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

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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.

North Carolina K–6 health standards

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