Anticipatory Guidance Review

Infant

100

AAP recommends infants are exclusively breastfed for this time period

First 6 months of life

200

What temperature should the hot water tank be set inside the home

Less than 120 degrees or "low" level

300

This is the average number of wet diapers and dirty diapers during the first 6 months

5-6 wet disposable diapers and 3-4 stools per day

400

How far apart should a crib's slats be from one another? What is the ideal spacing of weaving for a mesh playpen?  

Cribs should have slats less than 2 3/8" apart and mesh playpens should have weaving less than 1/4". Families should not use loose, soft bedding. The crib mattress should be lowered and the baby should never be left in a crib with the drop side down

500

How much vitamin D should be given daily? How many ounces of formula must be consumed to provide the adequate amount daily vitamin D? When can vitamin D supplementation be discontinued?

400 IU/day vitamin D

At least 30 oz/day of vitamin D fortified formula

May be discontinued at 12 months of age when child starts to consume vitamin D fortified milk

Toddler

100

What is poison control telephone?

1-800-222-1222

200

First dental check-up should be around what age?

How often should you brush your child's teeth and with what type and size of toothpaste?

First dental check-up should be 12 months or after first tooth erupts

Brush child's teeth twice daily with small smear of fluoridated toothpaste with a soft toothbrush 

300

What age and behaviors should be observed to consider initiating potty training? 

18 months-2 years of age

Behaviors such as dry for period of about 2 hours, knows wet and dry, can pull pants up/down, can indicate bowel movement 

400

How much cow's milk should be consumed between 1-2 years of age?

How much juice should be consumed?

16-24 oz of whole milk

Juice is not a necessary drink, however, it should be limited to 4 oz daily and always served with a meal 

500

Car seat recommendations for infants and toddlers up to 2 years of age

Car seat recommendations for toddlers to preschoolers 

Infants/toddlers up to 2 years of age: Rear-facing seats in the back seat up to 2 years

2 years and older to 65lbs or more: Forward-facing seats with harness (5 points) in the back seat

Child/Adolescent

100

How many minutes should a child perform moderate level of physical activity

60 minutes per day

200

What time should prolonged exposure of sun be avoided? What strength of sunscreen should be used? Any additional tips to avoid UV exposure?

Between 11 am-3pm is the strongest UV exposure of the sun

Use at least 30 spf or greater; avoid spray and use topical sunscreens

Wear Hat as well

300

How many meals should be consumed in adolescence and how much dairy should be consumed for adequate calcium intake?

3 meals and 2 snacks per day including at least 5 servings of fruits/vegetables; encourage whole grains and lean protein

24 oz or more of low-fat/nonfat dairy/other dairy daily

400

When should adolescents start having HEADSS assessments without parents present? When should we start universal screening for STIs?

Typically around 12 years of age to start private HEADSS assessment

15 years of age, universal screening of annual GC/Chlamydia and HIV testing should be performed regardless of sexual activity

500

When should boys start to perform self-testicular exams?

When should girls start to perform self-breast exams?

Although testicular cancers are unusual in teen guys, but it can happen so self-testicular exams should start by 15 years of age

Breast problems are extremely rare in teen girls, but it is important for young women to learn what is "normal" for their breasts. Self-breast exams should start by 20 years of age