: conventional (group interests/values)
role of the nurse with school age child
education, health promotion activities, screening, routine health exams
age appropriate health teaching
enuresis
involuntary urination
encopresis
leakage of stool into underwear
how many hours of sleep does a school age child need
8-12 hrs
when is optimal visual function
age 6 (change from farsighted to normal vision)
myopia
nearsightedness
astigmatism
uneven focusing
when is hearing acuity nearly complete
age 7
dyslexia
reversal of letters and numbers in writing
ADHD
–> tx plan
attention deficit/hyperactivity disorder
tx plan –> behavior mgmt, counseling, medication
t/f: body systems have reached adult level function by school age (5-12yrs)
true
preadolescent growth spurt is earlier in girls OR boys
girls
menarche
first period
t/f: loss of primary teeth is in the opposite order of eruption
false - in the same order of eruption
at what age does lymphoid tissue increase to and then start to decrease
10yrs
school age vaccinations
meningococcal (11-12)
hep B if not completed
HPV, varicella
explain each stage of the infectious process
- incubation period
- prodromal stage
- illness stage
- convalescence
incubation: entrance of pathogen to the appearance of first symptoms
prodromal: onset of nonspecific symptoms to more specific
illness: specific s/s r/t to that infection
convalescence: recovering from specific infection, acute symptoms disappear
varicella zoster
- what can it cause
- s/s
- complications
causes chicken pox
s/s: pain, burning, numbness, tingling, red rash, fluid filled blisters, itching
complications: encephalitis, PNA, secondary skin infections
fifth’s disease
- what virus causes it
- age it is common in
- s/s
- how long does it last, is there vaccine?
parvovirus b19
common is ages 5-15
s/s: slapped cheek red rash, rash spread to trunk, arms, legs
lasts 1-3 weeks, no vaccine
conjunctivitis
- what is it
- s/s
- tx
pink eye; inflammation of outer membrane of eyeball and inner eyelid
s/s: inflammation, purulent drainage, crust
Tx: anti allergy, antibx drops, steroid
pediculosis capitis
- what is it
- s/s:
- tx:
head lice; tiny insects infect the scalp
s/s: itching, visible nits and lice
tx: medicating shampoo, remove nits
impetigo
- is it contagious?
- s/s
- tx:
highly contagious
s/s: vesicular lesions that rupture –> yellow brown crust around mouth and nose
tx: antibx
scabies
- what is it
- is it contagious?
- s/s
- tx
tiny burrowing mite that spreads quickly thru physical contact
highly contagious
s/s: intense itching
tx: topical and oral meds
eterobius vermicularis
- what is it
- how is it spread
- how long can it survive
- s/s
- tx
worm infection - colon and rectum
spread by fecal oral route
survive for 2-3 weeks on clothing
s/s: itching around anus, difficulty sleeping, restless
tx: 2 doses of meds (2wks apart) for all members of family
dermatophytosis
- what is it
- is it contagious
- explain the three common types
infection by fungus dermatophyte
highly contagious
tinea capitis: ringworm, itchy scalp
tinea pedis: athlete’s foot
tinea cruris: jock itch
