Growth and Development of school age Child Health Nursing Pediatric Nursing Pathophysiology

1. Unit : III GROWTH AND
DEVELOPMENT OF
SCHOOL AGE
Mrs. D. Melba Sahaya Sweety RN,RM
PhD Nursing , MSc Nursing (Pediatric Nursing), BSc Nursing
Associate Professor
Department of Pediatric Nursing
Enam Nursing College, Savar,
Bangladesh.
1

2. I Yr M.Sc Pediatric Nursing
Introductio
n
• School-age children are those 6 to 12 years of age. This is a stage of
continuing growth and development for young child. They will go
through many changes in physical, mental, and social development.
While all children may grow at a different rate, and they have
different interests, abilities, and personalities.
• School- age children become increasingly capable of self care. They
follow the values, belief and habits of the parents. So Parents are still
responsible for information giving and explaining physiologic changes
that occur during school age.
2

3. 3
Needs for School
Going
Health
Information
Emotional
support
Promotion
of Self-
esteem by
Rewards
and
approval
Recreation
and Play
activities
Sex
Education
Regular
Health
Check-Up
Punishment
without
Humiliation

4. GROWTH AND
DEVELOPMENT OF 6-8
YEARS SCHOOL
GOING

5. • WEIGHT :- Approximately 17.5 – 25.5 kg Yearly
• HEIGHT :- Approximately 11o – 124 cm gains 1. 13 yearly
• PULSE :- 90 + or – 15 be/mt
• RESPIRATION :- 21 + or – 3 be/mt
• BLOOD PRESSURE :- 100/60 + or – 16/10
• DENTITION :- Starts to lose temporary teeth; acquires first
permanent molars , medial incisors, lateral incisors
• TRIES EASILY

6. Rides tricycle without training
wheels
Runs, Jump, Climb, Hops and
Constantly in motion

7. Clumsy and awkward Coordination improving

8. Knows right from left
hand
Draw a person with 12-16
parts

9. Print words; learns
cursive writing
Has improved eye-hand
coordination

10. At 6 years, likes to eat with fingers,
stuff food into mouth, talkative while
eating
At 7 years, improved table
manners, less talking may bolt
food.

11. Self- care managed ;
has a tendency to
dawdle in bath tub
Can brush and
comb hair
Need to be
reminded to wash
hands

12. May need some help
with dressing
Wears whatever is
selected by parents
Leave clothes
where they are
removed

13. • Visual Acuity 20/20

14. Continue to be
egocentric,
Bossy
Has a “ Know it
all ”
Attitude
Insists on being
first in everything ,
Jealous of siblings
Return of temper
tantrums may use
Verbal, Physical
attack

15. Am I a Good Person”?

16. Attention
span
increasing
Knows date,
month and
season
Follows rules
to avoid
punishment
Takes small
object from
others

17. Can tell
time
Can describe
objects in picture,
knows their use
Can see difference more than
similarities performs mental
operation of conservation of liquid
vs solid amount

18. Follows series of 3
commands,
response dependent
on mood
Responds to praise
and recognition

19. Can repeat sentences of
10 to 12 words.
Has a vocabulary of
2500 words.
Knows number
combinations up to 10
Develops a sense of
humor; enjoys telling
jokes

20. Provide Table games, board
games for competitive and
team play.
Loves active play, prefers group play

21. Provide Bicycles, Jump ropes, Punching bags, roller
skates, bat/balls, gymnastic equipment for motor activity

22. Provide Puppets, dolls, paints, crayons,
drawing materials ,clay, magic tricks,
dance lessons, musical instruments for
creative activity
Provide Books, puzzles
records, tapes
“ Collectibles” for quiet play.

24. GROWTH AND
DEVELOPMENT
OF 8-10 YR
SCHOOL GOING
24

25. WEIGHT :- Approximately 22 – 32 kg and
gains 3.8 kg
HEIGHT :- Approximately 121.5 – 136.5 cm
PULSE :- 85 + or – 10 be/mt
RESPIRATION :- 20 + or – 3 per/mt
BLOOD PRESSURE :- 102/60 + or – 16/10
PHYSICAL OR BIOLOGIC DEVELOPMEN
25

26. GROSS MOTOR DEVELOPMENT
Performs tricks
on bicycles; and
races
Begins to participate
in organized sports ,
like base ball , soccer
Throws a ball
skillfully, over hand
and underhand
26

27. FINE MOTOR DEVELOPMENT
Use both hands
independently
Draws a person with 18-20 parts
and print fluently , cursive writing
improved
27

28. SELF CARE ( FEEDING SKILLS)
Handles eating utensils skillfully
28

29. ELF CARE( DRESSING AND GROOMING SKIL
Dressing self completely;
enjoys selecting own clothes
Unaware of dirty clothes and
Need to be reminded to brush
teeth
29

30. SENSORY DEVELOPMENT
• Visual Acuity 20/20
30

31. PSYCHOSOCIAL DEVELOPMEN
• Sense of Industry Vs
Inferiority
• Concerned about
relationships with
others
• Begins hero worship
• Relationship with
siblings improved
• Aware of appropriate
sexual role 31

32. PSYCHOSEXUAL DEVELOPMENT
Latency Stage (6- 12 yrs)
SPIRITUAL DEVELOPMENT
Mythical Literal Faith
MORAL DEVELOPMENT
Conventional Morality
Stage 3 (7 – 9 yrs)
Stage 4 (10 – 12 yrs)
We need law and order 32

33. INTELLECTUAL DEVELOPMENT
Concrete Operational Stage
• Memory span increasing
• Time – usually punctual
• Ashamed of failure
•Learn to understand
and us abstract
symbols and caries out
mental operations
33

34. LANGUAGE DEVELOPMENT
RECEPTIVE LANGUAGE
• Follows suggestion better than
commands
34

35. LANGUAGE DEVELOPMEN
RECEPTIVE LANGUAGE
• Follows
suggestion
better than
commands
35

36. LANGUAGE DEVELOPMEN
EXPRESSIVE LANGUAGE
• Begins to use
shorter and
more compact
sentence
• Is gregarious
36

37. PLAY STIMULATION
• Prefers companionship in play
• Enjoys dramatic play
• Hobbies begins to develop
•Provide Puppets, dolls,
paints, crayons, drawing
materials ,clay, magic tricks,
dance lessons, musical
instruments for creative
activity 37

38. PLAY STIMULATION
• Provide Bicycles,
Jump ropes,
Punching bags,
roller skates,
bat/balls,
gymnastic
equipment for
motor activity
38

39. 39

40. GROWTH AND DEVELOPMENT
OF 10 – 12 YEAR SCHOOL
GOINGS 40

41. 41
Physical or Biological Development
WEIGHT :-
10 YEARS :- Approximately 25.5 – 39.5 kg gains 3.8 kg
12 YEARS :- Boys : 30 - 48 kg, Girls : 30 – 50 kg
HEIGHT :-
10 YEARS :- Approximately 131.5-147.5 cm gain 3.8 kg
12 YEARS :- Boys : 142 – 158 cm, Girls : 144 – 160 cm
PULSE :-
10 YEARS :- 90 + or – 20 be/mt
12 YEARS :- Boys : 90 + or – 20 be/mt, Girls : 85 + or – 2
be/mt

42. 42
Physical or Biological Development
RESPIRATION:- 19 + or – 3 per/mt
BLOOD PRESSURE :-
10 YEARS :- 109/58 + or – 16/10
12 YEARS :- 113/59 + or – 18/10
• DENTITION :- Acquires cuspids,
first and second pre molars
• SECONDARY SEX CHARACTERISTICS
MAY BEING TO DEVELOP

43. I Yr M.Sc Pediatric Nursing
Gross
motor
developme
nt
Enjoy all physical
activities
43

44. I Yr M.Sc Pediatric Nursing
Fine motor
Developme
nt
Coordination continues
to improve
Criticizes table manner
of parents
44

45. I Yr M.Sc Pediatric Nursing
Self care
(Dressing and
Grooming
skills)
May wear some
clothes
continually
Leaves clothes where
they fall
Bathes frequently –
prefers showers(12 yrs)
45

46. I Yr M.Sc Pediatric Nursing
Self care
(Dressing and
Grooming
skills)
Enjoys wearing current
style of clothes
Needs constant
reminding of personal
hygiene (10 yrs)
46

47. 47
Sensory Development
Visual acuity 20/20

48. 48
Psychosocial
Development
Sense of Industry Vs Inferiority
• Congenial, Sincere,
Confident
• Respects parents and
their role
• Has short bursts of anger
(10 yrs)
• Able to control anger (12
yrs)
• Hero worship of adult
continues

49. I Yr M.Sc Pediatric Nursing
Psychosexual
Development
Latency Stage (6 – 12 yrs)
Spiritual Development
Mythical literal faith
Moral Development
Conventional Morality Stage 4 49

50. 50
Intellectual
Development
Formal Operational Thought
• Develops abstract and
deductive reasoning
• Uses problem solving
method
• Short interest span
• Preoccupied with right
and wrong

51. 51
Language Development
• Follows
suggestions
better than
request
• Is obedient
Receptive Language

52. 52
Language Development
• Oral vocabulary of
7200 words and
reading vocabulary of
50,000
• Enjoy riddles
• Uses parts of speech
correctly
• Uses numbers beyond
Expressive Language

53. I Yr M.Sc Pediatric Nursing
Play
Stimulation
(10 years)
Enjoys outdoor activities Bicycle riding, Reading
books
53

54. I Yr M.Sc Pediatric Nursing
Play
Stimulation
(12 years)
Enjoy Athletic sports and
Talking on telephone
Reading mystery and
love stories
54

55. 55