ch20: school age (5-12 yrs)

Question 1

erikson’s psychosocial dev for school age child

Answer 1

industry vs inferiority
- self esteem, school influence, sense of control

Question 2

piaget’s cognitive dev for school age child

Answer 2

concrete operations
- less egocentric
- classifying and ordering
- germ theory????

Question 3

kohlberg’s theory of morality
- younger school age
- older school age

Answer 3

younger: preconventional (self interest)
older: conventional (group interests/values)

Question 4

role of the nurse with school age child

Answer 4

education, health promotion activities, screening, routine health exams
age appropriate health teaching

Question 5

enuresis

Answer 5

involuntary urination

Question 6

encopresis

Answer 6

leakage of stool into underwear

Question 7

how many hours of sleep does a school age child need

Answer 7

8-12 hrs

Question 8

when is optimal visual function

Answer 8

age 6 (change from farsighted to normal vision)

Question 9

myopia

Answer 9

nearsightedness

Question 10

astigmatism

Answer 10

uneven focusing

Question 11

when is hearing acuity nearly complete

Answer 11

age 7

Question 12

dyslexia

Answer 12

reversal of letters and numbers in writing

Question 13

ADHD
–> tx plan

Answer 13

attention deficit/hyperactivity disorder
tx plan –> behavior mgmt, counseling, medication

Question 14

t/f: body systems have reached adult level function by school age (5-12yrs)

Answer 14

true

Question 15

preadolescent growth spurt is earlier in girls OR boys

Answer 15

girls

Question 16

menarche

Answer 16

first period

Question 17

t/f: loss of primary teeth is in the opposite order of eruption

Answer 17

false - in the same order of eruption

Question 18

at what age does lymphoid tissue increase to and then start to decrease

Answer 18

10yrs

Question 19

school age vaccinations

Answer 19

meningococcal (11-12)

hep B if not completed

HPV, varicella

Question 20

explain each stage of the infectious process
- incubation period
- prodromal stage
- illness stage
- convalescence

Answer 20

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

Question 21

varicella zoster
- what can it cause
- s/s
- complications

Answer 21

causes chicken pox

s/s: pain, burning, numbness, tingling, red rash, fluid filled blisters, itching

complications: encephalitis, PNA, secondary skin infections

Question 22

fifth’s disease
- what virus causes it
- age it is common in
- s/s
- how long does it last, is there vaccine?

Answer 22

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

Question 23

conjunctivitis
- what is it
- s/s
- tx

Answer 23

pink eye; inflammation of outer membrane of eyeball and inner eyelid

s/s: inflammation, purulent drainage, crust

Tx: anti allergy, antibx drops, steroid

Question 24

pediculosis capitis
- what is it
- s/s:
- tx:

Answer 24

head lice; tiny insects infect the scalp

s/s: itching, visible nits and lice

tx: medicating shampoo, remove nits

Question 25

impetigo
- is it contagious?
- s/s
- tx:

Answer 25

highly contagious

s/s: vesicular lesions that rupture –> yellow brown crust around mouth and nose

tx: antibx

Question 26

scabies
- what is it
- is it contagious?
- s/s
- tx

Answer 26

tiny burrowing mite that spreads quickly thru physical contact

highly contagious

s/s: intense itching

tx: topical and oral meds

Question 27

eterobius vermicularis
- what is it
- how is it spread
- how long can it survive
- s/s
- tx

Answer 27

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

Question 28

dermatophytosis
- what is it
- is it contagious
- explain the three common types

Answer 28

infection by fungus dermatophyte

highly contagious

tinea capitis: ringworm, itchy scalp
tinea pedis: athlete’s foot
tinea cruris: jock itch