
The early elementary years are exciting for both children and parents. Children this age are exploring their community and world, developing social relationships, learning to read, and beginning to process information to solve problems. Parents are as important as ever — your child needs your encouragement, your teaching, your discipline, and your modeling of social interactions and decision making.
Children this age are still picky eaters and often want the same thing for breakfast, lunch and dinner. Parents can encourage children to try different foods by taking advantage of their creativity:
Some research shows that Americans need additional vitamin D. Consider giving a multivitamin. Children also need about 1200 mg of calcium daily. That's about four servings of calcium-rich foods such as milk, yogurt or broccoli.
The whole family should limit intake of fried foods, fatty foods and junk foods. Since you control the shopping list, choose your groceries carefully. Don't buy sodas, chips, candies, cookies or cupcakes. Nutritious snack alternatives include fresh fruit, popcorn, pretzels, cheese and crackers, string cheese, raisins, nuts, carrot sticks, yogurt and dried fruit.
One of the best family traditions is sitting down together for meals. We especially encourage families to eat dinner together. A family dinner allows the family to regroup and share the day's events with each other. You can use this time for fun, sharing experiences, talking about feelings and emotions and discussing problems. However, it is not a time for discipline. Mealtimes should be relaxing. It's also a good idea to turn off the TV during mealtimes to encourage everyone to talk.
Research has shown that teenagers are less likely to participate in high-risk behaviors if they have shared mealtimes with their parents.
Your child should have regular dental visits and should be brushing and flossing at least twice a day. Your child's 6-year molars are probably in place and are the most likely place for cavities to form. Make sure your child brushes carefully in the back of his or her mouth. You may want to ask the dentist about using sealants to prevent cavities in the molars.
Some 6- to 8-year-olds still have accidents at night and may wet their beds several times a month. Your child should gradually have fewer accidents as he or she grows and the nervous system matures. If your child has accidents during the day, either urine or stool, or has started having accidents after six months of staying dry, please let your child's doctor know. Also alert the doctor if the nighttime accidents interfere with your child's life or are an issue for the family.
Most 6- to 9-year-olds have already been exposed to information about sexual activity and reproduction and will openly talk about it at school. If you haven't already talked with your child about how babies are made, this is certainly the time to begin.
The elementary years are usually a time of activity and energy, and children this age are not very interested in issues related to sex. Boys and girls usually play separately and don't want to be with members of the opposite sex — the "cootie factor" is in effect. If you can, respect your child's choices of playmates and don't encourage co-ed activities if your child isn't interested.
Children are learning the routines that accompany going to school. They should be comfortable leaving their parents and participating in school activities. If your child has difficulty separating from you or interacting with friends at school, please talk to your child's pediatrician.
School is now centered on academic learning rather than just developing social skills. Children this age are learning to read and do math problems. Reading is especially important, as it is the basis for much of the child's future learning. It's important to identify any problems early so your child can receive help.
The following is a general guideline:
In third and fourth grade, schoolwork becomes more difficult as your child must process previously learned information to solve problems. Students will have to read math problems and write essays. Learning difficulties may become apparent at these grade levels. Please talk with your child's teacher or pediatrician if you have any concerns.
Children may be bullied or threatened at school. Please talk with your child frequently and make sure he or she feels safe at school. There are many resources for families and children who have experienced bullying, so please talk to your child's pediatrician if this is a concern.
Most elementary-age children look forward to having homework and being like the older kids. Unfortunately, however, homework can often cause arguments in families.
Some simple guidelines for encouraging your child's learning:
Homework Without Tears is an excellent resource.
Children learn so much from television and computer games, and much of what they learn is unhelpful — or even harmful. They may see violent acts that go unpunished, and will often see sexual material that is inappropriate for their age. They will also be spending time sitting when they should be exercising, reading, exploring, creating or just daydreaming.
Children who watch more than one hour of television a day are more aggressive and less creative. They read less and may have more difficulty paying attention in school. They may gain weight because they're not exercising enough or they eat more food while watching television.
Some guidelines for TV and computer use:
Performing work that is helpful and appreciated shows children that they are important members of the family. Give your child specific tasks that are important to the running of the household. Setting and clearing the table, sorting and folding laundry, feeding pets and taking out the garbage are all ways that your elementary-age child can help out and develop self-esteem from a job well done.
Research is revealing that spending free, unstructured time outside in nature benefits children in many ways. Children often do better in school, are more creative and have better mental health.
Children also benefit from exercise and team sports. Children who participate in sports have better self-esteem and do better in school. San Francisco Parks and Recreation offers many programs, as do local sports associations.
All children need to have unscheduled free time. Unfortunately, many children today have so many scheduled activities that they do not have any time to just play. Playtime allows children to:
Consider eliminating one of your child's structured activities, if necessary, to give him or her the gift of free time.
Children learn from you every day. You are their best teacher. By watching you, they learn how to talk to other people, how to treat others, how to interact in the family, how to work, how to solve problems and how to deal with emotions. They also learn what you do and do not value.
An allowance is an excellent way to begin teaching your child how to handle money. Some families choose to give their children a small allowance without linking it to chores, feeling it's important for children to know that everyone benefits from the parents' employment. Other families believe children should learn that they earn money by doing work, and give children an allowance after their chores are completed. Some families combine approaches — they give children a small allowance, plus additional money for any extra work.
The most important thing is for parents to show children how to use money — how to save it, how to pay for small items at the store and how to use it to buy gifts for others. As children get older, you may want to increase their allowance while requiring them to have a budget for items they must buy with their own money.
Your child should be given the opportunity to begin making decisions and experiencing the consequences, both negative and positive, of those decisions. There are many decisions a child can help make if you feel it is appropriate:
Show your child how to think about decisions:
What other values do you want your child to learn?
Time Management
Friendship
Personal Acceptance of Failure
Expressing Emotions
Emotions are never right or wrong — they are simply feelings. It is our behavior that can be right or wrong. Help your child see the difference. For instance, "I can see you are very angry, but it is not acceptable to kick your brother."
Religion
Some families find a place of worship where they can meet other families who share their values and who can support their family.
Some safety guidelines:
Used by permission of Jane E. Anderson, M.D.
Reviewed by health care specialists at UCSF Benioff Children's Hospital.
Last updated December 21, 2011
This information is for educational purposes only and is not intended to replace the advice of your doctor or health care provider. We encourage you to discuss with your doctor any questions or concerns you may have.

Pediatrics at Mount Zion
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San Francisco, CA 94143-1660
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