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28 Cards in this Set
- Front
- Back
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Physiologic changes
age 6-12 |
gains 4 1/2-6 lbs per year
grows 2" a year skeletal growth rapid-"gangly boys taller/heavier than firls until changes indicating puberty |
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Deciduous teeth
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loss of primary teeth at 6yr
first permanent teeth 6 yr molars appear |
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Cognitive develpment Piaget
concrete operational thought |
thinking abstractly to a certain degree
inductive reasoning cause and effect able to see other persons points of view |
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What is an IMPORTANT milestone in schoolage children
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the idea of conversion
(think water in glass experiment) |
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Psychosocial development
erickson Industy vs.inferiority |
nn many opportunities of success or else feel inferior
teachers/peers become more important feel part of a group friends tend to be same sex |
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School age DSCR
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need to develop independence
nn to belong to a group succeed in school play- usually team plam see decrease in egocentricity peer groups- help develop social norms |
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school age charecteristics
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teacher more influencial
learns to read ready to compete/team sports avid collectors "best friends" assuming responsibilitis learning new skills moral/spiritual development |
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behaviors
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behaviors are geared towards reward/punishment
"follows rules" "want to be good" uses religious values to modify behavior |
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parental roles
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children need their parents as adults, not pals
parents nn to be role model consistent positive behavior nn to be there to support and develop behavior of child help child reach MAX potential |
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parental coping
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influenced by economics, parents nn to be adaptable. the RN always assess coping skills
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PARENTING STYLE
AUTHORIATARIAN/DICTATORIAL |
RIGID RULES, no explanations/obedience is absolute punishment is very forceful. children become sensisitive, shy, submissive, courteous, loyal and dependable
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PARENTING STYLE
Permissive/laissez faire |
allows child to self-regulate. will explain all the rules, rarely punish. child becomes aggressive and disobident
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PARENTING STYLE
authoritative/democratic |
consisten firm parental control. encourginging, understand and respect child, the child has high self-esteem, interacts well with other children
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parental education/ limit setting and discipline
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goal: to control behavior
techniques; reasoning, withholding priveledges, penalties, contracting |
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common bad behaviors
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lying; sometimes to impress or to esscape punishment
cheating: usually disappears w/ maturity stealing: limited sense of property rights, revenge for unfair treatment(have child return item) |
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Nutrition
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limit fast food and empty calories
encourage activity CHILD AT RISK- <ca+, vit A and vit C and iron |
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childhood obesity
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excessive adiposity rather than weight
BMI- between 85-95% for age/sex OVERWEIGHT >95% |
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childhood obesity
prevalence |
15% are >or= 95%
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childhood obesity
risk factors |
increased birth wt. infant of DM mom, environmental, low economic status, maternal obesity, SEDINTARY ACTIVITY
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childhood obesity
CONSEQUENCES |
high risk for HTN
high risk for type 2 DM |
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childhood obesity
AAP recommendations |
identify/track at risk
calculate/plot BMI yearly encourage/support breastfeed encourage health eating patterns promote physical activity limit TV/video to max 2hr/day |
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Sex education
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nurse is role model, answer question accurately and use appropriate terms
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helping the child succeed in school
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have positive attitude
meet and communicate teacher acknowledge work child is doing promote quiet work area |
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preventing hazards/modifying risk
exercise promotion |
orgainzed sports
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injury prevention
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high risk for MVA, use restraints, no kids<12 in front seat if air bag
water safety |
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school nursing services
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health maintenance
routnine health services children w/ chronic illness/disability |
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Health screening
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yearly physical
immunizations up to date assessment of growth and development, physical activiy and school performance, hearing/vision dental exam, risk assess, anticipatory guidence |
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anticipatory guidence
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6- strong food pref. may refuse to eat, mood swings, > risk of illness, *nn for privacy* peers important
7-10 < illness, building immunity, develop allergies, >minor injuries, promote safty, consistent limit setting 11-12-pubbescent period, woman growth spurt, high energy, growth spurt, strong desire to be grown up, >nn for rest, begining to experiment and risky behaviors |
