school age growth exam 1 Flashcards

1
Q

school age growth?

A

between 6-12 children will grow an average of 5 cm (2 inches) per year and gain 30-60 cm (1-2 feet). They will almost double their weight, increasing 2-3 kg (4.5-6.5 pounds) per year.

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2
Q

school age development?

A

At the beginning of school age boys tend to be slightly taller and heavier than girls
Toward the end of the school-age years both boys and girls begin to increase in size with girls beginning to surpass boys in both height and weight

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3
Q

school age physical changes?

A

Body takes on a slimmer look
Longer legs, varying body proportion, lower center of gravity
Fat gradually diminishes
Distribution patterns change, contributing to the thinner appearance
By end of school-age double strength and physical capabilities
Muscles are still functionally immature when compared to those of the adolescent
Shed first deciduous tooth and at the end of school age acquire final permanent teeth (with the exception of wisdom)
Face grows faster in relation to the remainder of the cranium
Middle childhood (age of loose tooth) and early middle childhood the new secondary (permanent) teeth appear too large for the face

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4
Q

prepubescence physical changes in school aged kids?

A

Prepubescence
Two year span which begins at the end of middle childhood and ends with the 13th birthday
Discrepancy in growth and maturation between boys and girls becomes apparent

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5
Q

physical changes of body systems in school aged kids?

A

Maturation of systems
GI tract-fewer stomach upsets, better glucose levels, increase stomach capacity, permits retention for food for longer periods. Caloric needs are less than they were in the preschool years.
Bladder-capacity generally greater in girls than boys.
Heart-grows more slowly in middle years and is smaller in relation to the rest of the body.
HR and RR-slow from pre-school years
BP-increases from pre-school years
Bones-ossify throughout childhood

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6
Q

psychological (erikson) in school aged kids?

A

Latency Period:
Must successfully master Erikson’s first three stages – this requires nurturing and stable family unit
Sense of industry or accomplishment-achieved somewhere between 6 and adolescence
Inferiority-(failure to master skills of developmental age)

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7
Q

cognitive in school aged kids?

A

Cognitive (Piaget)
Concrete operations or thinking:
Children progress from Perceptual thinking (making judgments based on what they see) progress to Conceptual thinking (based on reasoning)
Conservation: (5-7 years) children learn that simply altering the arrangement in space does not change certain properties.
Classification: group items according to attributes they share
Reading: expands exploration, imagination and knowledge

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8
Q

social development in school aged kids?

A

Peer groups is the most important aspect of socializing school-age children grains independence from their parents
Helps gain independence from parents
Children often modify behavior to be “accepted”

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9
Q

school aged play?

A

Involves increased physical skill, intellectual ability and fantasy
Team play contributes to socialization
Quiet games and activity-such as playing with collections or reading
Ego mastery-play allows children to acquire mastery over themselves, their environment and others

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10
Q

school aged self-concept?

A

Conscious awareness of self perceptions (physical characteristics for example)

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11
Q

school aged body image?

A

School age have relatively accurate and positive perception of their physical selves
In general, like their physical selves less as they age

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12
Q

school for school aged kids?

A

Agent for transmitting values of society to each generation
Setting for relationship building with peers
Sharp break in structure for child’s world
Teachers in early grades assume many of the functions assumed parents (such as recognizing child’s personal needs). They serve as role models

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13
Q

limit setting for school aged kids?

A

Reasoning effective for middle school age children
Instruct and guide children and eliminate undesired behaviors

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14
Q

nursing interventions for stress and fear in school aged kids?

A

The following signs of stress should be explored further

stomach pains or headache, changes in sleeping or nightmares, bed-wetting,

changes in eating habits, aggressive or stubborn behavior, withdrawal or

reluctance to participate, regression to earlier behaviors (such as thumb sucking), trouble concentration or changes in academic performance

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15
Q

school age nutrition?

A

Children typically eat what the family eats: evaluate family food prep
Snacking on easily available high-calorie foods in combination with a sedentary activity level contribute to childhood obesity

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16
Q

obesity and sleep in school aged kids?

A

Obesity
Long-term effects

Sleep
Amounts required are highly individualized in middle childhood
This age does not require a nap, and should sleep about 11 hours at age 5, 9.25 at age 12.
Bedtime resistance: may be addressed by allowing a later bedtime as the child gets older.

17
Q

health concerns in school aged kids?

A

Disorders with behavioral components
Developmentally inappropriate degrees of inattention, impulsiveness and hyperactivity.
DX: present before age 7 yr. and present in at least two settings
Depression
Difficult to detect-children unable to express feelings and act out their problems or concerns
Box 16-3 Characteristics of children with depression

Enuresis
Bedwetting: diagnosed if inappropriate voiding occurs at least twice a week for at least 3 months after the age of 5
Define primary and secondary

18
Q

what is turners syndrome?

A

Absence of one of the X chromosomes (most girls with this syndrome have one X missing from all cells-generally these girls are infertile
Dx at birth: low posterior hairline, webbed neck, widely spaced nipples, edema of hands and feet
Dx in pre-school: growth restricted or delayed
Dx at puberty due to: short stature, delayed sexual development and amenorrhea

19
Q

what is turners syndrome treatment?

A

Female hormone treatment
Psychologic counseling for child and family
Growth hormone for linear growth

20
Q

what is klinefelter syndrome and treatment?

A

Presence of one or more additional X chromosomes and only one Y chromosome
Dx: at or after puberty due to absence of virilization (absence of sperm in semen) small testes, defective development of secondary sex characteristics, cognitive impairment, gross motor skill difficulty, developmental language delay, poor verbal skills, reduced auditory memory, shyness, passivity, behavioral problems, school difficulties

Treatment: administration of testosterone

21
Q

what is the school age risk prevention?

A

Fewer problems than those in early childhood due to refined muscular coordination/control and applied cognitive capacities
MVA or PVA most prevalent case of severe injury or death
Safety equipment (helmets, padding, eye protection, mouth shields)
Head injuries are most prevalent cause of bike related fatalities=teach bike helmet safety

22
Q

what are the school age immunization?

A

Diphtheria and tetanus toxoids and pertussis (DTaP)
4-6 yr..: final dose in series (5 total)
11-12 yr.: for those who have completed the DTP/DTaP series but not the tetanus and diphtheria toxoids (Td) booster

Human papillomavirus vaccine (PHV)
9 yr.: minimum age of girl
11-12 yr. girl: first dose with second dose 2 months after first and third dose 6 months after first dose

Meningococcal vaccine
2-10 yr.: admin to certain high risk groups
11-12 yr.: MCV4

Pneumococcal polysaccharide vaccine (PPV)
At suggestions of PCP: administer to certain high risk groups

Influenza- Annually

HepA
Two doses 6 months apart to those previously unvaccinated
Recommended in areas where programs target other children (see PCP)

HepB
Administer 3 dose series to those previously not vaccinated

Inactivated poliovirus (IPV)
If both the OPV and IPV – total of 4 doses regardless of child’s age

Measles, mumps, and rubella (MMR)
4-6 yr.: Administer the second dose
11-12 yr.: If not previously vaccinated administer 2 doses during any visit with 4 or more weeks between doses

Varicella
4-6 yr.: Administer the second dose – may admin 3 mo. or more after 1st dose
7-13 yr.: 2 doses at least 3 months apart