FPC: anticipatory guidance

Question 1

How long will a baby be on only breast milk?

Answer 1

6 months

Question 2

When do we start introducing solid food?

Answer 2

6-12 months

Question 3

What is a big activity encouraged in infants?

Answer 3

Tummy time

Question 4

What activity should be limited in infants?

Answer 4

Swings, strollers, bouncer seats for extended periods of time! Some use is ok

Question 5

How much screen time should infants get?

Answer 5

If they’re under 18 months, none other than facetime

Question 6

What are sleep recommendations for 4-12 months?

Answer 6

12-16 hours including naps

Question 7

What kind of car seat do infants need?

Answer 7

Rear-facing car seats

Question 8

What is the max temp water heaters should be set to?

Answer 8

120 F

Question 9

What has helped prevent SIDS?

Answer 9

Babies sleeping on their back with no toys, sheets, etc.

Question 10

What are safety recommendations given in infancy?

Answer 10

Don’t shake the baby, rear facing car seat, avoid small bites and toys to reduce choking risk, do not carry hot foods or liquid near the baby, vaccinate!

Question 11

What are some screenings done during the infant stage?

Answer 11

Caregiver depression and social determinants of health

Question 12

At the toddler age, what should toddlers drink?

Answer 12

Water or milk, no juice!

Question 13

What happens with toddlers and food?

Answer 13

They may become pickier or eat less; just offer healthy foods and let them pick

Question 14

What is true of toddlers and activity?

Answer 14

Allow them to have plenty of activity and free play

Question 15

What are recommendations for screen time in toddlers?

Answer 15

No more than 1 hour of quality programming and avoid screens in the bedroom

Question 16

How much sleep do 1–3-year-olds need?

Answer 16

11-14 hours including naps

Question 17

What is the leading cause of death in toddlers 1-3?

Answer 17

Drowning

Question 18

What are some safety measures for toddlers 1-3?

Answer 18

Lock up firearms, “baby proof” handles, fence off pools, protect from railings, plug outlet covers, anchor furniture, never leave the toddler alone, do not leave a toddler in the car alone, keep rear car set for as long as possible and use harness once forward

Question 19

When do we typically start toilet training?

Answer 19

Somewhere from 18 months to 2 years

Question 20

By what age are kids normally daytime potty trained?

Answer 20

4

Question 21

What activities do we encourage in toddlers?

Answer 21

Pretend play, reading/singing songs, playing matching and quiz games, allow some dressing independence

Question 22

How do we manage discipline in toddlers?

Answer 22

Reward good behaviors vs punishing bad ones (aka LOTS of positive reinforcement)! Introducing brief time-outs is ok

Question 23

When do we usually start incorporating time outs?

Answer 23

around 2, but mostly 3-5

Question 24

What are common ways we have lead exposure?

Answer 24

Eating lead paint chips, ingesting contaminated food or water, breathing in lead dust

Question 25

What are histological findings of lead exposure?

Answer 25

Basophilic stippling and teardrop cells

Question 26

When do we test for lead exposure in SC?

Answer 26

12 and 24 months

Question 27

When do we do an autism screening tool?

Answer 27

18 and 24 months

Question 28

What screening tools are used in preschoolers age 3-5?

Answer 28

Academic performance, oral health, social determinants

Question 29

What are important food considerations for kids age 3-5?

Answer 29

Try to eat together and limit added sugars and salt

Question 30

What do we incorporate in terms of activity in kids 3-5?

Answer 30

At least an hour of moderate-vigorous activity as well as lots of free play and possibly incorporating sports equipment

Question 31

What are the recommendations for screen time in kids 3-5?

Answer 31

Avoid screens in the bedroom and no more than 1 hour of quality programming

Question 32

What are sleep recommendations for kids 3-5?

Answer 32

10-13 hours including naps, though they’ll likely start phasing out of naps in this stage

Question 33

What are safety recommendations for kids 3-5?

Answer 33

Helmets, teach them to avoid running in the street, supervise swim, stranger safety, forward car seat with 5-point harness for as long as possible and transition to booster when needed

Question 34

How long should time-out be?

Answer 34

1 min per year of age

Question 35

What are discipline strategies in 3–5-year-olds?

Answer 35

Time outs, natural consequences (being cold if they don’t want to wear a jacket), logical consequences, and positive reinforcement

Question 36

What activities do we encourage in preschoolers?

Answer 36

Allowing them to help with easy chores, encourage play with other kids, problem-solving

Question 37

What do we tell parents to do when talking to their preschoolers?

Answer 37

Talk in complete sentences and correct words/phrases when needed!

Question 38

What screenings are done in middle childhood, age 6-11?

Answer 38

Academic performance, oral health, social determinants of health

Question 39

What are activity goals of kids 6-11?

Answer 39

1 hour or more of moderate-vigorous activity and try to incorporate bone strengthening, aerobic activity, muscle strengthening

Question 40

What are screentime recommendations for kids 6-11?

Answer 40

No more than 2 hours per day of quality programming and avoid screens in the bedroom

Question 41

What topics do we start talking about during 6-11?

Answer 41

Expectations for puberty

Question 42

What are safety recommendations for middle childhood?

Answer 42

Booster seat until 4’9, safety with playing outside and using helmets, knowing where the kid is, understanding water safety, supervise activities like swimming (until 8)

Question 43

What age can kids ride in the front seat?

Answer 43

13

Question 44

What is the most common cause of unintentional death in kids 6-11?

Answer 44

Motor vehicle accidents

Question 45

What are positive parenting methods in middle childhood?

Answer 45

Teaching respect, goal setting, praise good behavior, support new challenges and activities, recognize accomplishments!

Question 46

When does teething normally begin?

Answer 46

6-10 months

Question 47

When do molars come in?

Answer 47

2-3 years

Question 48

When do kids start going to the dentist?

Answer 48

12 months

Question 49

What does fluoride varnish do?

Answer 49

Prevent around 1-3rd of cavities in baby teeth

Question 50

How much toothpaste do we use in a kid under 3?

Answer 50

A rice-size amount

Question 51

How much toothpaste do we use in a kid over 3?

Answer 51

Pea-size amount

Question 52

What is the safe level of secondhand smoke exposure?

Answer 52

None