Chapter 28 School-Age Child G&D (E2) Flashcards
From 6 - 12 years of age, children grow an average of ______ inches per year
2.5
Children 6 - 12 years of age will increase the height by …
at least 1 foot
Children from 6 - 12 years will increase their weight by ______ per year
7 pounds
Brain growth is complete by the time the child is ….
10 years of age
In school-age children, there are fewer respiratory infections due to
respiratory maturity and development of the lungs and alveoli
The frontal sinuses are developed by
7 years of age
The school-age child’s blood pressure ____________ and the pulse rate _______________.
Blood pressure INCREASES
Pulse rate DECREASES
The retention of food for longer periods of time, and fewer GI upsets occur in the school-age child because
Stomach capacity increases
The caloric needs of the school-age child is ____________ than in earlier years
lower
The formula for bladder capacity is …
age in years plus 2 ounces
Prepubescence typically occurs
2 years before the beginning of puberty
Prepubescence is characterized by
the development of secondary sexual characteristics ….
a period of rapid growth for girls
a period of continued growth for boys
Lymphatic tissues continue to grow until
9 years of age
Immunoglobulins A and G reach adult levels around
10 years of age
Ericksons theory in school-age children
Industry vs Inferiority
Piagets theory in school-age children
Concrete operational
Kohlbergs theory in school-age children
Conventional
Stage 3: Interpersonal conforming, “good child, bad child” 7-10yrs
Stage 4: “law and order” 10-12yrs
Freuds theory in school-age children
Latency
Erickson Stage Activites include:
- Interested in how things are made and run
- Success in personal and social tasks
- Increased activites outside home
- Increased interactions with peers
- Increased interest in knowledge
- Needs support and encouragement from important people in childs life
- Needs support when child is not successful
- Inferiority occurs with repeated failures with little support or trust from those who are important to the child
Ocular muscular control, peripheral vision, and color discrimination is fully developed by the time the child is __________ years old
7
Some problems identified in the sensory development of school-age children include:
- amblyopia (lazy eye)
- uncorrected refractive errors
- other eye defects
- Strabismus (malalignment of the eyes)
What is amblyopia?
“lazy eye”
reduced vision in an eye that has not been adequately used during early development
Leading cause of visual impairment in children
Amblyopia (lazy eye)
What is strabismus?
One eye being more nearsighted, farsighted, or astigmatic than the other eye
If amblyopia isn’t treated by age 9 ….
can cause irreversible visual loss.
How is amblyopia treated?
with glasses or patching
How is sense of smell tested in school-age children?
using scents that children in general are familiar with, such as chocolate or other familiar odors
How is sense of touch tested in school-age children?
Using objects to discriminate cold from hot, soft from hard, and blunt from sharp
Health care visits throughout the school-age period focus on ….
expected growth and development
and
anticipatory guidance
The school-age child is often concerned most about _______ &/or ________________________, during hospitalization
pain
&/or
changes that may occur to his or her body
During hospitalization, the school-age child may _________ and exhibit behaviors of a younger child
regress
Hospitalization for the school-age child can bring with it a loss of __________
control
During hospitalization of the school-age child, the nurse must use knowledge of normal growth & development to recognize
- potential delays
- promote continued appropriate growth & development
- successful interaction with the child
Three things the nurse can do for the school-age child during hospitalization :
- provide opportunities to maintain independance
- provide opportunity for the child to gain control
- increase self-esteem
Why might the school-age child be more susceptible to accidents and injuries?
Increased independance
Increased self-confidence
Decreased fears
Name 11 areas that safety & interventions should be discussed with the school-age child
- Car safety
- Pedestrian safety
- Bike safety: general
- Bike safety: traffic
- Sports safety
- Skateboarding and inline skating safety
- All-terrain vehicle safety
- Fire safety
- Water safety
- Firearm safety
- Toxin safety
Children under the age of ______ years must sit in the back seat
12
Seat belt or age- and weight-appropriate booster seat should be used at all times ….
until 80 pounds
&
4’-9” tall
Why is the front seat dangerous for a school-age child?
because of passenger-side airbags in most new-model cars
Common developmental concerns for school-age children
- Television & video games
- Obesity
- School phobia
- Latchkey kids
- Stealing
- Lying
- Cheating
- Bullying
- Tobacco & alcohol education
Antisocial behaviors that emerge in school-age children include
Stealing, lying and cheating
Children between the ages of ___________ years old do not fully understand the concept of ownership and property rights
6-8
By age 9, children should respect ….
others’ possessions and property
&
understand stealing is wrong
Reasons the school-age child might steal ….
- he or she desires the item
- feels peer pressure & is trying to impress peers
- has sense of low self-esteem
When does stealing become a concern?
When the child does not have remorse or continuously steals
& / or
stealing is accompanies by other behavior problems
Lying is more common in …
boys
&
children between 5-8 years old
Why do children ages 8-12 years old typically lie?
- they are unable to meet expectations of family and peers
- they are testing the rules and limits placed on them
- unable to explain bad behavior
Concept of cheating is not well understood until the child is
7 years old
Before the age of 7 years old, the desire ____________ is the most important and rigid rules are hard to understand
to “win”
Why is cheating usually done in school-age children?
- because of competition
- strong pressure placed of the child to succeed
The successful resolution of developmental tasks for the school-age child, according to Erikson, would be identified by:
a) learning from repeating tasks b) developing a sense of worth and competence c) using fantasy and magical thinking to cope with problems d) developing a sense of trust
b. developing a sense of worth and competence
Which of the following are reasons that stealing occurs in school-age children? (SATA)
a. to escape punishment b. high self-esteem c. low expectations of family / peers d. lack of sense of propriety e. strong desire to own something
c, d, e
With entrance into the school system, school-age children have the influences of
peers & teachers
Visual acuity is reaching maturation and 20/20 vision by
7 years of age
Increased independence leads to
increased exposure to safety hazards
The school-age child develops the cognitive ability to
classify objects and to identify relationships among objects
Very important to school-age children are …
peers, especially peers of the same sex
School age children are capable of ….
They continue to need ….
concrete operations, solving problems, making decisions
guidance, rules, and direction from parents
School-age children develop a
conscience and knows cultural and social values
Which practices will the school-age child incorporate into his or her life, that may be a source of comfort during stressful times?
religious practices
The nurses role for the school-age child is
educating parents
promoting health and safety
How can the nurse promote self-esteem and self-confidence in the school age child?
by informing the child about expected developmental changes in the body
Ways to develop self-worth is termed ____________
industry
Feelings of inability or not measuring up to the abilities of others
Inferiority
Gritting or grinding of teeth
Bruxism
Malocclusion
Improper teeth alignment
Caries
Tooth decay
Changes in breast development and genitalia during late school age or early adolescent
Secondary sexual characteristics
Principle of conservation
Matter does not change when forms change
Body image
the perception of one’s body
The nurse is about to see a 9yr old for a well child check up. Knowing that the child is in Piagets period of concrete operational thought, which of the following characteristics will the child display?
a. the child can consider an action and its consequences b. the child views the world in terms of her own experience c. the child makes generalized assumptions about groups of things d. the child knows lying is bad because she gets sent to her room for it.
a.
The nurse is educating the parents of a 6yr old boy how to manage the childs introduction into elementary school. The child has an easy temperament. Which of the following would the nurse most likely suggest?
a. comforting the child when he is frustrated b. helping the child deal with minor stresses c. schedule several visits to the school before classes start d. being firm with the anticipated episodes of moodiness and irritability
b.
The school-age child typically values ….
School Attendance
School Activites