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parent/child: ch 34
| Question | Answer |
|---|---|
| School-age child | 6 - 12 years old |
| Biologic development | Slower, but steady pace; most girls begin to surpass boys in both height & weight |
| Physical changes | More graceful & steadier on their feet; proportions make climbing, bicycle riding, & other activities easier |
| Preadolescence | The period that begins toward the end of middle childhood & ends with the 13th birthday |
| Puberty | Signals the beginning of the development of secondary sex characteristics |
| Prepubescence | The 2-year period that precedes puberty, typically occurs during preadolescence |
| ‘Bucktooth’ | Losing teeth in this age group |
| Erikson (Psychosocial development) | Latency period (a time of tranquility); industry (sense of accomplishment) vs. inferiority (sense of inadequacy) |
| Piaget (Cognitive development) | Master the concept of conservation (chart on pg. 913) & they learn to tell time |
| Spiritual development | Fascinated by the concepts of hell & heaven |
| Social development | Group activities, become increasingly sensitive to the social norms & pressures of the peer group, & formation of intimate friendships between same-sex peers; clubs & peer groups; bullying & gang violence |
| Bullying | Any recurring activity that intends to cause harm, distress, or control toward another in which there is a perceived imbalance of power between the aggressor(s) & the victim (Boys - direct bully; girls - indirect bully) |
| Relationships with families | Parents are the primary influence in shaping their children’s personalities, setting standards for behavior, & establishing value systems |
| Play | Belonging to a group is of vital importance; they begin to see a need for rules; team games & sports; they also enjoy many quiet & solitary activities (ex: collections) |
| Self-concept | Refers to a conscious awareness of self-perceptions, such as one’s physical characteristics, abilities, values, self-ideals & expectancy, & the idea of self in relation to others. It also includes one’s body image, sexuality, & self-esteem |
| Sex education | An important component of ongoing sex education is effective communication with parents. When presenting sexual info, nurses should treat sex as a normal part of growth & development. (Be honest & with parent’s permission) |
| Latchkey children | |
| Used to describe children in elementary school who are left to care for themselves before or after school without the supervision of an adult | |
| Stress & fear | Stress in childhood comes from a variety of sources, such as conflict within the family, parental criminality or psychiatric disorder, & low socioeconomic status |
| Signs of stress in children | Stomach pains or headache, sleep problems, bedwetting, changes in eating habits, aggressive or stubborn behavior, withdrawal or reluctance to participate, regression to earlier behaviors, & trouble concentrating or changes in academic performance |
| Nutrition | The quality of the child’s diet depend s on the family’s pattern of eating. Foods that do not promote growth, such as sugars, starches, & excess fats, are common in their diets |
| Sleep & rest | Highly individualized; approximately 11.5 hours at 5 years old & 9 hours at 11 years old |
| Exercise, activity, & sports | Running, jumping rope, swimming, roller skating, ice skating, dancing, & bicycle riding; common sports: baseball, soccer, gymnastics, & swimming; just know their limits & safety |
| Television, video games, & the internet | Limit & parents should make the ultimate decision about which programs their child will watch |
| Dental health | The most effective means of preventing dental caries (cavities) is proper oral hygiene; if a permanent tooth gets knocked, it can be saved if the nerve is still intact. Place lost tooth immediately in either cold milk or saliva (Box on pg. 923) |
| School health | Education & prevention |
| Automobile safety measures | Effective car restraint systems, door-lock mechanisms, & appropriate passenger seating locations in the motor vehicle. The rear vehicle seat is the safest place for children younger than 13 & booster seats should be used until the child is 57 inches tall |
| Bike riding, skateboarding, in-line skate, & scooter safety | Wear helmets & other protective equipment |
| Enuresis | Defined as repeated urination into bed or clothing at least twice a week for a period of at least 3 months that is not due directly to a physiologic condition or substance & occurs in an individual who is at least 5 years of age |
| Primary enuresis | Bedwetting in children who have never been dry for extended periods |
| Secondary enuresis | The onset of wetting after a period of established urinary continence |
| Enuresis teaching | No liquids or caffeine 2 hours before bed Go before bed |
| Encopresis | Defined as repeated bowel movements into bed or clothing at least one time per month for a period of at least 3 months, is not due directly to a physiologic condition or substance, & occurs in an individual who is at least 4 years of age |
| Primary encopresis | Identified by 4 years of age when a child has not achieved fecal continence |
| Secondary encopresis | Fecal incontinence occurring in a child older than 4 years of age after a period of established fecal continence |
| Psychogenic encopresis | The soiling is caused by emotional problems, often related to a disturbed mother-child relationship |
| Encopresis treatment | Behavior therapy, such as maintaining regular bathroom routines, increasing exercise, & having the child take on more responsibility for the bowel program |
| Possible causes of primary nocturnal enuresis in children | Box 34.1 pg. 927 |