YourStateStandards

North Carolina K–6 health standards

North Carolina writes its own health standards. They are published as NORTH CAROLINA STANDARD COURSE OF STUDY Health Education K-12, adopted 2024 and are not a version of a national framework. Every one is matched to a national standard.

208 rows. 203/203 code-and-text verbatim against NCDPI's 2024 Health Education Essential Standards; two rows' code-fragment description bleed stripped.

Framework
NORTH CAROLINA STANDARD COURSE OF STUDY Health Education K-12
Adopted
2024
Source last checked
July 26, 2026
Read the official document

208 standards, kindergarten through 6th grade

  • K.ANCOD.1.1K

    Explain what is likely to happen if harmful household products are ingested or inhaled.

  • K.ANCOD.1.2K

    Recognize that some medications look like candy.

  • K.ANCOD.1.3K

    Identify a parent, guardian, or trusted adult and professionals who can be trusted to provide safety information about household products and medicines.

  • K.ANCOD.1.4K

    Use appropriate strategies to access help when needed in emergencies involving household products and medicines.

  • K.ICHR.1.1K

    Explain reasons for sharing.

  • K.ICHR.1.2K

    Recognize that all people have inherent value and dignity regardless of differences.

  • K.ICHR.1.3K

    Give examples of protective behaviors to use when approached by someone who you don't know or someone who makes you feel unsafe

  • K.ICHR.1.4K

    Recognize bullying, teasing, and aggressive behaviors and how to respond.

  • K.MEH.1.1K

    Identify a variety of feelings that people experience and ways of expressing them.

  • K.MEH.1.2K

    Demonstrate personal responsibilities for actions and possessions.

  • K.MEH.2.1K

    Remember that mistakes are important for learning.

  • K.MEH.2.2K

    Remember that practice is needed to improve performance.

  • K.NPA.1.1K

    Recognize that food gives us energy.

  • K.NPA.1.2K

    Identify that fruits and vegetables come from plants.

  • K.NPA.2.1K

    List ways to be physically active.

  • K.PCH.1.1K

    Identify that healthy behaviors impact personal health.

  • K.PCH.1.2K

    Use steps of correct hand washing at appropriate times throughout the day.

  • K.PCH.1.3K

    Model proper tooth brushing techniques.

  • K.PCH.1.4K

    Explain rationale for not sharing hygiene products (combs, brushes, toothbrushes).

  • K.PCH.1.5K

    Select and use appropriate clothing according to the weather.

  • K.PCH.2.1K

    Recognize the meanings of traffic signs and safe practices for being a pedestrian and bicyclist.

  • K.PCH.2.2K

    Explain the benefits of safety equipment including seat belts, booster seats, helmets, mouth guards, shin guards, and flotation devices.

  • K.PCH.2.3K

    Illustrate how to get help in an emergency.

  • K.PCH.2.4K

    Identify appropriate responses to warning signs, sounds, and labels.

  • 1.ANCOD.1.11

    Recognize the harmful effects of medicine when used incorrectly.

  • 1.ANCOD.1.21

    Recognize how to behave safely with medicines and household cleaners.

  • 1.ANCOD.1.31

    Explain the importance of asking a parent, guardian, or trusted adult before handling household products.

  • 1.ANCOD.1.41

    Identify strategies for reporting harmful substances.

  • 1.ICHR.1.11

    Explain the importance of demonstrating respect for the personal space and boundaries of others.

  • 1.ICHR.1.21

    Describe positive characteristics that are unique to each individual.

  • 1.ICHR.1.31

    Demonstrate how to tell a parent, guardian, or trusted adult when feeling threatened or unsafe.

  • 1.ICHR.1.41

    Recognize that anyone who has experienced bullying or mistreatment is not at fault.

  • 1.ICHR.1.51

    Demonstrate effective refusal skills, including saying no and moving away to enforce personal boundaries for yourself and others.

  • 1.ICHR.1.61

    Identify a parent, guardian, or trusted adult within your home, school and community who can be informed when feeling threatened or harmed.

  • 1.MEH.1.11

    Identify appropriate ways to express needs, wants and feelings.

  • 1.MEH.1.21

    Describe how different situations impact emotions and vary among individuals.

  • 1.MEH.1.31

    Utilize effective communication to express and cope with emotions.

  • 1.MEH.2.11

    Identify more than one strategy to solve a problem.

  • 1.MEH.2.21

    Identify resources to get help with solving a problem.

  • 1.NPA.1.11

    Name the reasons why we need to drink water.

  • 1.NPA.1.21

    Explore a variety of foods and why it’s important to eat them

  • 1.NPA.1.31

    Categorize the sources of a variety of foods.

  • 1.NPA.2.11

    List physical activities that are beneficial to your body.

  • 1.NPA.2.21

    Describe enjoyable physical activities that can be done inside and outside of school.

  • 1.PCH.1.11

    Explain that germs produce illness and can be spread from one person to another.

  • 1.PCH.1.21

    Demonstrate measures for preventing the spread of germs.

  • 1.PCH.1.31

    Summarize the transition between primary and permanent teeth and steps for seeking help for dental problems.

  • 1.PCH.1.41

    Use appropriate clothing according to the weather.

  • 1.PCH.2.11

    Identify and describe situations that cause injury.

  • 1.PCH.2.21

    Identify items that can cause burns and strategies to prevent fire and burn injury.

  • 1.PCH.2.31

    Execute the Stop, Drop, and Roll response.

  • 1.PCH.2.41

    Execute an emergency phone call.

  • 2.ANCOD.1.12

    Define medication and ways that it can be helpful and harmful.

  • 2.ANCOD.1.22

    Identify the importance of following healthcare provider directions with medications.

  • 2.ICHR.1.12

    Describe characteristics of a trusted friend.

  • 2.ICHR.1.22

    Demonstrate techniques of active listening.

  • 2.ICHR.1.32

    Identify the characteristics of bullying and develop skills to respond appropriately.

  • 2.ICHR.1.42

    Exemplify how to communicate with others with kindness and respect.

  • 2.MEH.1.12

    Demonstrate appropriate ways to express needs, wants and feelings.

  • 2.MEH.1.22

    Identify behaviors to avoid risk and promote mental wellness.

  • 2.MEH.1.32

    Examine the influence of peers, media, social media, technology, and the family on feelings, emotions, and behaviors.

  • 2.MEH.2.12

    Model accessing a resource to get help with solving a problem.

  • 2.MEH.2.22

    Recount at least two strategies to solve a problem.

  • 2.MEH.2.32

    Identify strategies that can be applied to various situations to promote resiliency.

  • 2.NPA.1.12

    Explain the importance of eating a variety of foods from different groups according to the USDA.

  • 2.NPA.1.22

    Classify foods into groups according to USDA.

  • 2.NPA.1.32

    Describe the body's signals when you are hungry and thirsty.

  • 2.NPA.1.42

    Compare and contrast possible benefits of eating a meal with family or friends versus eating alone.

  • 2.NPA.2.12

    Explain why the body needs daily physical activity.

  • 2.PCH.1.12

    Recall the benefits of good dental health.

  • 2.PCH.1.22

    Execute the proper techniques for brushing teeth.

  • 2.PCH.1.32

    Define sleep and its contribution to overall well-being.

  • 2.PCH.1.42

    Demonstrate ways to prevent the spread of germs that cause common communicable diseases.

  • 2.PCH.1.52

    Explain the dangers associated with excessive sun exposure and methods for protecting oneself from these dangers.

  • 3.ANCOD.1.13

    Summarize how medications can help with common health problems.

  • 3.ANCOD.1.23

    Explain the consequences of disregarding medical recommendations for prescription and nonprescription medications.

  • 3.ANCOD.2.13

    Recognize refusal skills when confronted or pressured to use alcohol, nicotine, cannabis, or other drugs.

  • 3.ANCOD.2.23

    Identify refusal skills when personal safety is at risk.

  • 3.ICHR.1.13

    Identify behaviors that promote healthy relationships with families and peers.

  • 3.ICHR.1.23

    Demonstrate effective communication skills and personal boundaries to enhance respect and well-being for others and self.

  • 3.ICHR.1.33

    Recognize the causes of conflict and apply appropriate strategies for resolution.

  • 3.MEH.1.13

    Identify the body's physical response and appropriate ways to express needs, wants, and feelings.

  • 3.MEH.1.23

    Elaborate on the influence of peers, social media, technology, and the family on feelings, emotions, and behaviors.

  • 3.MEH.1.33

    Explore strategies that can be applied to promote a growth mindset and resiliency.

  • 3.MEH.1.43

    Summarize how to access resources for assistance with feelings, various challenges, and mental wellness.

  • 3.MEH.2.13

    Describe how persistent effort and trying alternate strategies can help solve a problem.

  • 3.MEH.2.23

    List at least two resources for help to solve a challenging problem.

  • 3.MEH.3.13

    Explain how positive stress management techniques are beneficial for our overall wellness.

  • 3.MEH.3.23

    Construct a list of positive self-management techniques and resources you can use to cope with stress.

  • 3.NPA.1.13

    Recall the food groups and what foods are in each food group, according to the USDA.

  • 3.NPA.1.23

    Identify food group components of a variety of example meals.

  • 3.NPA.1.33

    Plan activities for fitness and recreation during out of school hours.

  • 3.NPA.2.13

    List the factors that influence which foods you eat.

  • 3.NPA.2.23

    List the body's signals when you are hungry and thirsty.

  • 3.NPA.3.13

    Categorize different activities for all levels of ability in order to promote overall wellness.

  • 3.PCH.1.13

    Recognize dental hygiene practices prevent plaque, gum disease and cavities.

  • 3.PCH.1.23

    Implement proper flossing to prevent tooth decay and gum disease.

  • 3.PCH.1.33

    Explain the importance of personal hygiene in supporting one’s health.

  • 3.PCH.1.43

    Describe how sleep and regular physical activity benefit your health.

  • 3.PCH.2.13

    Demonstrate methods for prevention of common unintentional injuries.

  • 3.PCH.2.23

    Summarize methods that increase and reduce injuries in and around water.

  • 3.PCH.2.33

    Identify ways to prevent injuries from firearms.

  • 3.PCH.2.43

    Implement a plan to escape fire at home while avoiding smoke inhalation.

  • 4.ANCOD.1.14

    Summarize the short-term and long-term effects of nicotine products.

  • 4.ANCOD.1.24

    Explain why nicotine products are addictive.

  • 4.ANCOD.2.14

    Identify possible personal and societal influences on nicotine use.

  • 4.ANCOD.2.24

    Analyze the use of various marketing strategies to influence people to purchase various nicotine products.

  • 4.ANCOD.3.14

    Identify refusal skills to resist the pressure to experiment with a variety of nicotine products.

  • 4.ANCOD.3.24

    Select strategies to use in avoiding situations in which smoked and electronic nicotine products are being used to minimize exposure to secondhand smoke and aerosol.

  • 4.ICHR.1.14

    Demonstrate respect and empathy for others.

  • 4.ICHR.1.24

    Interpret non-verbal communications of others.

  • 4.ICHR.1.34

    Apply appropriate strategies for conflict resolution for conflict/bullying.

  • 4.ICHR.1.44

    List characteristics of healthy relationships including empathy, respect, patience, and kindness.

  • 4.ICHR.2.14

    Summarize physical and emotional changes during puberty.

  • 4.ICHR.2.24

    Recognize that individuals experience puberty at different ages and for different lengths of time (early, average, late).

  • 4.MEH.1.14

    Identify strategies that can be adapted when dealing with a challenging problem.

  • 4.MEH.1.24

    Identify growth mindset strategies for everyday problems.

  • 4.MEH.1.34

    Explore individual character strengths that contribute to mental wellness.

  • 4.MEH.2.14

    Determine personal positive and negative stressors.

  • 4.MEH.2.24

    Explore personal positive stress management strategies.

  • 4.NPA.1.14

    Using a school lunch or breakfast menu, plan a meal that includes 3-5 different food groups.

  • 4.NPA.1.24

    Explain that foods are generally grouped into food groups based on the nutrients they provide.

  • 4.NPA.2.14

    Evaluate influences that affect the food you eat.

  • 4.NPA.2.24

    List measures to prevent food borne illnesses, including washing hands and food storage methods.

  • 4.NPA.3.14

    Identify short- and long-term benefits of moderate and vigorous physical activity.

  • 4.NPA.3.24

    Describe the benefits of drinking water before, during, and after physical activity.

  • 4.PCH.1.14

    Compare methods that prevent the spread of germs.

  • 4.PCH.1.24

    Describe factors which lead to sufficient sleep and regular physical activity.

  • 4.PCH.1.34

    Recognize and respond to obvious symptoms of common childhood illnesses and conditions such as asthma, allergies, diabetes, and epilepsy.

  • 4.PCH.1.44

    Create a personal dental health plan.

  • 4.PCH.2.14

    Identify personal protection equipment needed for sports or recreational activities.

  • 4.PCH.2.24

    Illustrate skills for providing first aid for choking victims.

  • 4.PCH.3.14

    Identify the basic components and functions of the respiratory system.

  • 4.PCH.3.24

    Summarize habits to care for the skin.

  • 5.ANCOD.1.15

    Explain the short-term and long-term effects of alcohol, nicotine, and cannabis misuse.

  • 5.ANCOD.1.25

    Understand the effects of alcohol, nicotine, cannabis, and other drug misuse on others.

  • 5.ANCOD.2.15

    Identify personal and societal influences to use alcohol, nicotine, cannabis, and other drug products.

  • 5.ANCOD.2.25

    Analyze the use of various marketing strategies to influence people to use alcohol, nicotine, cannabis, and other drug products.

  • 5.ANCOD.3.15

    Use refusal skills to resist the pressure to experiment with alcohol, nicotine, cannabis, and other drugs.

  • 5.ANCOD.3.25

    Create a plan for maintaining a drug-free lifestyle that includes challenges to the plan and ways of overcoming the challenges.

  • 5.ICHR.1.15

    Recognize the dangers of communicating with known and unknown peers and adults within the community and online.

  • 5.ICHR.1.25

    Identify a parent, guardian, or trusted adult and resources for assistance with unhealthy communication with peers, adults, and strangers within the community and online.

  • 5.ICHR.1.35

    Categorize the factors of a healthy relationship with peers, family, and adults.

  • 5.ICHR.1.45

    Model appropriate strategies for conflict resolution for conflict/bullying.

  • 5.ICHR.2.15

    Define physical, mental-emotional, and cognitive changes.

  • 5.ICHR.2.25

    Identify valid accurate sources of information about puberty and development.

  • 5.ICHR.2.35

    Explain physical changes during puberty.

  • 5.ICHR.2.45

    Identify how peers, adults, resources, and cultural influences can impact behavioral choices and feelings during puberty.

  • 5.ICHR.2.55

    Analyze media messages as they relate to their influence on perceptions about desirable bodies.

  • 5.MEH.1.15

    Identify ways to cope with challenging situations.

  • 5.MEH.1.25

    Identify a parent, guardian, or trusted adult to talk with about feelings.

  • 5.MEH.1.35

    Describe how the expression of emotions or feelings can help or hurt oneself or others.

  • 5.MEH.2.15

    Compare and contrast personal current and newly identified stress management strategies.

  • 5.MEH.2.25

    Implement new positive stress management strategies.

  • 5.MEH.3.15

    Explain how practicing a growth mindset can help solve challenging problems.

  • 5.MEH.3.25

    Explain the importance of adjusting strategies and persistent effort to solve problems.

  • 5.NPA.1.15

    Name the primary nutrients that each food group provides.

  • 5.NPA.1.25

    Using the USDA Food Groups plan a meal with 3-5 food groups included.

  • 5.NPA.1.35

    Calculate nutrients based on the components of a Nutrition Facts label.

  • 5.NPA.2.15

    Describe how family and culture influence food choices, other eating practices, and enjoyment of food.

  • 5.NPA.2.25

    Describe how school and community settings influence food choices and other eating practices and behaviors.

  • 5.NPA.2.35

    Describe how media/technology influence what and how we eat.

  • 5.NPA.3.15

    Develop a plan to implement a variety of physical activities into your daily routine that includes warm-up, stretching, and proper hydration.

  • 5.PCH.1.15

    Develop a personal hygiene plan.

  • 5.PCH.1.25

    Outline personal strategies to obtain sufficient sleep and regular physical activity.

  • 5.PCH.1.35

    Discuss the benefits of sunlight, and the importance of taking measures to prevent sunburn.

  • 5.PCH.2.15

    Implement safety strategies to avoid causing injury to self and others.

  • 5.PCH.3.15

    Summarize the functions of the organs which make up the digestive system.

  • 5.PCH.3.25

    Interpret the relationship between and among the vessels and organs of the circulatory system.

  • 6.ANCOD.1.16

    Explain potential consequences of using any nicotine products, including vaping.

  • 6.ANCOD.1.26

    Identify benefits of a smoke/vape-free and nicotine-free environment.

  • 6.ANCOD.1.36

    Analyze family, media, and peer influences on the use, misuse, and avoidance of alcohol, nicotine, cannabis, and other drugs.

  • 6.ANCOD.1.46

    Describe the potential effects of alcohol, nicotine, cannabis, and other drugs on physical, mental, and social health.

  • 6.ANCOD.2.16

    Explain the importance of accepting responsibility for personal actions to avoid risk-taking behaviors related to substance abuse.

  • 6.ANCOD.2.26

    Identify the types of support available at school and in the community for substance abuse.

  • 6.ANCOD.2.36

    Examine how health-enhancing and risky behaviors can influence the likelihood of engaging in more of the same behaviors.

  • 6.ICHR.1.16

    Distinguish when individual or collaborative decision making is appropriate.

  • 6.ICHR.1.26

    Demonstrate the use of verbal and nonverbal communication skills.

  • 6.ICHR.1.36

    Demonstrate how to effectively communicate kindness, empathy, compassion, and respect for others.

  • 6.ICHR.2.16

    Explain how the physical and hormonal changes during puberty affect social relationships, and physical, mental, and emotional health.

  • 6.ICHR.2.26

    Identify trusted resources to report sexual harassment and bullying.

  • 6.ICHR.2.36

    Summarize strategies for predicting and avoiding conflict.

  • 6.ICHR.2.46

    Design productive and positive solutions to conflicts based on an understanding of the perspectives of those involved in the conflicts.

  • 6.ICHR.2.56

    Compare and contrast the signs of healthy and unhealthy relationships.

  • 6.ICHR.3.16

    Discuss the maturing of body systems during puberty.

  • 6.ICHR.3.26

    Examine the responsibilities of parenthood or guardianship.

  • 6.ICHR.3.36

    Demonstrate refusal skills that avoid or reduce health risks.

  • 6.MEH.1.16

    Recognize that guidance from a parent, guardian, or trusted adult is beneficial and should be sought for healthy decision-making.

  • 6.MEH.1.26

    Determine when health-related situations require the application of a thoughtful decision- making process.

  • 6.MEH.1.36

    Develop a goal to adopt, maintain, or improve a personal mental health plan.

  • 6.MEH.2.16

    Compare and contrast positive and negative stress management techniques.

  • 6.MEH.2.26

    Create a personal stress management plan.

  • 6.MEH.3.16

    Develop the ability to reframe challenges or setbacks and see them as opportunities for growth.

  • 6.MEH.3.26

    Analyze the relationship between health-enhancing behaviors and navigating challenges.

  • 6.NPA.1.16

    Attribute the prevention of nutrition-related diseases to following the Dietary Guidelines for Americans.

  • 6.NPA.1.26

    Evaluate food choices using Nutrition Facts labels.

  • 6.NPA.1.36

    Apply current dietary guidelines for meal planning with a variety of food choices.

  • 6.NPA.2.16

    Identify the six essential nutrients to make informed decisions regarding healthy eating.

  • 6.NPA.2.26

    Compare the nutrients in a variety of beverages.

  • 6.NPA.2.36

    Discuss the benefits of consuming foods high in fiber.

  • 6.NPA.3.16

    Explain the relationships between food consumption, physical activity, and overall health.

  • 6.NPA.3.26

    Design a personal wellness plan addressing nutrition and physical activity to enhance quality of life.

  • 6.PCH.1.16

    Differentiate between communicable and chronic diseases.

  • 6.PCH.1.26

    Recall symptoms associated with common communicable and chronic diseases.

  • 6.PCH.1.36

    Identify methods of prevention based on the modes of transmission of communicable diseases.

  • 6.PCH.1.46

    Summarize the triggers and symptoms for respiratory illnesses and strategies for controlling them.

  • 6.PCH.2.16

    Analyze how messages from media influence health behaviors.

  • 6.PCH.2.26

    Analyze the validity of health information, products, and services from print and electronic sources.

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