Which statements reflect appropriate health promotion and safety strategies for school-age children? Select all that apply.

Choice A reason: Educating school-age children about substance abuse and emergency plans is developmentally appropriate. Children at this age can understand basic health risks and safety procedures, which supports long-term health literacy and preparedness. Choice B reason: Allowing internet access based solely on a promise is not a safe strategy. School-age children require structured supervision and clear boundaries to navigate online environments safely. Parental controls and active monitoring are more effective than verbal agreements. Choice C reason: Using helmets and seat belts during physical activities is a critical safety measure. School-age children are active and prone to injuries, so protective gear helps prevent serious harm and reinforces safe habits. Choice D reason: Teaching children to look both ways before crossing the street is a foundational safety skill. At this age, children are gaining independence and may begin walking or biking alone, making pedestrian safety essential. Choice E reason: Skipping annual physical exams is not recommended. Regular check-ups help monitor growth, development, and early detection of health issues. School-age children benefit from consistent preventive care.