Peds Anticipatory Guidance

Question 0

0-2 mos AG

Feeding

Answer 0

Breast or bottle
Approx. 2oz q 2-3 h
Do not prop bottles
Burping
No extra fluids

Question 1

0-2 mos AG

Parental Well Being

Answer 1

How are you spirits? (what are your best/most difficult times with baby?)
Back to work plans
Time for self/partner

Question 2

0-2 mos AG

Diapers

Answer 2

5-8 wet/day

3-4 stools/day

Question 3

0-2 mos AG

Infant adjustment

Answer 3

Consistent sleep/feeding routines
Sleep on back
Crib slats 
Caution co-bedding
Tummy time

Question 4

0-2 mos AG

Safety

Answer 4

Rear facing car seat
Smoking
Caution choking hazards
Strangulation

Question 5

2-4 mos AG

Parental Well Being

Answer 5

Health: family planning, depression screen
Roles and responsibilities
Support

Question 6

2-4 mos AG

Feeding

Answer 6

Breast: 8-12/ 24h
Formula: feed q 3-4 h, don't prop
No bottles in bed
Feed when hungry
Burp
No extra fluids

Question 7

2-4 mos AG

Infant adjustment

Answer 7

Maintain reg sleep and feeding schedules
Sleep on back
Hold, cuddle and talk
Tummy time
Learn likes and dislikes
Strategies for fussy times

Question 8

4-6 mos AG

Parental

Answer 8

Learn baby’s temperament, likes and dislikes

Question 9

2-4 mos AG

Safety

Answer 9

Rear facing seat
Home water temp t smoke
Choking/suffocation

Question 10

4-6 mos AG

Feeding

Answer 10

Cereal introduced 4-6 mos, when developmentally ready (rice, oats, barely)
veggies and fuits mixed with veggies first

Question 11

4-6 mos AG

Oral health

Answer 11

Don’t share with baby: spoons, etc
No bottle propping or bottle in bed
Teething

Question 12

4-6 mos AG

Infant adjustment

Answer 12

Put baby to sleep awake but drowsy- so baby can fall asleep on own
Tummy time
Allow safe opportunites for exploration

Question 13

4-6 mos AG

Safety

Answer 13

Rear facing seat
Don’t leave baby alone
Watch small objects

Question 14

6-9 mos AG

Parental

Answer 14

Consistent, positive discipline

Limit “no” use

Question 15

6-9 mos AG

Day to Day

Answer 15

Consistent routine
Safe exploration
Realistic expectations
Cause and effect toys

Question 16

6-9 mos AG

Feeding

Answer 16

Table foods (variety of textures)
3 meals, 2-3 snacks/d
Encourage cup

Question 17

6-9 mos AG

Safety

Answer 17

Rear facing car seat

Question 18

6-9 mos AG

Oral Health

Answer 18

Brushing- water only

Question 19

9-12 mos AG

Parental

Answer 19

Discipline w/ timeouts and positive distractions

Praise good behavior

Question 20

9-12 mos AG

Day to day

Answer 20

1 nap a day

Bedtime routine

Question 21

9-12 mos AG

Oral health

Answer 21

Brust teeth 2x/day

Wean from bottle

Question 22

9-12 mos AG

Feeding

Answer 22

Self-feeding
Avoid small, hard foods
3 meals, 2-3 snacks
Self limit portions

Question 23

9-12 mos AG

Childproofing

Answer 23

Rear facing car seat- recommended 2 years but AZ law is 1 yr

Think on their level and as far as their arms can reach

Question 24

12-15 mos AG | Parental

Answer 24

Allow choices Give options (2) which are acceptable Stranger and separation anxiety Speak simple and clear

Question 25

12-15 mos AG | Day to day

Answer 25

Consistent bedtime routine Night waking: reassure briefly Discipline for teaching/protecting not punishment

Question 26

12-15 mos AG | Feeding

Answer 26

Wean from bottle | Water only in bottle

Question 27

12-15 mos AG | Oral health

Answer 27

Plan first dental visit | Brush teeth 2x/day

Question 28

12-15 mos AG | Safety

Answer 28

Rear facing seat Watch what is in arms reach and with sharp corners Chemicals within reach

Question 29

15-18 mos AG | Parental

Answer 29

Family time Reinforce limits and appropriate behavior Anticipate anxiety provoking situations Be consistent (all caregivers discipline/limits)

Question 30

15-18 mos AG | Day to day

Answer 30

Reading and singing: language development Describe pictures in books Describe feelings/emotions

Question 31

15-18 mos AG | Potty Training

Answer 31

Await readiness (dry periods of 2h, knows when wet and dry, pull pants up/down, can indicate bowel movement, praise attempts)

Question 32

15-18 mos AG | Safety *** Most important

Answer 32

Rear facing seat (be conscious of length and weight limits) | Gates (stair, pool)

Question 33

18-24 mos AG | Parental

Answer 33

Model appropriate behavior Read together daily Talk and question slowly; child may struggle to respond quickly Consider preschool

Question 34

18-24 mos AG | Day to day

Answer 34

``` Help express feelings Encourage self expression Learn child's reactions to people/ situations Encourage play with other children Limit TV (<2 h/d) ```

Question 35

18-24 mos AG | Toilet training

Answer 35

Plan frequent breaks (up to 10/d and place on potty q 1-2 h) Teach personal hygiene Hand washing Sneeze/coughing into shoulder, etc

Question 36

18-24 mos AG | Safety

Answer 36

Back seat | Bike helmet

Question 37

18-24 mos AG | Oral health

Answer 37

Dentist appt at 2 years | Toothpaste with low fluoride at 15-24 mos

Question 38

24-36 mos AG | Parental

Answer 38

``` Show affection Handle anger constructively Reinforce limits/appropriate behavior Don't lie Don't try to trick child ```

Question 39

24-36 mos AG | Day to day

Answer 39

Read, sing and play rhyme games Talk about pictures in books Encourage interactive games with peers Limit TV time (< 2h/d)

Question 40

24-36 mos AG | Safety ** most important

Answer 40

Be aware of furniture placement: climbing