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Flashcards in School Age Deck (33):
1

School age

6 - 11 years

2

Average annual growth from age 3 through adolescence?

2.5 inches per year

3

Average annual weight gain during school age period?

5 - 7 lbs per year

4

Cognitive focus for school age child?

conceptual

5

Psychosocial focus for school age child?

industry vs. inferiority
desire to please adults

6

At what age does MODESTY typically begin?

in the older school age child

7

When do girls reach peak height velocity?

11 - 12 years
prior to menarche

8

What are the fears of the school age child?

pain, loss of control, death

9

BMI percentiles indicating at risk for overweight?

85th to 95th

10

BMI percentiles indicting obesity?

> 95th

11

Visual acuity in the school age child?

approaching 20/20

12

When does scoliosis screening begin?

9 years

13

When does hand dominance emerge?

the school age period

14

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

Concrete operational

15

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

The "C" period

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

16

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

8 - 10 hours on average

consistency continues to be important

may vary from child to child

17

Anticipatory guidelines for the school age child?

cigarettes, drugs, alcohol, body changes, intercourse information

18

Big talk vs. small reinforcing talks over time

small talks over time better to reinforce information

19

Developmental warning signs in younger school age child?

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

20

Developmental warning signs in older school age child?

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

21

Causes of obesity

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

22

Differentials for obesity

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

23

Medications with higher risk of causing obesity

anti-psychotics
mood stabilizers
anti-depressants
steroids

24

Differentials for abuse

coagulopathies
osteogenesis imperfecta

25

Essential elements for dx of ADHD

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

26

3 subtypes of ADHD

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

27

ADHD -
more boys or girls?

boys 6x more than girls

28

Common comorbidities with ADHD

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

29

ADHD management

structured environment
operant conditioning techniques
mental health referral
medication

30

ADHD pharmacological managment

stimulants
start low, go slow
titrate up at weekly intervals

31

Methylphenidate examples

Ritalin
Concerta
Metadate
Focalin
Daytrana - transdermal

32

Amphetamines examples

Adderall
Dexadrine
Vyvance

33

Side effects of stimulants

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