It`s comprehensible that I have in mind pre-pubescent and pubescent children at age of 10 – 11, up to 13 – 14 years old, who just enter puberty. At that age they are kids yet and are quite immature not only in my opinion, but according the moral norms and laws in most cultures. The same societies and the laws concedes to the parent rights to decide instead of underage kids what is good and what is bad for their behavior, upbringing and health, whether that sometime that decisions may can`t be child`s fancy. That applies to a great extent when be speaking for physical development and health. If you ask your children about necessity of physical exam, it`s point to a penny that they’ll decline it at all. Quite a lot of the children are rather bashful after reach puberty. It`s most likely because of inconvenience or shame to keep silent or even to conceal eventual symptoms about any aberration of normal physical development or health, not aware of their importance. Moreover, large part of people around the world can`t live in perfect social environment with well organized and worked health services. The regular physical exams are ones in the year, usually quite superficial and routine. Many small rural schools have only one school nurse available, who is doctor’s position acting. In under the circumstances most mothers, choose to handle the main care of their offspring`s health and physical development. On account of this purpose the mother must be aware of the stage of development and physical changes of her children. The presence in exam room and witness the exam gives the mother rare and quite legitimate opportunity to update her impression about that sensitive matter, especially after stop bathe them after reach kind age.