School- Age Health Flashcards

1
Q

This is a group between the age of 6 to 12 years of age?

A

School age

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2
Q

The physical focus of school age is ____ period

A

Latency

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3
Q

Cognitive focus of school age is ______

A

concrete

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4
Q

Psychosocial focus is ____ stage and desire to please adult figures

A

industry stage

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5
Q

Subjective data:

Elimination with well-child checks think what?

A

Elimination (constipation, enuresis)

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6
Q

Subjective data:

Developmental with well-child checks think what?

A

School, activities, exercise, friends, behavior, family relationships

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7
Q

Objective data from well-child includes:

a) Physical examination should include:
1) ______
2) Scoliois
3) Tanner staging (preconcious puberty)

A

BMI

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8
Q

Laboratory test for well-child check include:

a) ____ _____ ____ test for tuberculosis once before school entry at 4 to 6 years fo age; annually if any of the following risk factors are present:
a) Low socioeconomic status
b) Residence in areas where tuberculosis is prevalent
c) Exposure to tuberculosis
d) Immigrant status

A

Purified protein derivative (PPD)

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9
Q

Lab test: ________ at age 8 years; additional as needed

A

Hematocrit

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10
Q

________ if family history dylipidemia or premature cardiac disease (biological parents and / or granparents with caridac event

A

Cholesterol

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11
Q

The management plan of school-age kid:

a) Immunization [ ____ vaccine against measles, mumps and rubella (MMR) of r school evtry]
b) Illness management with mediation
c) Health promotion strategies with anticipatory guidance
d) Dental assessment and cleaning every 6 months

A

2nd

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12
Q

Maximize the Interview:

a) May use diagrams
b) Industry vs _______
c) The child wants to be brave
d) Older school-age children become more modest
e) Fears pain, loss of control, death

A

inferiority

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13
Q

Average 10 year old is ___ lbs

A

70 lbs

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14
Q

The average height of 10 years old is?

A

52 to 56 inches tall

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15
Q

Average growth weight is ____ pounds per year

A

5 to 7 pounds per year

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16
Q

Average height is ___ inches per year

A

2 to 3 inches per year

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17
Q

Girls reach peak height velocity (PHV) at age _____ (prior to menarche)

A

11 to 12 years

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18
Q

If the BMI is between 85th and 95th percentile the patient is at risk for becoming __________?

A

overweight

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19
Q

A BMI above ____ percentile indicated obesity?

A

95%

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20
Q

Physical examination for school-age include?

a) ____ ____ (pulse and respiration rate decrease; blood pressure increases)

A

Vital Sign

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21
Q

What is Visual acuity ____ in school-age?

A

20/20

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22
Q

Permanent teeth ____ in school-age students

A

erupt

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23
Q

________ screening begins age what?

A

9 years

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24
Q

School-age child:

a) _____ skills are well-developed
b) Muscle strength increases
c) Hand dominance emerges

A

Motor

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25
Q

What are the stages of Erikson’s industry vs inferiority:

a) Child is active
b) __________
c) curious

A

energetic

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26
Q

____ _____ concrete operational thinking stage

a) The cognitive task at this age are varied
b) Acquiring new knowledge and sense of industry
c) Language becomes fluid and descriptive

A

Jean Piaget’s

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27
Q

Language becomes _______ and ___________

a) Thought processes expand: Capable of reversibility
b) Can grasp the concept of conservation
c) Cand classify thing based upon one characteristic
d) Can use concepts of time and money
e) Master a cause and effect
f) Understands the concept of space
g) Capable of deductive reasoning

A

fluid and descriptive

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28
Q
Cognitive Development of School-age:
Psychosocial development
1) Marked expansion to include the outside world
2) Can grasp the concept of conservation
3) Can classify things based upon one characteristic 
4) Can use concepts of time and money
5) Masters \_\_\_ and \_\_\_\_\_\_\_
6) Understands the concept of space
7) Capable of deductive reasoning
A

cause and effect

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29
Q

Psychological development of school-age:

1) Marked expansion to include the outside world
2) Development of ____ -____
3) Socialization
4) Responsibility

A

2) Self- esteem

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30
Q

Development of ____-______

a) Feels competent in abilities: Learning, decision-making, etc

A

Development of self- esteem

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31
Q

_________

a) Plays with other organized sports
b) Interested in peer groups, clubs
c) Capable of enhancing in a peer environment
d) Toward late school-age, peers become extremely important

A

Socialization

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32
Q

____________

a) Will be proactive to meet needs
b) Can fulfill household and school responsibilities
c) Will often seek moneymaking opportunities with limited responsibility (such as babysitting, dog-walking, etc.)

A

Responsibility

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33
Q

______ guidance is unique to the age group (School age)

A

Anticipatory

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34
Q

_______: School-age

a) consistency is critical
b) Adults must role model
c) Should emphasize natural and logical consequences
d) Should be assigned regular duties/chores
e) As a child develops language skills, encourage parents to listen to respond

A

Discipline

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35
Q

________ ________/ Guidance: School age

a) Discipline
b) reinforce honesty
c) Respect need for privacy
d) Be aware of television programming and internet activity (should be less than 2 hours/day)
e) Expect lying, Confront child in a positive way.

A

Developmental Discussion/Guidance

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36
Q

_____/______: Shcool age

a) Institution of the current food guidelines- my plate
b) Minimize “junk” good
c) May appear to have increased weight as liner growth stabilizers

A

Nutrition/ Feeding

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37
Q

_____ _______: School-age

a) Brushing after meals and before bed
b) A dental cleaning every six months
c) Placement of sealants
d) Learn how to floss

A

Dental Health

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38
Q

___ _____: Shcool age

a) Communication about cigarettes, drugs and alcohol abuse

A

Injury Prevention

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39
Q

__________: School-age

a) Increased curiosity for sex
b) Established communication about sexually transmitted infestations, human immunodeficiency virus/acquired immune deficiency syndrome
c) Prepare girl for menstruation, males for hormonal/body changes
d) Give accurate information about sexual intercourse, reinforcement over time is vital

A

Sexuality

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40
Q

________: School age

a) Sleep 8 to 10 hours per night
b) Nightmare decrease

A

Sleep

41
Q

In _______ school-age children

a) poor adjustment to shool
b) not working to ability
c) frequent illness/ need to stay home from school
d) Lack of social interaction/ peer problems

A

younger

42
Q

In _______ school-age children

a) Revert to the dependent, shy, passive role
b) Using illness to avoid responsibilities
c) cannot make or keep friends
d) poor school performance (feeling “left behind”)
e) disinterest in any extra academic activity
f) destructive behavior to express self

A

older

43
Q

_______ a term generally used to describe a condition in which the body fat to lean mass ratio is too great as a result of high caloric intake and/or low energy use

A

Obesity

44
Q

This form of _______ may be defined as mild, moderate or morbid

A

obesity

45
Q

Cause of _________

a) is caused by a combination of physiologic, genetic, and environmental causes
b) diet high in fats and simple carbohydrates
c) relative inactivity
d) use of food for emotional comfort or as a control mechanism
e) Physical or genetic disorders of decreased energy expenditure

A

obesity

46
Q

Differential Diagnosis for Obesity is?

A

a) Endocrine disease
b) Genetic conditions such as Prader- Willi syndrome
c) medication-induced obesity (antipsychotics)

47
Q

Diagnostic Study Obesity:

a) As indicated to rule out physical causes
b) As indicated to assess for ______ sequelae
c) Determination of obesity:
1) BMI is greater than 95th percentile for age/gender

A

physiologic

48
Q

_________ of obesity includes:

a) Prevention through anticipatory guidance
b) treat underlying physical cause if appropriate
c) The goal for the younger child is to stabilize weight; linear growth with compensating
1) Nutritional planning
2) increased activity
d) Counseling referral if psychosocial issues seem a likely cause

A

Management

49
Q

____ ____ and ______

a) A collective term used to describe acts of commission and or omission, including physical, sexual, and emotional acts that endanger the health and development of the child
1) All states have required reporting standards for suspected abuse/neglect by mandated professionals

A

Child Abuse and Neglect

50
Q

Cause of incidence and abuse

1) abusers are often former _____ with psychiatric, cognitive, and emotional impairment
2) Neglect is the most common form of child abuse
3) African American and Native American have twice the national average of reported incidence
4) Eighty percent of abusers are parents

A

victims

51
Q

Signs and symptoms of abuse include:

a) History is vague and not compatible with the injury
b) delay in seeking care can lead to _____ and bruising in various stages of healing
c) Soft tissue marking with an outline of a hand, object, weapons, or cigarettes burn
d) Physical needs not met
e) Development delays
f) Child/ parent interaction si unusual

A

fractures

52
Q

The differential diagnosis for abuse is?

A

a) accident
b) underlying disease (coagulopathies)
c) Homeopathic or cultural practices

53
Q

Diagnostic Studies for abuse include:

a) _____ _______
b) As indicated to rule out the underlying cause of symptoms (coagulations and/or osteogenesis imperfecta)
c) Home assessment
d) Diagnostic assessments: Lab and radiographic

A

Physical examination

54
Q

_____ _______

a) Blood coagulation studies (platelet count, bleeding time, prothrombin time, and partial thromboplastin time) in children with bruises or a history of “easy bruising”
b) Serum calcium, phosphorus, and alkaline phosphatease level may be useful if bone disease is suspected

A

Laboratory tests

55
Q

_____ ________:

a) Local radiological evaluation in children with limited range of motion or bony tenderness on examination
b) Skeletal survey: For any children with soft tissue findings who are nonverbal or unable to give a clear history ( more than 4 to 5 years of age) or for infants suspected of failure to thrive
c) CT scans/bone scans/MRI: On a case by case basis, depending on clinical findings
d) Ultrasonography is useful if the visceral injury is suspected

A

Radiographic studies

56
Q

Management of school-age health:

a) Education and prevention
b) Identify ____ risk mothers/parents and refer
c) Anticipatory guidance
d) Mandatory reporting according to state statute

A

high

57
Q

_____ is the most commonly diagnosed behavioral problem in childhood and is now regarded as a chronic illness.
The essential impairment is a deficit behavioral inhibition which disrupts the developmental process of learning how to self -regulate behaviors. Instead, behaviors such as inattention, distractibility, impulsivity, and hyperactivity, which are appropriate behaviors in young children, persist into school- age and adolescence, making internal regulation of behaviors difficult at best

A

ADHD

58
Q

According to the 4th edition of the diagnostic and statistical manual of mental disorders the are 3 diagnostic subtypes of ADHD:

a) Predominantly ______ type
b) Predominantly hyperactive-impulsive type
c) Combined type (most children are diagnosed with this time of ADHD

A

inattentive

59
Q

Symptoms must be present before the age of ____ with ADHD?

A

7 years

60
Q

Symptoms of ADHD must persist for at least ____ months?

A

6 months

61
Q

Symptoms must b more frequent and more severe than those observed in other children at the ____ level of development (ADHD).

A

same

62
Q

Symptoms interfere with functioning in at least ___ settings:

a) Home
b) School
c) Play

A

two

63
Q

Boys are affected at a rate of ___ times greater than girls (ADHD).

A

6

64
Q

Biological influence: ADHD

_____: Frequency among family members has been noted.

A

Genetics

65
Q

Biological influence: ADHD

Prenatal factors include maternal ____ during pregnancy

A

smoking

66
Q

Biological influence: ADHD

________ factors include prematurity, the sign of fetal distress, prolonged labor, and perinatal asphyxia

A

Perinatal

67
Q

Biological influence: ADHD

________ factors include cerebral palsy, epilepsy, and central nervous system (CNS) trauma or infections

A

Postnatal

68
Q

Environmental: ADHD

Environmental ______

A

lead

69
Q

Environmental: ADHD

Dietary factors, including ____ ___, additives, and sugar

A

food dyes

70
Q

Psychosocial influences: ADHD

_________ or chaotic environmental

A

Disorganized

71
Q

Psychosocial influences: ADHD

______ abuse or neglect

A

Child

72
Q

Psychosocial influences: ADHD

Family history of ________, hysterical, or sociopathic behavior

A

alcoholism

73
Q

Psychosocial influences: ADHD

_________ learning disorders

A

Developmental

74
Q

ADHD:

1) Symptoms cannot be attributable to underlying psychiatric disease.
2) In addition to these, there must be at least ___ symptoms of inattention or ____ symptoms of hyperactivity/impulsivity

A

6

75
Q

ADHD is a combination of three components?

A

Inattention
impulsivity
Hyperactivity

76
Q

____________:

a) Makes careless mistakes
b) Fails to pay attention to detail
c) Easily distracted
d) difficulty concentrating long enough to complete task
e) Difficulties following instructions
f) Difficulties organizing tasks and activities

A

Inattention

77
Q

_________:

a) Difficulties awaiting one’s tun
b) frequently blurts out answers
c) Interrupts or intrudes on others

A

Impulsivity

78
Q

______:

a) Fidgetiness
b) difficulty remaining seated
c) difficulty playing quietly
d) subjective feeling fo restlessness in adolescents
e) subjective feeling of restlessness in adulescents
f) Difficulties with social relationships
g) low frustration tolerance

A

hyperactivity

79
Q

Learning disabilities with ADHD is seen as how often?

A

35%

80
Q

Anxiety is seen as how often in ADHD?

A

25%

81
Q

Depression is seen as how often with ADHD?

A

25%

82
Q

Oppositional defiant disorder or conduct disorder is seen in ADHD what %?

A

50%

83
Q

Differntial Diagnosis of ADHD is?

a) Sensory ________
b) Psychiatric disorder
c) Age appropriate activities
d) Situational anxiety

A

a) Sensory impairment

84
Q

A variety of standardized test/questionnaires are used to assess symptoms of ADHD:

a) ________ Rating Scales
b) Achenbach Child Behavior Checklist
c) Vanderbilt assessment tool

A

Connor’s

85
Q

Management of requires multi- modal management for ADHD?

a) __________ environment
b) Operant conditioning techniques
c) Consider mental health referral
d) Pharmacologic Management

A

Structured

86
Q

CNS stimulants are highly effective ____ to ____ % effective

A

70 to 90%

87
Q

Another name for ADHD methylphenidates?

A

a) Ritalin
b) Concerta
c) Metadate
d) Focalin

88
Q

Another name for ADHD Amphetamines?

A

a) Adderall
b) Adderall XR
c) Dexedrine
d) Vyvanse

89
Q

How do stimulants help with ADHD?

A

Stimulants increase the availability of neurotransmitter to increase focus and attention

90
Q

Start ____ and go slow; titrate up at weekly intervals; get feedback from patients and teachers to assess the effectiveness

A

low

91
Q

Dosing principles for ADHD:
Usual dose _____ to ____ mg/kg, starting with 5 to 10 mg in the morning.
If not effective, increase the dose in increments of 2.5 to 5.0 mg per week unit effect level is reached

A

0.3 to 0.7 mg/kg

92
Q

With ADHD medication behavior changes can be identified within ____ to ____ minutes of ingestion

A

30 to 90 minutes

93
Q

ADHD: Short-acting preparations generally last ___ hours (no chewing), and often need re-dosing; long-acting preparations generally last 10 to 12 hours

A

4

94
Q

ADHD: Avoid evening dosage changes in minimizing _________

A

insomnia

95
Q

ADHD: If a child does not respond to higher doses of ____ stimulant, or if side effects are unacceptable, switch to another stimulant before considering other medications.

A

1

96
Q

ADHD cautions/contraindications:

a) Symptomatic ________ disease
b) Moderate hypertension
c) marked anxiety
d) glaucoma
e) History of drug abuse
f) depression
g) depression/ suicide risk

A

cardiovascular

97
Q

Side effects of a stimulant with ADHD include:

a) ______
b) anorexia
c) weight loss
d) tachycardia
e) temporary decrease in rate of growth and development
f) tolerance to the medication
g) Tics
h) Headaches
i) Stomach aches

A

insomnia

98
Q

Non- pharmacological management of ADHD:

a) May benefit from ______, social skills or parenting therapy
b) No drug Holidays= practice guideline

A

cognitive