Chapter 20 Lecture 4 PART I Flashcards

School-Age Child

1
Q

-What are the ages for school-age children?
-specific range?

A

-6-12 years
-entrance to kindergarten to beginning of adolescence

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2
Q

-They experience a wide range of what?
-Growth is (slower/faster) than during ______ and _______

A

-growth, development, and cognitive ability
- slower
-infancy and adolescence

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3
Q

-What skills are perfected?
-What abilities increase? In what way?

A

-Fine and gross motor skills
-Mental (cognitive)
-The child learns to read, write, and compute mathematics

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4
Q

What kind of groups develop?

A

Peer

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5
Q

They have an increasing ability for what type of care?

A

Self-care

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6
Q

You can describe 6-12 years of age as…

A

“calm before the storm”

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7
Q

Body systems reach…

A

adult level function

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8
Q

Children may have what kind of appearance

A

overall slimmer appearance due to increased activity

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9
Q

What muscles develop?

A

thoracic

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10
Q

-They can have elevated…
-It should be screened for when?

A

-blood pressure
-yearly

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11
Q

In terms of blood pressure, what will prevent adult organ damage?

A

Identification and treatment

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12
Q

-What kind of children are at greater risk for organ damage
-What is the prevalence?

A

-Black and Mexican American children
-5 out of 100 children

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13
Q

-Compared to other stages, growth is…
-Standardized charts are used, but what is considered?

A

-slower & occurs at a steadier pace
-family height

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14
Q

Many children have what kind of growth?

A

Altering “spurts” of growth alternating with periods of minimal growth

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15
Q

-Height increases by what per year?
-Weight increases by what per year?

A

-5 cm or 2 inches per year
-3-4 kg or 4.4-6.6 lbs per year

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16
Q

Growth differs by what?

A

-race, gender, and genetics

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17
Q

Head growth slows until what?

A

puberty

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18
Q

Preadolescent growth spurt occurs earlier in..

A

girls than boys

19
Q

MENARCHE
-Appears to be occuring ____ due to what?
-It is related to what? What does this mean?

A

-earlier
-due to better nutrition and differences in lifestyle
-genetics, so most girls experience their menarche at around the same age their mothers reached it

20
Q

MENARCHE
-With sufficient _____ _____, girls can have their first menstrual period between what ages?
-Is this normal

A

-body fat
-11-15 years
-Yes

21
Q

MENARCHE
-What is precocious puberty

A

puberty begins signficantly earlier than the average age

22
Q

ORAL DEVELOPMENT: Teeth
-What is tooth eruption?
-It occurs earlier for who?
-What is common?

A

-tranistion from deciduous (baby teeth) to permanent teeth
-girls
-orthodontic care

23
Q

ORAL DEVELOPMENT: Teeth
-Teeth are lost in what order?
-How many teeth are lost per year?

A

-the same order they intially erupted
-4

24
Q

ORAL DEVELOPMENT: Teeth
-There’s a potential for dental problems for school-age children, what are they? (3)

A
  1. Dental caries
  2. Periodontal disease
  3. Malocclusion
25
Q

ORAL DEVELOPMENT: Teeth
-what kinds of programs line up with Healthy People 2030 initiative?
-They have reduced caries by what percent?

A
  1. School-based oral health education programs
  2. Sealant programs
    -60%
26
Q

ORGAN DEVELOPMENT: Lympoid Tissue
-How does it grow?
-Additional lymphoid tissue helps with what?
-What is normal at this age?

A

-Rapidly
-Stronger immune response
-Enlarged tonsils

27
Q

ORGAN DEVELOPMENT: Lungs and Cardiovascular System
-Lung capacity and the cardiovascular system (increase/decrease) with what

A

-increase with body size

28
Q

ORGAN DEVELOPMENT:
-What is fully developed in terms on bones? (3)

A
  1. Bone marrow of ribs
  2. Sternum
  3. Vertebrae
29
Q

MOTOR SKILLS DEVELOPMENT:
-When does maturation of the nervous system occur
-What does it allow the brain’s hemispheres to do?

A

-age 7-8
-it allows the brain’s hemispheres to articulate and allow more control and coordination

30
Q

MOTOR SKILLS DEVELOPMENT:
-What causes children to grow taller?
-What are risks during growth?

A

-Lengthening of the long bones
-fractures and joint pain

31
Q

MOTOR SKILLS DEVELOPMENT:
-Muscle mass increase gives potential for what

A

More complex fine and gross motor functions

32
Q

MOTOR SKILLS DEVELOPMENT:
-What is ossification?
-When does it occur? Is it completed?
-Children should avoid what? Examples?

A

-bone replaces cartilage
-throughout childhood, but it is NOT completed until adulthood
-excessive weight
1. heavy backpacks
2. wear proper-sized shoes
3. use appropraitely sized chairs and desks

33
Q

NUTRITIONAL METABOLIC PATTERN: Nutritional guidelines
-What do school-age children need?
-How many calories should they be consuming per day?

A

-a well-balanced diet
-1200-1800 kcal/day

34
Q

NUTRITIONAL METABOLIC PATTERN: Factors Influencing Food Intake
-What are 4 factors that influence food intake?

A
  1. Access to food
    -lack of nutritious food
    -make their own snacks/food
  2. Fast food issues
    -promotes obesity
  3. Influences
    -Mass media, billboards, TV, peers, family
  4. Contemporary busy lifestyles
    -Skip meals
35
Q

NUTRITIONAL METABOLIC PATTERN: Nutritional Education; School Programs
-What percent of low-income homes with children were food insecure?
-What kinds of programs exist in most school and may continue in after-school programs?
-The AAP and the AHA have established what?

A

-35%
-lunch and breakfast programs
-dietary guidelines for children and adolescents

36
Q

NUTRITIONAL METABOLIC PATTERN:
-Obesity exists with a BMI that is…
-OR exceeds what

A

-greater than 95%
-30 kg/m^2

37
Q

NUTRITIONAL METABOLIC PATTERN:
-Overweight would be considered having a BMI that is….

A

Between 85-95%

38
Q

NUTRITIONAL METABOLIC PATTERN:
-What are contributing factors? (2)

A
  1. Genetic and cultural issues
  2. Environmental
    -Use of food as reward
    -Lack of physical activity
39
Q

NUTRITIONAL METABOLIC PATTERN:
-What are 4 hazards of obesity?

A
  1. Hypertension
  2. Diabetes
  3. Heart Disease
  4. Sleep apnea
40
Q

OBESITY: THE NURSE’S ROLE
-What is the nurse’s role?
-Nurses should encourage parents to be….
-What should they tell the parents to do?

A

-education
-role models
-make activity fun

41
Q

OBESITY: THE NURSE’S ROLE
-Nurse’s should encourage reduction in….
-They should also discourage what?

A

-screen time
-discourage eating while watching TV

42
Q

OBESITY: THE NURSE’S ROLE
-What should nurses consider?
-What should they assist the family with?

A

-Cultural influences
-developing healthy eating choices

43
Q

OBESITY: THE NURSE’S ROLE
-Encourage child involvement in what?
-What does it foster?
-Example?

A

-food selection
-autonomy
-“Do you want broccoli or asparagus?”

44
Q

OBESITY: THE NURSE’S ROLE
-What habit should be assessed?
-Can they have it?

A

-Fast food
-Yes, but keep it minimal