The elementary school nurse is responsible for evaluating each child's overall physical develop-ment. During the school-age years, the nurse anticipates that:
1. The child's body weight will almost triple
2. There will be few physical differences among children
3. The child will grow an average of 1 to 2 inches per year
4. Body fat will gradually increase, contributing to a heavier appearance
ANS: 3
During the school-age years, the child will grow an average of 1 to 2 inches per year and gain an average of 4 to 7 pounds a year. Many children double, not triple, their weight during these mid-dle childhood years. Growth accelerates at different times for different children. There will be many physical differences apparent among children at the end of middle childhood. The school-age child appears slimmer as a result of changes in fat distribution and thickness.
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