1. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 32 Nursing Care of a Family With a School-Age Child

2. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Process: Development of the School-Aged Child Assessment-HR=70-80; innocent heart murmurs may be heard; BP=112/60 Posture more erect By age 10-brain growth is complete so fine motor coordination is refined Respiratory and lymphatic systems mature

3. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Growth and Development of a School- Aged Child Physical growth –Sexual maturation –Sexual, physical concerns Concerns of girls Concerns of boys Table 32-1, 888 –Teeth

4. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Growth and Development of a School- Aged Child (cont’d)

5. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Growth and Development of a School- Aged Child (cont’d) Developmental milestones –Gross motor development-891 –Fine motor development –Play –-

6. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Growth and Development of a School- Aged Child (cont’d) Language development Emotional development

7. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Growth and Development of a School- Aged Child (cont’d) Developmental task: Industry vs. Inferiority –Home –School –Structured activities –Problem solving –Living with others

8. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Growth and Development of a School- Aged Child (cont’d) Socialization Cognitive development –Decentering –Accommodation –Conservatism –Class inclusion

9. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 30 about Toddlers does not include the developmental task. Moral, spiritual development –Preconventional reasoning

10. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Health Promotion Safety Nutritional health –Establishing healthy eating patterns –Fostering industry –Recommended dietary reference intakes –Vegetarian diet

11. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Health Promotion (cont’d) Daily activities –Dress –Sleep –Exercise –Hygiene –Care of teeth

12. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Health Promotion (cont’d) Healthy family functioning Common health problems –Dental caries –Malocclusion –Health maintenance schedule-902

13. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Health Promotion (cont’d) Concerns, problems –Language development –Fears, anxiety School phobia –Home schooling –Latchkey children-907 –Sex education

14. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Health Promotion (cont’d) Concerns, problems –Stealing –Violence or terrorism –Bullying –Recreational drug use –Children of alcoholic parents –Obesity

15. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Health Promotion (cont’d) Concerns of physically challenged or chronically ill –Nutrition –903

16. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Question An 8-year-old eats lunch daily in the school cafeteria. The best way to feel assured that he will eat a balanced lunch daily is to A.encourage him to include a vegetable daily. B.help him memorize a list of acceptable foods. C.teach him to eat everything on his plate. D.use visual aids to demonstrate appropriate food selections.

17. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer D. Use visual aids to demonstrate appropriate food selections. Rationale: School-aged children are concrete thinkers, so they respond best to concrete examples.

18. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Question A 10-year-old becomes very upset and expresses sympathy for his friend whose dog has just died. This kind of reaction is an indication that he has achieved which step in cognitive thought? A.Conservation B.Accommodation C.Comprehension D.Irreversibility

19. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer B. Accommodation Rationale: Accommodation means the ability to view situations from another’s view.

20. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Question A 12-year-old recently began smoking cigarettes. You would speak to him about this at a health maintenance visit mainly because A.cigarette abuse invariably leads to other forms of drug abuse. B.cigarette smoking is associated with long-term respiratory and cardiovascular effects. C. the child will probably begin stealing to pay for cigarettes. D.at age 12 years, bone growth is severely retarded by the effect of nicotine.

21. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer B. Cigarette smoking is associated with long- term respiratory and cardiovascular effects. Rationale: It is difficult for school-aged children to appreciate long-term effects of their actions without counseling.