Question

1. Gina has come into the primary care center with her mother Kris for an 11-year-old wellness examination. As the nurse prepares Gina for her examination, Kris asks to speak to the nurse outside the examination room. Kris shares with the nurse her concerns about recent changes she has noticed in Gina. She explains that Gina’s body is beginning to change and she has made a number of comments about her body image. Kris is concerned about Gina’s self-esteem and emotional development. (Learning Objectives 1, 2, and 3)
2. What are some of the prepubescent changes school-age children experience that the nurse can share with Kris?
3. What are some of the issues regarding body image that the nurse can teach Kris about?
4. What can the nurse teach Kris regarding self-esteem in school-age children to address her concerns?

Answer 1

Question : What are some of the prepubescent changes school-age children experience that the nurse can share with Kris?

Answer :

Prepubescent changes in school-age children

Changes in girls :

• Breast budding in girls starts around age ten, with some girls starting as early as eight and others not starting until thirteen.
• Girls should be checked by their pediatrician if they begin puberty before age eight.
• The peak growth pe­riod (in height, weight, muscle mass, and the like) in girls occurs about one year after puberty has begun.
• Menstruation usually starts about 18 months to two years af­ter the onset of puberty. On average, the first menses occur just before girls turn thirteen.

Changes in boys :

• Boys enter puberty about one year later than girls. The first sign is enlarge­ment of the testes and a thinning and reddening of the scrotum, which hap­pens at an average age of eleven but may occur anytime between nine to fourteen years.
• Boys should be checked by their pediatrician if they begin puberty before age nine.  
• For boys, the peak growth period occurs about two years after the beginning of puberty.
• If a boy shows no signs of puberty by age 14, consult with your pediatrician.

Question : What are some of the issues regarding body image that the nurse can teach Kris about?

Answer :

Give a good information about the body changes during this stage of development which will help her to reduce the flear and misconception of their body image.she should accept the body changes in a positive manner. Give assurens about tthe normal body function of transition of child to the adult stage. Support them emotionally and encourage to ask questions and clear her doubts. . Explain her about the menarche and how to take care of her. Provide good knowledge and assistance in this. she maybe worried about the body fat and an increase in weight gain during this stage. Give her assurens about this problem that this is temporary and she can controls her weight by doing exercises and having good nutritional diets.. Give her information about Healthy nutritious diet and exercises.

Question : What can the nurse teach Kris regarding self-esteem in school-age children to address her concerns?

Answer :

Many things influence children's self-esteem, which is a child's sense of worth and belonging. Such things include a child's nature or innate abilities, and how he or she is nurtured—the child's experience with parents, caregivers, and others.Self-esteem first begins to rise between ages 4 and 11, as children develop socially and cognitively and gain some sense of independence. Levels then seem to plateau — but not decline — as the teenage years begin from ages 11 to 15, the data showDuring prepubescent changes a child will face a number of challenges in the home and at school. We have to Treat them with respect and we should helps them to grow the self-confidence and self-esteem. Increased self-esteem will grow positive behavior. Peer acceptance and social acceptance is necessary which improves her communication skills. So that give her adequate information about this changes and ways to accept this changes.Try to avoid health issues and eating disorders which may decrease her self-esteem.The development of self-esteem in young children is heavily influenced by parental attitudes and behavior. ... The physical and emotional changes that take place in adolescence , especially early adolescence, present new challenges to a child's self-esteem.