Anticipatory Guidance (Table 1.5)

Question 1

Newborn

1. Healthy habits
2. Injury & illness prevention
3. Nutrition
4. Parent-Child interaction

Answer 1

1. Healthy habits
   
   1. Skin/nail/cord/circumcision care
   2. Stools: meconium –> transitional
   3. Clothing/temperature
2. Injury & illness prevention
   
   1. Rear-facing car seat until 1 yr & 20 lb
   2. Sleep on back, illness signs
3. Nutrition
   
   1. Feeding schedule on demand (8-12x/day) for 4-6 wks
   2. VitD, prep formula w/ iron
4. Parent-Child interaction
   
   1. Approach to crying, sleeping, never shake
   2. Screen for maternal depression

Question 2

1 month

1. Healthy habits
2. Injury & illness prevention
3. Nutrition
4. Parent-Child interaction

Answer 2

1. Healthy habits
   
   1. Sleeping 18-20 hrs/day, 3-4 hr stretch
   2. Stool freq decreasing, brown, formed
2. Injury & illness prevention (same)
3. Nutrition (same)
   
   1. No cereal, solids, honey (until 1 yr)
4. Parent-Child interaction
   
   1. Colic at 3-4 wks

Question 3

2 months

1. Healthy habits
2. Injury & illness prevention
3. Nutrition
4. Parent-Child interaction

Answer 3

1. Healthy habits
   
   1. Sleep 4-8 hr stretch, feed every 3-4 hrs
   2. Stool 3-4x/day
2. Injury & illness prevention
   
   1. Small object aspiration
3. Nutrition (same as 1 mo)
4. Parent-Child interaction
   
   1. Bedtime routine, encourage vocalization
   2. Mothers return to work ~4 mo

Question 4

4 months

1. Healthy habits
2. Injury & illness prevention
3. Nutrition
4. Parent-Child interaction

Answer 4

1. Healthy habits
   
   1. Feeding every 4-5 hrs, sleeping 6-8 stretch
2. Injury & illness prevention
   
   1. Aspiration risk, no infant walkers
3. Nutrition
   
   1. Milk: primary nutrition until 1 YO
   2. Iron-fortified cereal & solids
4. Parent-Child interaction
   
   1. Talk, sing, read to infant
   2. Transitional object: toy, blanket, stuffed toy

Question 5

6 months

1. Healthy habits
2. Injury & illness prevention
3. Nutrition
4. Parent-Child interaction

Answer 5

1. Healthy habits
   
   1. Feedings spaced out, sleeping thru night
2. Injury & illness prevention
   
   1. Baby-proof, safety, sunscreen
   2. Aspiration risk, no infant walker
3. Nutrition
   
   1. More solids + breast/bottle
   2. Avoid egg whites, fish, citrus, chocolate, nuts, wheat until 1 YO
4. Parent-Child interaction
   
   1. Exploration, routines, transitional object
   2. Discuss separation anxiety, reading

Question 6

9 months

1. Healthy habits
2. Injury & illness prevention
3. Nutrition
4. Parent-Child interaction

Answer 6

1. Healthy habits
   
   1. Drinks from cup, finger foods
2. Injury & illness prevention (same as 6 mo)
3. Nutrition (same as 6 mo)
4. Parent-Child interaction
   
   1. Increased independence/autonomy
   2. Separation anxiety, sleep disturbances

Question 7

12 months

1. Healthy habits
2. Injury & illness prevention
3. Nutrition
4. Parent-Child interaction

Answer 7

1. Healthy habits
   
   1. Feeding 3x/day + 2-3 snacks
   2. Sleep hygeine, bottle weaning
2. Injury & illness prevention
   
   1. Child-proof, toddler car seat face front
3. Nutrition
   
   1. Whole milk, drink from cup, table food
   2. Weight gain slows down, intake up
4. Parent-Child interaction
   
   1. Praise, read, explore, discipline, TV 1 hr/day

Question 8

15 months

1. Healthy habits
2. Injury & illness prevention
3. Nutrition
4. Parent-Child interaction

Answer 8

1. Healthy habits
   
   1. Feeds self, nap 1-2x/day
2. Injury & illness prevention (same as 12 mo)
3. Nutrition (same as 12 mo)
4. Parent-Child interaction
   
   1. Discuss toilet training, be patient

Question 9

18 months

1. Healthy habits
2. Injury & illness prevention
3. Nutrition
4. Parent-Child interaction

Answer 9

1. Healthy habits
   
   1. Feeds self, toilet training, nap 1-2x/day
2. Injury & illness prevention (same as 12 mo)
3. Nutrition
   
   1. Avoid sweets, whole milk <24 oz/day
4. Parent-Child interaction
   
   1. Negativisim = independence
   2. Reading, singing, talking
   3. Nightmares, don’t expect sharing

Question 10

2 years

1. Healthy habits
2. Injury & illness prevention
3. Nutrition
4. Parent-Child interaction

Answer 10

1. Healthy habits
   
   1. Bed to crib, toilet training
2. Injury & illness prevention (same)
3. Nutrition
   
   1. Food struggles, 2% milk
4. Parent-Child interaction
   
   1. Reassurance to fears
   2. Parallel play, sibling rivalry (bite, hit)

Question 11

3 years

1. Healthy habits
2. Injury & illness prevention
3. Nutrition
4. Parent-Child interaction

Answer 11

1. Healthy habits
   
   1. 90% bowel trained
   2. 85% bladder (day), 65% bladder (night)
2. Injury & illness prevention
   
   1. Safety, helmets, stranger danger
3. Nutrition
   
   1. Continue healthy food choices
4. Parent-Child interaction
   
   1. Correct terms for genitalia, notion of private parts, preschool, beginning of sharing

Question 12

4 years

1. Healthy habits
2. Injury & illness prevention
3. Nutrition
4. Parent-Child interaction

Answer 12

1. Healthy habits
   
   1. 95% bowel trained
   2. 90% bladder (day), 75% bladder (night)
2. Injury & illness prevention
   
   1. Booster seat (4 yrs & 40 lb)
   2. Swimming lessons, scissor/pencil use
3. Nutrition
   
   1. Continue healthy food, imitation of peers
4. Parent-Child interaction
   
   1. Socialization, explicit rules, imaginative play, discovery of sexual identity

Question 13

5 years

1. Healthy habits
2. Injury & illness prevention
3. Nutrition
4. Parent-Child interaction

Answer 13

1. Healthy habits
   
   1. Sleep 10-12 hrs/night, hygeine
2. Injury & illness prevention
   
   1. Phone number memorized, booster seat
3. Nutrition
   
   1. Healthy food, school lunch
4. Parent-Child interaction
   
   1. Library cards, reading, bedtime/TV rules
   2. Age-appropriate chores, school participation