NR 602 Midterm Anticipatory guidance Questions With
Complete Solutions
■ Clean teeth/gums 2 times per day; use soft cloth/ toothbrush
with tap water and small smear of fluoridated toothpaste (no
more than a grain of rice) Correct Answer 4 mo to 6 mo
■ Provide 16 to 24 oz low-fat/fat-free milk daily Correct
Answer 18mo to 4yrs
1 Month Visit
Parent and family health and well-being: Postpartum checkup,
maternal depression, family relationships
■ Finding good child care can help you feel confident about
returning to work. I can provide information and resources.
■ Have postpartum checkup. e—60% to 80% of mothers
experience "baby blues" in the first 2 weeks postpartum; 10% to
15% have postpartum depression during the first year of the
infant's life
■ Anxiety, depression are common after birth; getting enough
sleep/physical activity and eating healthy helps
Infant behavior and development: Sleeping and waking,
fussiness and attachment, media, playtime, medical home after-
hours support
■ Put baby in crib awake/drowsy to help with transition; keep
room temperature comfortable.
■ Consider offering pacifier.
■ Calm baby with stroking head or gentle rocking. ■ Never hit
or shake baby. What do you do to calm your baby? What do you
do if that do Correct Answer 1 Month Visit
,12 MONTH VISIT
Establishing routines: Adjustment to the child's developmental
changes and behavior; family time; bedtime, naptime, and teeth
brushing; media
■ Use positive discipline as well as time-outs and distractions;
praise for good behaviors. When your child is troublesome, what
do you do?
■ Carve out family time every day; establish consistent daily
routines. ■ Continue 1 nap a day; follow nightly bedtime routine
with quiet time, reading, singing, favorite toy.
■ Establish teeth-brushing routine.
Feeding and appetite changes:
■ Encourage self-feeding; avoid small, hard foods.
■ Provide healthy food and snacks; be sure caregivers do the
same. ■ Feed 3 meals and 2 to 3 snacks a day. Toddlers tend to
graze. Trust child to decide how much to eat
Establishing a dental home: First dental checkup and dental
hygiene ■ Visit the dentist by the time child is 12 months old or
after first tooth erupts.
■ If child Correct Answer 12 MONTH VISIT
15 MONTH VISIT
Communication and social development: Individuation,
separation, finding support, attention to how child
communicates wants and interests ■ When possible, allow child
to choose between 2 options acceptable to you. ■ Stranger
, anxiety and separation anxiety reflect new cognitive gains;
speak reassuringly. ■ Take time for self, partner. Seek support
from other parents. ■ Use simple, clear words and phrases to
promote language development and improve communication.
How does your child communicate what she wants? Does she
point to something she wants and then watch to see if you see
what she's doing?
Sleep routines and issues: Regular bedtime routine, night
waking, no bottle in bed ■ Maintain consistent bedtime and
nighttime routine; tuck in when drowsy but still awake. ■ If
night waking occurs, reassure briefly; give stuffed animal or
blanket for self-consolation. ■ Don't give bottle in bed. Don't put
T Correct Answer
18 MONTH VISIT
■ Anticipate anxiety/clinging in new situations. ■ Spend time
with child each day; plan ahead for difficult situations, and try
new things to make them easier.
■ Be consistent with discipline/enforcing limits.
■ Wait until child is ready for toilet training (dry for periods of
about 2 hours, knows wet and dry, can pull pants up/down, can
indicate bowel movement).
■ Read books about using the potty; praise attempts to sit on the
potty.
■ Prepare toddler for new sibling by reading books; avoid new
developmental demands on toddler; take action to ensure own
health
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