School Age

What age is school aged?

6-12/13 yrs

What stage are school aged children in

Piaget, Erikson’s, and Kohlberg?

Piaget

• pre operational concrete

Erikson’s

• industry vs. inferiority

Kohlberg

• conventional; developing a conscious, but still very simplistic (good behavior = good person, focus on family)

What cognitive development happen in school age children?

• logical thinking

• perspectives

• mastering skills

• problem solving

• increased attention span

• understand major concepts

  • reversibility

  • classifications, sorting, grouping

  • humor

  • language (rapid development; 200-300 new words/year)

What’s a kay psychosocial development for school age children?

• Self - esteem = success, competence

• Exploring areas of interest, where they fit in

What immunizations do school aged children recieve?

9-12 years

• TDaP

• HPV (9yrs)

• Meningococcal

What is the 5201+ challenge

• 5 fruits and vegies

• 2 hrs of screen time

• 1 hr of physical activity

• 0 sugary drinks

• + 9 hrs of sleep

How much sleep do school aged children need?

9-10 hrs of sleep

• no screens 1 hr before bed

• no phones in room (or no phone)

What’s an important part of discipline for school aged children?

natural consequences

Explain GnRH secretion

1. The hypothalamus begins producing a hormone called GnRH and send it to the pituitary gland

2. GnRH stimulates the release of LH and FSH hormones

3. LH and FSH travel to the sex organs (the ovaries and testes) to begin releasing sex hormones

4. Ovaries→ estrogen and progesterone

5. Testes → testosterone

6. These hormones are the telltale signs of puberty to begin

Secondary sexual characteristics

• public hair

• voice changes

• breast development

Describe Puberty Staging for those with a Vagina

• Tanner Stage 1: prepubertal

• Thelarche (breast development)

  • Tanner Stage 2: breast bud (9-13)

  • Tanner Stage 3: breast enlargement (12-13)

  • peak heigh velocity (fastest adolescents will grow) is 1 yr after thelarche

• Adrenarche (pubic hair)

  • 2-6 months after thelarche

• Menarche (period) (12-16)

  • 1.5-2 yrs after thelarche (breast development)

  • Tanner Stage 4

• Tanner Stage 5

  • cycle established (2-5 yrs after menarche)

  • growth complete 2-2.5 yrs after menarche

Describe Puberty Staging for those with a Penis

• Tanner Stage 1: prepubertal

• Gonadarche

  • testicular enlargement (14)

  • Tanner Stage 2

• Adenarche

  • pubic, axillary, facial hair

  • rapid increase in height

• Tanner Stage 3

  • voice deepens

  • penis growth

• Spermarche

  • nocturnal emissions

• Tanner Stage 4

  • peak heigh velocity

• Tanner Stage 5

  • growth complete

List the order of changes during puberty for those born with a vagina/cervix

1. breast changes

2. rapid increase in heigh & weight (peak height velocity)

3. growth of pubic hair

4. appearance of axillary hair

5. menstruation (2 yrs after 1st sign)

6. abrupt deceleration of linear growth

List the order of changes during puberty for those born with a penis

1. enlargement of testicles

2. growth of pubic hair

3. rapid increase in height (peak heigh velocity)

4. penis growth, axillary then facial hair

5. changes in voice

6. nocturnal emissions

7. abrupt declaration of liner growth

A nurse is providing education about the order of sexual

maturation to a group of caregivers who have adolescent

children. When teaching the caregivers, in which order should

the nurse place sexual maturation of a person born with a

penis.

 Testicular enlargement

 Vocal changes

 Pubic hair growth

 Penile enlargement

 Growth of axillary hair

1. Testicular enlargement

2. Pubic hair growth

3. Penile enlargement

4. Growth of axillary hair

5. Vocal changes

A nurse is providing teaching about expected changes during

puberty to a group of guardians of early adolescent

individuals born with a cervix. Which of the following

statements by one of the guardians should the nurse identify

as indication an understanding of the teaching?

 A. “Those born with a cervix are expected to gain about 65

pounds during puberty.”

 B. “Those born with a cervix typically grow more than 10

inches during puberty.”

 C. “Those born with a cervix experience menstruation prior to

breast development.”

 D. “Those born with a cervix usually stop growing about 2

years after they have had their first menstrual period.”

 D. “Those born with a cervix usually stop growing about 2

years after they have had their first menstrual period.”

When should a routine depression screening start?

12 years old