PEDS exam 1 school age and adolescent

What is physical growth for middle childhood?

Permanent teeth start appearing at 6 years, organ systems nearing adult so HR and RR slow, increase in size and muscle strength

What is prepubescence?

middle childhood to 13th birthday, 2 years preceding puberty, gender differences more pronoun and growth spurt in girls

What are gross and fine motor for middle childhood?

increase coordination/strength, actions may become awkward because of growth spurts, can play instruments etc

What is cognitive development for middle childhood?

concrete operational, problem solving based on REASONING, start understanding complex relations and able to tell time

What is communication and language for middle childhood?

learn to read, use of plurals and pronouns, lots of jokes, understand metaphors, profanity and dirty jokes emerge

What is middle childhood social interaction?

peer support, sense of belonging, best friends, mainly segregated by gender, bullying can start

What is psychosocial development for middle childhood?

industry vs. inferiority (master social, physical and academic skills to be accepted into society)

What is moral development for middle childhood? (kohlberg)

6-7 know rules, don’t understand the reason for rules, reward and punishment

8-12 judge act by intention rather than consequences

What is play for middle childhood?

cooperative and competitive play, sports, group activities, board games, car games, bikes, crafts, models, musical instruments

What is health promotion for middle childhood?

school issues like bullying, need proper nutrition/exercise, helmets, seatbelts, sports injury prevention

What is adolescence?

13-18

What is biological development for adolescence?

weight increases then height, spurts last 4-5 years, get full bone length etc, increase need for sleep and more hormones arise

What is sexual development for adolescence?

tanner, pubic hair, breasts develop, periods, penile changes, gynecomastia, puberty begins

What is cognitive development for adolescence?

formal operational, abstract thought and appreciate hypotheticals, think about future protection and prefrontal cortex develops for decision making

What is psychosocial development for adolescences?

identity vs. role confusion, come to know themselves and establish a personality

What is health promotion for adolescence?

obesity trend, eating disorders, monitor for signs of mental illness, safe sex practice, motor vehicle safety, piercing and tattoos

What are benefits to vaccines?

prevent serious disease, disability and death, herd immunity is important

What is risk to getting vaccines?

soreness, low fever, MAY have severe allergic reactions, contraindications must be noted

What vaccines should pregnant moms get?

pertussis, whooping cough, Tdap, RSV, and flu

What vaccines should caregivers have?

Tdap and flu are important at least 2 weeks before meeting a baby

What vaccines are for birth-6?

RSV, Hep B, Rotavirus, DTaP, HIB, Pneumococcal, polio, Covid, Flu, MMR, Chickenpox, and Hep A

What are vaccines for 7-18?

HPV, Tdap, meningococcal ACWY and B, Flu, Covid, Mpox and Dengue