Well Child Care: Anticipatory Guidance

Question 1

What are the different type of anticipatory guidance topics?

Answer 1

• Development/behavioral issues
• Injury prevention
• Violence prevention
• nutritional counseling
• Oral health
• Fostering optimal development

Question 2

What is the leading cause of death in children and adolescents?

Answer 2

Unintentional injuries

*Males at higher risk

Question 3

What is SIDS

Answer 3

Sudden infant death syndrome

Question 4

How to reduce the risk of SIDS?

Answer 4

Back to sleep
Firm sleep surface
No pillows or loose bedding or blankets
Do not smoke
Do not share a bed
Actively check on child

Question 5

What are the two types of ways to put an infant to bed?

Answer 5

1. Extinction (used for children who don’t need to be feed)
   
   • Put infant to bed same time every night (ignore crying, tantrums). Don’t go in until morning
2. Gradual extinction
   
   • Comfort the child for fifteen seconds to a minute, then leave him/her again if they’re still crying
   • Progress in 5 minute intervals

Question 6

What is the primary cause of death in children?

Answer 6

Motor vehicle injuries

Question 7

What are the recommendations for at seat safety? (Infant-preschoolers)

Answer 7

• infants and toddlers should be in a rear-facing safety seat until 2 y/o
• Toddlers and preschoolers: over 2 or have outgrown the rear facing car seat should use a forward-facing car seat

Question 8

What are the car seat safety recommendations for school-age and up?

Answer 8

• school-age children should use a belt-positioning booster seat
• Younger than 13y/o should be restrained in the rear seats with a lap and shoulder seat belt

Question 9

What is the leading cause of injury and death in young children?

Answer 9

Choking

Question 10

What are the categories of fire and burn injuries?

Answer 10

Smoke inhalation
Flame contact
Scalding
Electrical 
Chemical
Ultraviolet burns

Question 11

What is the most common type of burn in a child?

Answer 11

Scalding

*120 F

Question 12

What is the easiest way to prevent fire deaths?

Answer 12

85% are prevented with a smoke detector

Discuss fire plans

Question 13

What is the leading cause of non-fatal injuries in children ages 0-19?

Answer 13

Falls

Question 14

What is the number for position control?

Answer 14

1 (800) 222-1222

Question 15

What is the second leading cause of injury-related death in children?

Answer 15

Drowning

*1-3 y/o have the highest rate

Question 16

What doubles the likelihood of a lethal suicide attempt?

Answer 16

A gun in the home

* US has the highest rate of firearm related death than any other country

Question 17

What is an effective way of eliminating a frequent, annoying, and relatively harmless behavior?

Answer 17

Ignore it

Question 18

What are the AAP recommendations with screen time in children?

Answer 18

< 2 y/o should not have any screen-time

Children 2-5, max 1 hour a day

Question 19

When should the first breast feeding (colostrum) happen?

Answer 19

Within the first hour

Question 20

How can you tell when a neonate is ready for a feeding?

Answer 20

• alert and vigorous
• has no abdominal distention
• has good bowel sounds
• has a normal hungry cry
  
  • occur within 6 hours after birth

Question 21

How many hours should a neonate be feed?

Answer 21

Every 2-5 hours or on demand

Question 22

How long (age) does the USPSTF, AAFP, and AAP recommend breastfeeding?

Answer 22

At least 6 months

* 12 months preferred method 
* vitamin D supplementation for the first yer of life

Question 23

What type of vitamins does breast milk not have?

Answer 23

-vitamin K, D, B12, and zinc

Question 24

How long should breast feeding along with complementary food last until

Answer 24

2 years

Question 25

How many time per day will a well hydrated infant void?

Answer 25

6-8 times a day

Question 26

By day 5-7 how many stools should be passed?

Answer 26

At least 4 times a day

Question 27

When should formula feeding occur after brith?

Answer 27

3 hours of life

* then every 3-4 hours for the first weeks
* formula feed infants are at higher risk of obesity

Question 28

How many ounces should formula feeding have after birth?

Answer 28

2-3 ounces

Question 29

At the end of the first month how many ounces of formula should an infant have?

Answer 29

4oz

*every 4 hours

Question 30

by six months how many ounces should an infant have a day?

Answer 30

6-8oz

*4-5 feedings

Question 31

When can a child have juice?

Answer 31

At age 1

* limit it to 4oz a day (1-3 y/o)
* 4-6oz (4-6 y/o)
* 8oz (>7)

Question 32

After the first year of feast feeding what can a child now have?

Answer 32

Whole cows milk with vitamin D

Question 33

When should an infant visit the dentist?

Answer 33

• 6 months from the first tooth eruption or age 1

Question 34

How to properly clean gums from birth?

Answer 34

• with a washcloth
  
  • 1 y/o soft toothbrush NO toothpaste
  • 2 y/o add toothpaste

Question 35

When do primary teeth begin to erupt?

Answer 35

7 months

*mandibular erupt before maxillary

Question 36

When do permanent teeth erupt by?

Answer 36

6-7 y/o

Question 37

What is the most common chronic disease of childhood?

Answer 37

Dental caries

Question 38

When should nighttime and nap toilet training happen?

Answer 38

When the child is consistently dry during the day