School Age

Question 1

School age

Answer 1

6 - 11 years

Question 2

Average annual growth from age 3 through adolescence?

Answer 2

2.5 inches per year

Question 3

Average annual weight gain during school age period?

Answer 3

5 - 7 lbs per year

Question 4

Cognitive focus for school age child?

Answer 4

conceptual

Question 5

Psychosocial focus for school age child?

Answer 5

industry vs. inferiority

desire to please adults

Question 6

At what age does MODESTY typically begin?

Answer 6

in the older school age child

Question 7

When do girls reach peak height velocity?

Answer 7

11 - 12 years

prior to menarche

Question 8

What are the fears of the school age child?

Answer 8

pain, loss of control, death

Question 9

BMI percentiles indicating at risk for overweight?

Answer 9

85th to 95th

Question 10

BMI percentiles indicting obesity?

Answer 10

> 95th

Question 11

Visual acuity in the school age child?

Answer 11

approaching 20/20

Question 12

When does scoliosis screening begin?

Answer 12

9 years

Question 13

When does hand dominance emerge?

Answer 13

the school age period

Question 14

School age children are in which of Piaget’s cognitive stages?

Answer 14

Concrete operational

Question 15

What is one way to think of the Piaget cognitive stage school age children are in?

Answer 15

The “C” period

• Capable of deductive reasoning and reversibility
• Cause and effect
• Classification of objects
• Concepts of time, money, space, and conservation

Question 16

How much sleep does a school age child need per night?

Answer 16

8 - 10 hours on average

consistency continues to be important

may vary from child to child

Question 17

Anticipatory guidelines for the school age child?

Answer 17

cigarettes, drugs, alcohol, body changes, intercourse information

Question 18

Big talk vs. small reinforcing talks over time

Answer 18

small talks over time better to reinforce information

Question 19

Developmental warning signs in younger school age child?

Answer 19

poor adjustment to school
not working to ability
frequent illnesses/need to stay home from school
lack of social interaction/problems with peers

Question 20

Developmental warning signs in older school age child?

Answer 20

reverting to passive, shy roles 
using illness to avoid responsibilities
trouble making or keeping friends
poor school performance
disinterest in non-school activities
destructive behavior to express self

Question 21

Causes of obesity

Answer 21

can be use of food for emotional comfort
relative inactivity
diets high in fat and simple carbohydrates

Question 22

Differentials for obesity

Answer 22

endocrine disease
genetic conditions such as Prader-Willi sydrome
medication side effect

Question 23

Medications with higher risk of causing obesity

Answer 23

anti-psychotics
mood stabilizers
anti-depressants
steroids

Question 24

Differentials for abuse

Answer 24

coagulopathies

osteogenesis imperfecta

Question 25

Essential elements for dx of ADHD

Answer 25

symptoms - present before the age of 7 - persist for at least 6 months - are interfering with functioning in at least 2 settings - home, school, play

Question 26

3 subtypes of ADHD

Answer 26

``` predominantly inattentive predominantly hyperactive-impulsive combined type (most common dx) ```

Question 27

ADHD - | more boys or girls?

Answer 27

boys 6x more than girls

Question 28

Common comorbidities with ADHD

Answer 28

ODD - 50% learning disabilities - 35% anxiety - 25% depression - 25%

Question 29

ADHD management

Answer 29

structured environment operant conditioning techniques mental health referral medication

Question 30

ADHD pharmacological managment

Answer 30

stimulants start low, go slow titrate up at weekly intervals

Question 31

Methylphenidate examples

Answer 31

``` Ritalin Concerta Metadate Focalin Daytrana - transdermal ```

Question 32

Amphetamines examples

Answer 32

Adderall Dexadrine Vyvance

Question 33

Side effects of stimulants

Answer 33

``` insomnia anorexia weight loss tachycardia temporary decrease of growth rate tics headache stomach ache ```