Northwest Spokane Pediatrics

Child Development

Weeks


What should I expect from my 10-year-old?

Behaviors

  • Movements may seem awkward. May trip often.
  • Seeks approval for being good from significant people in their life.
  • Peer pressure more significant and influential in their life.
  • Right and wrong become more internalized. They do not need as much punishment-reward interventions to help to do the “right thing.”

Neurodevelopmental

  • Puberty may begin at this age.
    • New hair growth.
    • Menses.
    • Physical growing.
  • Tend to be very energetic.
  • Body functioning becomes more interesting.
  • Bathroom humor is very funny to them.
  • Dependence vacillates between extremes.
  • Becomes more self conscious.

Physical

  • Growth will vary widely among this age group.
  • Physical skills and strength will also vary widely.

Television and Electronic Games

Television and electronic games should be limited to less than two hours per day. The games should be at an age appropriate level. Violence exposures should be avoided.

Immunizations

  • Tdap (11-12 years old) this is a tetnus and pertussis booster for your child
  • HPV (9 years old or greater)
  • MCV4 (11-12 years old) to help prevent meningitis

Safety Tips

  • Stranger safety needs reinforcement.
  • Wear helmets when on something with wheels. (Excluding a car.)
  • Make sure child knows their address and phone number.
  • Start talking to your child about about cigarettes, alcohol, and drug use. Make the conversation a habit; let them know that they can come to you with questions or concerns, as this will be important as they get older.
  • You will also want to talk to your child about sex. This is a good time to discuss your family values, and is a chance to help protect them against others that might try to take advantage of younger children.

RED FLAGS

  • Child is doing poorly at subjects they had excelled in historically.
  • Child is isolated, ostracized from normal peer groups, or just won’t get out of bed.
  • Appetite decreases.
  • Unexpected weight loss.