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NP > School Age > Flashcards

School Age Flashcards

1
Q

School age

A

6 - 11 years

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2
Q

Average annual growth from age 3 through adolescence?

A

2.5 inches per year

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3
Q

Average annual weight gain during school age period?

A

5 - 7 lbs per year

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4
Q

Cognitive focus for school age child?

A

conceptual

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5
Q

Psychosocial focus for school age child?

A

industry vs. inferiority

desire to please adults

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6
Q

At what age does MODESTY typically begin?

A

in the older school age child

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7
Q

When do girls reach peak height velocity?

A

11 - 12 years

prior to menarche

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8
Q

What are the fears of the school age child?

A

pain, loss of control, death

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9
Q

BMI percentiles indicating at risk for overweight?

A

85th to 95th

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10
Q

BMI percentiles indicting obesity?

A

> 95th

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11
Q

Visual acuity in the school age child?

A

approaching 20/20

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12
Q

When does scoliosis screening begin?

A

9 years

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13
Q

When does hand dominance emerge?

A

the school age period

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14
Q

School age children are in which of Piaget’s cognitive stages?

A

Concrete operational

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15
Q

What is one way to think of the Piaget cognitive stage school age children are in?

A

The “C” period

  • Capable of deductive reasoning and reversibility
  • Cause and effect
  • Classification of objects
  • Concepts of time, money, space, and conservation
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16
Q

How much sleep does a school age child need per night?

A

8 - 10 hours on average

consistency continues to be important

may vary from child to child

17
Q

Anticipatory guidelines for the school age child?

A

cigarettes, drugs, alcohol, body changes, intercourse information

18
Q

Big talk vs. small reinforcing talks over time

A

small talks over time better to reinforce information

19
Q

Developmental warning signs in younger school age child?

A

poor adjustment to school
not working to ability
frequent illnesses/need to stay home from school
lack of social interaction/problems with peers

20
Q

Developmental warning signs in older school age child?

A 
reverting to passive, shy roles 
using illness to avoid responsibilities
trouble making or keeping friends
poor school performance
disinterest in non-school activities
destructive behavior to express self
21
Q

Causes of obesity

A

can be use of food for emotional comfort
relative inactivity
diets high in fat and simple carbohydrates

22
Q

Differentials for obesity

A

endocrine disease
genetic conditions such as Prader-Willi sydrome
medication side effect

23
Q

Medications with higher risk of causing obesity

A

anti-psychotics
mood stabilizers
anti-depressants
steroids

24
Q

Differentials for abuse

A

coagulopathies

osteogenesis imperfecta

25
Q

Essential elements for dx of ADHD

A

symptoms

  • present before the age of 7
  • persist for at least 6 months
  • are interfering with functioning in at least 2 settings - home, school, play
26
Q

3 subtypes of ADHD

A 
predominantly inattentive
predominantly hyperactive-impulsive
combined type (most common dx)
27
Q

ADHD -

more boys or girls?

A

boys 6x more than girls

28
Q

Common comorbidities with ADHD

A

ODD - 50%
learning disabilities - 35%
anxiety - 25%
depression - 25%

29
Q

ADHD management

A

structured environment
operant conditioning techniques
mental health referral
medication

30
Q

ADHD pharmacological managment

A

stimulants
start low, go slow
titrate up at weekly intervals

31
Q

Methylphenidate examples

A 
Ritalin
Concerta
Metadate
Focalin
Daytrana - transdermal
32
Q

Amphetamines examples

A

Adderall
Dexadrine
Vyvance

33
Q

Side effects of stimulants

A 
insomnia
anorexia
weight loss
tachycardia
temporary decrease of growth rate
tics
headache
stomach ache

NP (76 decks)

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