ANTICIPATORY GUIDELINES

2 Week Old Exam
1.        BF: latch, time, frequency, empty
2.        Formula: type, amount, frequency
3.        Sleep on back
4.        Water temperature < 120° F
5.        Infant weight gain
6.        Smoke free environment
7.        Cry, spit, sneeze, strain → NL
8.        No OTC meds
9.        Do not microwave fluids
10.     Delay solids until 4 months
11.     Introduce bottle
12.     Call for any fever (>100.4° F)
13.     Car seat

2 Month Old Exam
1.        Immunization reaction
2.        Safety: pets, rolling, hot liquids
3.        Feeding schedule

4 Month Old Exam
1.        No honey until >12 mothns
2.        Bedtime routine
3.        Feed counseling

6 Month Old Exam
1.        Avoid choke foods
2.        Age appropriate toys
3.        Water safety

9 Month Old Exam
1.        Establish simple rules
2.        Read to baby
3.        Introduce cup

12 Month Old Exam
1.        H/H and Lead Screen
2.        Start whole milk
3.        Get rid of bottles and pacifiers
4.        Oral care
5.        3 meals/day
6.        Offer 4 food groups
7.        Continue car seat
8.        Child proof home

15 Month Old Exam
1.        Make sure bottles and pacifiers gone
2.        Limit milk, limit juice

24 Month Old Exam
1.        Ensure water safety
2.        Remove/Lock poisons/toxics
3.        Helmet for bikes
4.        Brush 2x/day w/ fluoride
5.        Dentist appointment
6.        Start toilet training
7.        Praise good behavior
8.        Consistent discipline
9.       Time outs

 3-4 Year Old Exam
1.        Toilet trained?
2.        Booster seat in car
3.        Pedestrian safety skills
4.        Explain about private parts
5.        Time outs

5 Year Old Exam
1.        Address and phone number
2.        Stranger safety
3.        Limit TV, Internet
4.        Physical activity
5.        Be involved with school

6-8 Year Old Exam
1.        Encourage reading and hobbies
2.        Set challenging expectations

9-11 Year Old Exam
1.        Drugs, alcohol, sex
2.        Limit TV, Internet
3.        Homework
4.        Menstruation, excretions 

MILESTONES

2 Week Milestones
1.        Responds to sound
2.        Looks at faces
3.        Has flexed position

2 Month Milestones
1.        Coos/vocalizes
2.        Responds to parent’s voice/face
3.        Hands open 50% of the time

4 Month Milestones
1.        Spontaneous laughter
2.        Rolls over front to back
3.        Controls head well
4.        Able to comfort self

6 Month Milestones
1.        Vocalizes mama/dada indiscriminately
2.        No head lag, when pulled to sit
3.        Rolls over
4.        Stands when placed, and bears wt
5.        Transfers objects hand to hand
6.        Recognizes parents from strangers

9 Month Milestones
1.        Responds to own name
2.        Crawls, sits independently
3.        Uses inferior pincer grasp
4.        Feed self with finger
5.        Cup drinking

12 Month Milestones
1.        Cruises/walks
2.        Waves bye bye

15 Month Milestones
1.        3-10 words
2.        Point to body part
3.        Uses cup and spoon independently