school age child

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    School-Age ChildFrom Ages 6 12

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    Growth and Developmen

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    Physical GrowthWEIGHT GAIN: 3-5 lbs (1.3 - 2.2kgsINCREASE IN HEIGHT: 1-2 inches or 2.5-5cm.

    Brain growth is complete. Eye globe reaches its final shape

    IgG and IgA reach adult levels. Lymphatic Tissues continue togrow up.Abundance of tonsillar and adenoid

    tissue. Frontal sinuses develop

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    Frontal Sinus

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    Left ventricle of the heart enlarges. Innocent heart murmurs

    PULSE RATE: 70-80bpm BLOOD PRESSURE: 112/60mmHgRespiratory Rate: 17-22cpm Scoliosis may become apparent at

    this stage.

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    Teeth

    Deciduous teeth are lost andpermanent teeth erupt duringschool age.

    The average child gains 28 teeth

    between 6 to 12 years of age. 7 years old- central incisors erupt Deciduous teeth Will soon beReplaced with permanent teeth

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    Sexual Maturation Hypothalamus

    Anterior PituitaryGland

    Production ofGonadotropin hormones

    Changes in testes andovaries

    PUBERTY

    Transmits enzyme

    To begin

    activates

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    Sexual and Physical ConcernsSchool-age is the time for parents to discuss

    physical changes that happen to them Perspiration increases.

    Concerns of Girls

    Usually taller than boysGirls are usually conscious of breastdevelopment.

    Early preparation for menstruation.Girls need to know that vaginalsecretions will be present.. A child, conscious of breast growth

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    Concerns for boys

    Boys are aware of increasinggenital size.

    Gynecomastia can occur in

    prepuberty. Boys begin to notice ejacula-tion during sleep or termednocturnal emissions. A young boy with gynecomastia

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    AGE BOYS GIRLS

    9-11 Weight gain Breast developmentElevation of papillaAreolar diameter

    enlarges.11-12 Sparse growth of

    pigmented hair at thebase of penis

    Sebaceous glandsecretion increasesPerspiration increases

    Straight hair along thelabia

    pH of vagina becomesacidic

    Slight mucus vaginaldischarge presentPerspiration increases

    12-13 Pubic hair present inpubis

    Penis lengthensDramatic growth spurt

    Breast enlargement

    Pubic hair growsdarker, spreads over

    entire pubis.Breast enlarge but noprotrusion in nipples

    Axillary hair is presentmenarche

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    Developmental

    Milestones

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    Gross Motor Development

    Children endlessly jump, tumble, skip and hop.

    7 years old- Gender differences manifest in play. girl gamesboy games

    8 year old coordination has improved- eyes are fully developed

    9 years old- has enough eye hand coordination- always on the go.

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    11 years old- interested in perfectingtheir skills.

    12 years old- plunge into activitieswith intensity& coordination.

    - able to handle greatresponsibility and

    complete given task.

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    Fine Motor Development

    6 year old can easily tie shoelace-- can draw a person with

    good detail.Eraser Year because children are never

    quiet content with what theyhave done.

    8 years old- can read regular size type.-writes in script rather than print.

    9 years old- writing begins to look mature

    and less awkward.

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    Play7 years of age- child requires more props

    for playing.-imaginative play starts to decline-interested in collecting items.

    8 years old- child like table games but hate to lose.

    9 years old- children play hard10 years old- engages in hand held or televisioncontrol games.

    -interested in rules and fairness.- boys show off as girls pass-girls become interested the way they look.

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    Industry Versus Inferiority

    Child attempt to master another developmentalstage : learning a sense of industry or accomplishment

    If children are prevented from achieving sense of

    industry or do not receive rewards for accomplishments,they can develop a feeling of inferiority or become

    convinced that they cannot do things they actually can do.

    school-age needs reassurance that they can do thingscorrectly.

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    CognitiveDevelopment

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    Cognitive Development (Piaget)Concrete Operational Thought- includes systematic reasoning

    -uses memory to learn broad concepts

    CONCEPTS Decentering - ability to project oneself into others situation. Accomodation : ability to adapt thought processes to fit what

    is perceived (there can be more than one reasonfor other peoples action..

    Conservation - learns that a change in shape doesnt necessarilymean a change in size.

    Class inclusion- ability to understand that one object can belong to

    more than one classifications.

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    Moral and Spiritual Developmen

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    Moral and Spiritual Development

    Preconventional (Level I)(4-7 years old)Carries out actions to satisfy own needs

    Conventional (Level II)7-10 and 10-12 years of ageChild follows rules because of a need

    to be good

    Follows rules of authority.

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    Promoting Nutritional Health

    Establishing healthy eating patterns

    Fostering Industry- let them help inplanning meals

    -teach proper tablemanners.

    Recommended dietary Intake- increase fiber, since

    they dislike vegetables.- increase iron, calcium and fluoride.

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    Common Health Problems

    Dental Caries progressive, destructive

    lesions, or decalcificationof tooth enamel and dentin. neglected caries result in poor

    chewing thuspoor digestion, abscess and

    pain and sometimes

    osteomyelitis.

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    Malocclusions

    is a misalignment of teeth and/orincorrect relation between theteeth of the two dental arches. Theterm was coined by Edward Anglethe "father of modernorthodontics, as a derivative ofocclusion , which refers to themanner in which opposing teeth

    meet.malocclusions

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    Latchkey Children are school children who arewithout adult supervision forpart of each weekday.

    Sex Education- children should be well educated of thepubertal stages and responsible sexualpractices.

    Stealing- happens around 7 years of age when child discoverthe importance of money.

    -Mother should stress the importance of property

    right as well as the consequences it may bring.

    E d f R

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    End of our Report