Exam 1: Well Child: School Age

Question 1

School age = ___-___ yo

• Starts when they enter _____, ends at beginning of _____
• How frequent do they need health supervision visits how frequent?

Answer 1

5-12 yo (middle childhood)

Kindergarten, Adolescence
Annually

Question 2

Vital Signs and Growth

1) Heart Rate =
2) Respiratory =
3) Temperature =
4) Blood Pressure =
5) Height = ___ inch/year
6) Weight = ___ lb/year

Answer 2

1) 60-110
2) 20-25
3) 98-98.5
4) 90-110/60-75
5) 2.5 inch/year
6) 7 lb/year

Question 3

Developmental screenings in school age?

Answer 3

Less developmental screening, more about how child is doing in school

Question 4

When taking a child’s BP the nurse finds the results to be elevated (130/6) What are some things the nurse should be checking for?

Answer 4

Hold child’s arm vertically and the make sure cuff size is 2/3 of kid’s arm

Question 5

Nutritional Assessment/Dietary Screenings

1) B_____ consumed
2) Typical eating _____
3) Does the child eat with ____?
4) Who ____ food at home?
5) What is the child’s a____ like?
6) Any a____?
7) Any _____ about child’s eating ____’s ?

Answer 5

1) Beverages
2) Schedule
3) family
4) prepares
5) appetite
6) allergies
7) concerns about eating habits?

Question 6

Physical Assessment

1) _____ what’s going to be done
2) Respect need for _____
3) ____ to child during exam and explain
4) Use words child will _____
5) Proceed from ___ to ___
6) _____ teeth begin to come in
7) Assess for S_______*
8) Begin to see secondary ____ characteristics* watch for early ______

Answer 6

1) Explain
2) Privacy
3) Talk
4) Understand
5) head to toe
6) Permanent
7) Scoliosis
8) sex, puberty

Question 7

Sleep Patterns

1) ____ hours/day, depends on (2)
2) Decreased sleep may lead to irr____, lack of _____, ___active behavior
3) Sleep ____ and ____ may occur
4) Children experiencing increased _____ may not get enough sleep- family issues, inadequate food, etc
5) What is a good indication of inadequate sleep amount?

Answer 7

1) 8-12 hours, child and activity level
2) irritability, lack of concentration, hyperactive behavior
3) walking, talking
4) stress
5) Falling asleep in school

Question 8

Oral Health

1) Most children lose a tooth around __ yo
2) All __ teeth will be lost and ___ teeth will ____
3) Brush __# and F____ daily
4) Dental visits every ____ months
5) Limit intake of _____

Answer 8

1) 6
2) 20, permanent, erupt
3) twice, floss
4) 6
5) sugar

Question 9

Immunizations

1) Preferred site for multiple IM injections 12 months - 2 years =
2) What site is preferred if children 12 months - 2 years don’t have enough muscle mass =
3) Preferred site for age 3 years or older =

Answer 9

1) Anterior lateral thigh
2) Deltoid
3) Deltoid

Question 10

BMI is reliable indicator of =

Obesity = > ___ percentile
- Refers to condition of having too much

Overweight = _____ percentile
- Refers to condition of ____ too much

Answer 10

Body fat

> 95
-fat

85-94th
-weighing

Question 11

Overweight and obese children are at higher risk for developing

1) Type ___ DM
2) H______
3) A_____
4) Obstructive ____ _____
5) Non-alcoholic ____ disease
6) _____ puberty menstruation
7) Eating disorders (2)
8) D____, __ self esteem, A_____

Answer 11

1) II
2) Hypertension
3) Asthma
4) Sleep Apnea
5) liver
6) early
7) anorexia, bulimia
8) Depression, low self esteem, anxiety

Question 12

Weight issues Etiology
_____ supersedes ______ predisposition to obesity

1) Hours of media use per day =
2) __/__ children are driven to school
3) Less than __% of elementary schools provide physical activity every day
4) Children are eating __ cals, playing ___ outside

Answer 12

ENVIRONMENT supersedes GENETIC

1) 2-4
2) 9/10
3) 4%
4) more cals, less outside

Question 13

Most predictive indicator of childhood obesity =

How? (2)

Answer 13

= PARENTAL INVOLVEMENT

1) Key mediators of obesity prevention
2) Parents influence diet and physical activity by their own actions

Question 14

Treatment for Obesity

1) ____ calories
2) ____ physical activity
3) Grow into ____
4) ____ involvement is key for success
5) Parental ___ of obesity and health must be ____
6) ____ influences and factors
7) How often physical activity?
8) Provide clear guidelines with ____ __ appointments

Answer 14

1) decrease
2) increase
3) weight
4) family
5) perception, addressed
6) cultural
7) daily
8) follow up

Question 15

Dietary changes (3)

Answer 15

At least 5 fruits or veg a day
Calcium and iron needs must be met
Stop all sodas and juices

Question 16

Car Safety for School Age Child

• Children over 40 pounds- up to 8 yo =
• Children 4’9 or taller =
• At what age can they legally sit in front seat?
• But, AAP recommends to wait till what age?

Answer 16

• Backseat with seatbelt in forward facing booster seat
• Regular backseat with lap and shoulder seatbelt
• 12
• 13

Question 17

Intervention for Head injuries =

Answer 17

BIKE HELMETS!