📚 Chapter 26 · Middle Childhood

Concrete Operations (Piaget), Industry vs Inferiority (Erikson), School Readiness, Bullying, Obesity, ADHD, Learning Disabilities, Media Use, and Anticipatory Guidance (6-11 years). Nelson Textbook of Pediatrics 22nd Edition.

🌐 paeds.online — Pediatric Learning Platform

📝 30 Clinical Scenarios — Middle Childhood (6-11 years)

📇 High‑Yield Review Cards — Middle Childhood

🩺 Clinical Correlates: School-Age Development & Challenges

Select a topic to learn about concrete operations, school performance, bullying, obesity, ADHD, media use, and anticipatory guidance for ages 6-11 years.

📋 Stepwise Approach to Middle Childhood Care & Anticipatory Guidance

🔑 Key Principles — Middle Childhood (Nelson Ch 26)
• Concrete operational stage (Piaget): Logical thinking, conservation, classification, understands cause-effect.
• Industry vs inferiority (Erikson): Develops competence through mastery of skills. Praise effort, not just outcome.
• School success requires: Attention, memory, sequencing, phonological processing, social-emotional regulation.
• Common issues: Learning disabilities (10%), ADHD (10%), obesity (20%), bullying, anxiety, depression.
• Screen time: Limit to 2 hours/day recreational, no devices in bedroom.

    ⚡ Reflex Prompts — Middle Childhood Scenarios

    📖 Chapter 26 Summary: Middle Childhood