Medical Management

Anticipatory Guidance

Newborn (2-4 Days) TO 2 Months

4 to 12 Months

15 Months to 6 Years

7 to 21 Years

 

Recommendations for Anticipatory Guidance for Newborn (2-4 Days) to 2 Months AGES NEWBORN/ 2-4 DAYS 1 MONTH 2 MONTH DIET Breast or formula, Breast feeding techniques, Feeding Frequency – amount, Supplements, Mom’s nutritional fluid needs Breast or formula Feeding frequency – amount Supplements Breast or formula Feeding frequency – amount Supplements DENTAL HEALTH Baby bottle tooth decay Baby bottle tooth decay Baby bottle tooth decay INJURY PREVENTION Child/car safety seats, Smoke detectors, pets, Hot water temperature, ‘Baby proof home,’ crib safety, safe infant/nursery products, SIDS Child/car safety seats, Smoke detectors, pets, Hot water temperature, Poison control phone #, ‘Baby proof home,’ crib safety, safe infant/nursery products, SIDS Child/car safety seats, Smoke detectors, pets, Hot water temperature, Poison control phone #, ‘Baby proof home,’ crib safety, safe infant/nursery products, SIDS OTHER PRIMARY PREVENTIVE MEASURES Effects of passive smoking, Assess abuse potential (sexual, physical, verbal), domestic violence Effects of passive smoking, Assess abuse potential (sexual, physical, verbal), domestic violence Effects of passive smoking, Assess abuse potential (sexual, physical, verbal), domestic violence GROWTH AND  DEVELOPMENTAL LANDMARKS Normal reflexes (startle, Babinski, etc) Bonding process Prone lifts head, more reflex, Head side to side, Regards face, Equal movements Prone lifts head, Vocalizes, Smiles and kicks, Eye follows to midline DEVELOPMENTAL DISCUSSION AND GUIDANCE Temperature taking, Treating hiccups, When to contact doctor, umbilical cord Literature, Sibling Acceptance, time for mother Literature, Babysitters, time for mother, Reaction to immunization

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Recommendations for Anticipatory Guidance for 4 to 12 Months AGES 4 MONTHS 6 MONTHS 9 MONTHS 12 MONTHS DIET Breast, formula, solids, Feeding Frequency, amount, Supplements Breast, formula, solids, Feeding Frequency, amount, Finger foods, Supplements Breast, formula, solids, Feeding Frequency, amount, Supplements, Finger foods Breast, formula, solids, Feeding Frequency, amount, Supplements, Finger foods DENTAL HEALTH Baby bottle tooth decay Baby bottle tooth decay Fluoride (city, well water) Baby bottle tooth decay Fluoride (city, well water) Baby bottle tooth decay Fluoride (city, well water) INJURY PREVENTION Child/car safety seats, Smoke detectors, pets, Hot water temperature, Poison control phone #, plants, ‘Baby proof home,’ crib safety, safe infant/nursery products, SIDS Child/car safety seats, Smoke detectors, pets, Hot water temperature, Poison control phone #, plants, falls, stairway gates, window guards, pool fence, Drug and chemical storage, Syrup of ???, cords and sockets, ‘Baby proof home,’ crib safety, safe infant/nursery products, SIDS Child/car safety seats, Smoke detectors, pets, Hot water temperature, Poison control phone #, plants, falls, stairway gates, window guards, pool fence, Drug and chemical storage, Syrup of ???, cords and sockets, ‘Baby proof home,’ crib safety, safe infant/nursery products, SIDS Child/car safety seats, Smoke detectors, pets, Hot water temperature, Poison control phone #, plants, falls, stairway gates, window guards, pool fence, Drug and chemical storage, Syrup of ???, cords and sockets, ‘Baby proof home,’ crib safety, safe infant/nursery products, SIDS OTHER PRIMARY PREVENTIVE MEASURES Effects of passive smoking, Assess abuse potential (sexual, physical, verbal), domestic violence, Firearms, Lead Effects of passive smoking, Assess abuse potential (sexual, physical, verbal), domestic violence, Firearms, Lead Effects of passive smoking, Assess abuse potential (sexual, physical, verbal), domestic violence, Firearms, Lead Effects of passive smoking, Assess abuse potential (sexual, physical, verbal), domestic violence, Firearms, Lead GROWTH AND DEVELOPMENTAL LANDMARKS Head steady sitting, Squeals, Eyes follow 180 degrees, Laughs, Grasps rattle, hands together No head lag when pulled, Reaches for object, Teeth, Rolls both ways, Gum objects, Sits briefly alone Pulls self to stand, stands holding on, "Dada" & "Mama," Pat-a-cake, Thumb finger grasps, Holds cup to drink with help, crawls Pulls self to stand, stands holding on, "Dada" & "Mama," Pat-a-cake, Thumb finger grasps, Holds cup to drink with help, walks DEVELOPMENTAL DISCUSSION AND GUIDANCE Literature, Stranger anxiety, Reaction to immunization Literature, Father’s attitude, Schedule to fit with family Literature, Fear of strangers, Need for affection, Discipline (NO), Weaning Literature, Negativism, Getting into things, Weaning, Self feeding

Top of Page Recommendations for Anticipatory Guidance for 15 Months to 6 Years AGES 15 MONTHS 18 MONTHS 24 MONTHS – 3 YEARS 4 - 6 YEARS DIET Breast, formula, solids, Feeding Frequency, amount, Supplements Breast, formula, solids, Feeding Frequency, amount, Supplements Sweets, Snacks, Iron rich foods, sodium, exercise Sweets, Snacks, Iron rich foods, sodium, exercise DENTAL HEALTH Baby bottle tooth decay Fluoride (city, well water) Baby bottle tooth decay Fluoride (city, well water) Brushing, Dental visits, Fluoride (city, well water) Brushing, Dental visits, Fluoride (city, well water) INJURY PREVENTION Child/car safety seats, Smoke detectors, pets, Hot water temperature, Poison control phone #, plants, falls, stairway gates, window guards, pool fence, Drug and chemical storage, Syrup of lpecac, cords and sockets, ‘Baby proof home,’ crib safety, safe infant/nursery products, SIDS Child/car safety seats, Smoke detectors, pets, Hot water temperature, Poison control phone #, plants, falls, stairway gates, window guards, pool fence, Drug and chemical storage, Syrup of lpecac, cords and sockets, ‘Baby proof home,’ crib safety, safe infant/nursery products, SIDS Child/car safety seats, Smoke detectors, pets, Hot water temperature, Poison control phone #, plants, falls, stairway gates, window guards, pool fence, Drug and chemical storage, Syrup of lpecac, cords and sockets, ‘Baby proof home,’ crib safety, safe infant/nursery products, SIDS, Bicycle safety helmets Booster seat, back seat travel, pedestrian/traffic safety, sports/water safety equipment, firearm/weapon safety, Child/car safety seats, Smoke detectors, pets, Hot water temperature, Poison control #, plants, falls, stair gates, window guards, pool fence, SIDS, cords/ sockets, Drug/chemical storage, Syrup or lpecac, ‘Baby proof home,’ crib safety, safe infant/nursery products, Bike safety/helmets OTHER PRIMARY PREVENTIVE MEASURES Effects of passive smoking, Assess abuse potential (sexual, physical, verbal), domestic violence, Firearms, Lead Effects of passive smoking, Assess abuse potential (sexual, physical, verbal), domestic violence, Firearms, Lead Effects of passive smoking, Assess abuse potential (sexual, physical, verbal), domestic violence, Sunscreen protection, Firearms, Lead Effects of passive smoking, Assess abuse potential (sexual, physical, verbal), domestic violence, Firearms, Lead, Sunscreen protection GROWTH AND DEVELOPMENTAL LANDMARKS Stands alone, walks holding on, builds towers with 2 blocks, removes lids, ‘Mama,’ ‘Dada’ Walks well, uses cup- some spillage, ‘Mama,’ ‘Dada’ – specific, climbs, piles 3 blocks, shows wants by pointing/ pulling Runs well, walks up/down stairs, uses spoon, hide n’ seek, piles 6 blocks, helps remove clothes, shows jealousy Skips, copies smile lines/ pictures, knows name/age, dresses/undresses, counts 10 objects DEVELOPMENTAL DISCUSSION AND GUIDANCE Literature, weaning, baby-proofing, discipline, delay toilet training, separation anxiety, bedtime Literature, terrible two’s, teeth care, toilet training Literature, peer companionship, immaturity/ sharing, falls, burns, masturbation, nursery school, obedience & discipline Literature, school readiness

Top of Page Recommendations for Anticipatory Guidance for 7 to 21 Years AGES 7 – 13 YEARS 14 – 21 YEARS DIET Fat, cholesterol, Sweets, Snacks, Iron rich foods, sodium, calories, exercise, Fad diets, weight gain/loss, Assess female calcium intake Fat, cholesterol, Sweets, Snacks, Iron rich foods, sodium, calories, exercise, Fad diets, weight gain/loss, Assess female calcium intake DENTAL HEALTH Brushing, Dental visits, Fluoride (city, well water) Brushing, Dental visits, Flossing INJURY PREVENTION Safety belts, smoke detectors, Back seat travel, pedestrian/ traffic safety, Sports/water safety/ equipment, firearm/weapon/chemical safety/storage, bicycle safety helmets Sports/ water safety/equipment, firearm/weapon safety/storage OTHER PRIMARY PREVENTIVE MEASURES Assess abuse potential (sexual, physical, verbal), domestic violence, Sunscreen protection, Firearms, Primary Prevention and treatment; substance abuse, sexual practice and abstinence, contraception options Assess abuse potential (sexual, physical, verbal), domestic violence, Sunscreen protection, Firearms, Hemoglobin Test, Primary Prevention and treatment; substance abuse, sexual practice and abstinence, contraception options GROWTH AND DEVELOPMENTAL LANDMARKS Sports/group participation, peer relationships, school attendance, performance Sports/group participation, peer relationships, school attendance, performance DEVELOPMENTAL DISCUSSION AND GUIDANCE Conflict resolution skills, Literature Conflict resolution skills, Literature