Chapter 9
School-Age Children
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Learning Objectives
 Describe growth and development during
the school-age years.
 Identify age-specific physical assessment
approaches for school-age patients.
 Explain medication approaches for schoolage patients.
 Explain variations in nursing procedures for
school-age patients.
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Learning Objectives (continued_1)
 Describe strategies for assessing health
promotion practices among school-age
patients.
 Describe emergency care considerations for
school-age patients.
 Identify strategies to support school-aged
adolescents.
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Learning Objectives (continued_2)
 Integrate chronic care concepts and
considerations specific to the school-age
population.
 Integrate home-care concepts and
considerations specific to the school-age
population.
 Recognize complementary and alternative
therapies used by school-age patients.
 Recognize child abuse considerations relevant
to school-age patients.
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Introduction
 Children 6 to 12 years old
 Growing at a slower rate
 Important milestones
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Growth and Development
 Physical assessment
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Vital signs
Height/weight
Fluid requirements
Pain assessment
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Growth and Development (continued_1)
 General survey – annual
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Skin
Head, eyes, ears
Mouth/teeth
Throat, nose
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Growth and Development (continued_2)
 Systems
• Cardiovascular and respiratory
• Gastrointestinal/genitourinary, reproductive
• Neurovascular/musculoskeletal
 Development
• Cognitive, psychological, social
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Question
When assessing the nose, a blue or “boggy”
appearance of the nasal mucosa indicates
what?
A. Infection
B. Allergies
C. Mucosal dryness
D. Sinusitis
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Answer
Correct Answer: B
A blue or “boggy” appearance of the nasal
mucosa indicates allergies.
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Physical Assessment Approaches
 Medication administration
• Oral
• Subcutaneous
• IV
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Physical Assessment Approaches
(continued)
 Variations on nursing procedures
• Trust
• Look-talk-touch approach
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Health Promotion
 Safety
 Nutrition
 Exercise
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Health Promotion (continued)
 School
 Bullying
 Substance use
 Sexual activity
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Emergency Care
 Leading causes of death
 Family-centered care
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Acute Care Hospitalization
 Hospital room/environment
• Visitation
 Caregiver’s role and support
• Pediatric care preferences
• PEWS
• Child-life specialist
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Care of the Chronically Ill Child
 Role of the primary caregiver
• Involvement in care
 Home-care considerations
• Normalization, limitations, milestones
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Question
What is E M L A cream used for?
A. Local anesthetic
B. Topical sterilizer
C. Topical antibacterial
D. Antifungal itch cream
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Answer
Correct Answer: A
Use a eutectic mixture of local anesthetics
(E M L A) medicated cream, when appropriate,
to prevent pain associated with needle
insertion, intravenous cannulation, and
superficial surgery on the skin and genital
mucous membranes.
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Summary
 In this chapter, we covered:
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Growth and Development
Physical Assessment Approaches
Health Promotion
Emergency Care
Acute Care Hospitalization
Care when Chronically Ill
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