School nurses surveyed by Penn State Health have offered families a set of back-to-school health recommendations, and the first two carry more weight than the rest: confirming that grade-required exams are actually done, and resetting sleep schedules before the first bell.
The guidance comes from Pennsylvania school nurses surveyed by Penn State Health and reflects their practical experience rather than trial evidence. It is professional judgment from people who see the consequences in September, which is a legitimate basis for advice and a different thing from a clinical study.