Anticipatory Guidance for Neonates to Adolescents Table
Anticipatory guidance helps family, caregivers, and others know what to expect according to the child’s growth and
development. The guidance is done through collaboration between the healthcare provider and the caregiver. It is
sometimes thought of as a type of counseling. Nurse practitioners working in pediatric primary care need to be
experts on anticipatory guidance. There are excellent resources available and these are being updated as
technologies and environments change.
This Assignment will demonstrate your ability to describe age-specific anticipatory guidance for the child and the
family. Additionally, you will then have a reference table for quick glance created by you for future encounters with
pediatric individuals and their families.
This assignment has a template that you will use to fill in the relevant elements of the anticipatory guidance per
age group. The columns provide guidance to the specific areas such as safety and immunizations. If there is an
area that is not applicable, such as oral health in infancy-newborn group, then place N/A in the box.
Submit your assignment to the Unit 2 Dropbox.
Age Group Physical Development Nutrition and Oral Health Safety Concerns Immunizations
and Mental Health Physical Activity
Infancy- Periods of wakefulness Keeps hands in fists N/A Use rear-facing car seat in backseat of Hepatitis B #1, if not
Newborn Visit Looks at/studies parents and automatically car received at birth
when awake grasps others’ fingers Never put baby in front seat of Encourage family to
Looks in parent’s eyes or objects vehicle with passenger air bag receive Influenza
when held Moves head side to Keep baby in safety seat at all times and Tdap since the
Calms when picked up or side during travel child is too young
to parent’s voice Limp posture with Always use seat belt for immunization
Responds differently to extension of the Do not drive under the influence of
soothing touch and extremities drugs or alcohol
alerting touch Breastmilk Prevent heatstroke, never leave baby
Moves in response to Iron-fortified formula alone in care
, visual or auditory stimuli No cows milk Put baby to sleep on back
Reflexively moves arms Breastfeed 8-12 Choose crib with slats less than 2 3/8”
and legs (observed in the feedings in 24 hrs apart.
Moro and Tonic neck Formula-feeding Don’t use loose, soft bedding
reflexes) should be done on cue Don’t leave toys in crib while
Communicates discomfort and at least 9 times in sleeping
through crying and 24 hours Have baby sleep in your room in their
behaviors such as facial Breastfeeding mothers own crib
expressions, body should be encouraged Don’t co-sleep
movements of arms and to take Prenatal Learn about pet risks
legs vitamins with iron, Keep home safe for babe
Keeps hands in fists and multi-vitamin, or Choose plastic bottles made from new,
automatically grasps folate supplement safer plastics or tempered glass baby
others’ fingers or objects while breastfeeding bottles.
and maintain a healthy Never heat a bottle in a microwave. If
diet with lots of fluids you wish to warm a bottle, a hot water
for optimal nutrition bath is recommended.
and health If you bathe your baby in the kitchen
For mothers with a sink, do not run the dishwasher at the
vegan or vegetarian same time. Hot water from the
diet, encourage a dishwasher can come up the sink drain
Vitamin D and B12 and scald the baby.
supplement.
Breastfeeding mothers
should refrain from
consuming alcohol or
should “pump and
dump.”
Don’t prop bottle
Infancy-First Sustains periods of Exclusive Clean the gums Use rear-facing car seat in backseat of Hepatitis B #1, if
Week Visit wakefulness for feeding breastfeeding for 1st 6 after feeding to car not previously
Cries with discomfort months remove bacteria Never put baby in front seat of received
Calms to adult voice Iron-fortified formula from the mouth, vehicle with passenger air bag Encourage family to
Lifts head briefly when on is recommended as a as well as allow Keep baby in safety seat at all times receive Influenza
stomach and turns it to the good substitute. the baby to get during travel and Tdap since the
side Recognize signs of used to the Always use seat belt child is too young
Reflecively moves arms hunger/fullness process. To clean Do not drive under the influence of for immunization
and legs, observed in the Develop feeding baby's gums, drugs or alcohol
Moro and Tonic Neck routine wrap a clean, Prevent heatstroke, never leave baby
reflexes Adequate weight gain damp washcloth alone in care
, Keeps hand in a fist is 6-8 wet cloth around a finger Put baby to sleep on back
diapers per day and gently rub Choose crib with slats less than 2 3/8”
Give no extra fluids the gums. apart.
Feed every 1-3 hours Don’t use loose, soft bedding
daytime and every Don’t leave toys in crib while
3hts nighttime for 8-12 sleeping
feedings per 24 hours. Have baby sleep in your room in their
Begin giving baby own crib
vitamin d (400IU per Don’t co-sleep
day) Learn about pet risks
Mothers should Keep home safe for babe
continue prenatal Choose plastic bottles made from new,
vitamn with iron safer plastics or tempered glass baby
Eat healthy diet bottles.
Prepare/store formula Never heat a bottle in a microwave. If
safely you wish to warm a bottle, a hot water
Feed 2oz every 2-3hrs, bath is recommended.
more if seems hungry If you bathe your baby in the kitchen
Hold baby semi- sink, do not run the dishwasher at the
upright same time. Hot water from the
Don’t prop bottle dishwasher can come up the
sink drain and scald the baby.
Infancy-1 Looks at parent; follows Moves both arms and Clean the gums Use rear-facing car seat in backseat of Hep B #2 (Can be
Month Visit with eyes both legs together after feeding to car given between 1-
Has self-comforting Holds chin up when remove bacteria Never put baby in front seat of 2mo)
behaviors, such as on stomach from the mouth, as vehicle with passenger air bag
bringing hands to mouth Opens fingers slightly well as allow the Keep baby in safety seat at all times
Starts to become fussy when at rest baby to get used to during travel
when bored Exclusive the process. To Always use seat belt
Calms when picked up or breastfeeding for 1st 6 clean baby's gums, Do not drive under the influence of
spoken to months wrap a clean, drugs or alcohol
Looks briefly at objects Iron-fortified formula damp washcloth Prevent heatstroke, never leave baby
Makes brief short vowel is recommended as a around a finger alone in care
sounds good substitute. and gently rub the Put baby to sleep on back
Alerts to unexpected Recognize signs of gums. Choose crib with slats less than 2 3/8”
sounds hunger/fullness apart.
Quiets or turns to parents Develop feeding Don’t use loose, soft bedding
voice routine Don’t leave toys in crib while
Shows signs of sensitivity Adequate weight gain sleeping
to environment is 6-8 wet cloth Have baby sleep in your room in their
Anticipatory guidance helps family, caregivers, and others know what to expect according to the child’s growth and
development. The guidance is done through collaboration between the healthcare provider and the caregiver. It is
sometimes thought of as a type of counseling. Nurse practitioners working in pediatric primary care need to be
experts on anticipatory guidance. There are excellent resources available and these are being updated as
technologies and environments change.
This Assignment will demonstrate your ability to describe age-specific anticipatory guidance for the child and the
family. Additionally, you will then have a reference table for quick glance created by you for future encounters with
pediatric individuals and their families.
This assignment has a template that you will use to fill in the relevant elements of the anticipatory guidance per
age group. The columns provide guidance to the specific areas such as safety and immunizations. If there is an
area that is not applicable, such as oral health in infancy-newborn group, then place N/A in the box.
Submit your assignment to the Unit 2 Dropbox.
Age Group Physical Development Nutrition and Oral Health Safety Concerns Immunizations
and Mental Health Physical Activity
Infancy- Periods of wakefulness Keeps hands in fists N/A Use rear-facing car seat in backseat of Hepatitis B #1, if not
Newborn Visit Looks at/studies parents and automatically car received at birth
when awake grasps others’ fingers Never put baby in front seat of Encourage family to
Looks in parent’s eyes or objects vehicle with passenger air bag receive Influenza
when held Moves head side to Keep baby in safety seat at all times and Tdap since the
Calms when picked up or side during travel child is too young
to parent’s voice Limp posture with Always use seat belt for immunization
Responds differently to extension of the Do not drive under the influence of
soothing touch and extremities drugs or alcohol
alerting touch Breastmilk Prevent heatstroke, never leave baby
Moves in response to Iron-fortified formula alone in care
, visual or auditory stimuli No cows milk Put baby to sleep on back
Reflexively moves arms Breastfeed 8-12 Choose crib with slats less than 2 3/8”
and legs (observed in the feedings in 24 hrs apart.
Moro and Tonic neck Formula-feeding Don’t use loose, soft bedding
reflexes) should be done on cue Don’t leave toys in crib while
Communicates discomfort and at least 9 times in sleeping
through crying and 24 hours Have baby sleep in your room in their
behaviors such as facial Breastfeeding mothers own crib
expressions, body should be encouraged Don’t co-sleep
movements of arms and to take Prenatal Learn about pet risks
legs vitamins with iron, Keep home safe for babe
Keeps hands in fists and multi-vitamin, or Choose plastic bottles made from new,
automatically grasps folate supplement safer plastics or tempered glass baby
others’ fingers or objects while breastfeeding bottles.
and maintain a healthy Never heat a bottle in a microwave. If
diet with lots of fluids you wish to warm a bottle, a hot water
for optimal nutrition bath is recommended.
and health If you bathe your baby in the kitchen
For mothers with a sink, do not run the dishwasher at the
vegan or vegetarian same time. Hot water from the
diet, encourage a dishwasher can come up the sink drain
Vitamin D and B12 and scald the baby.
supplement.
Breastfeeding mothers
should refrain from
consuming alcohol or
should “pump and
dump.”
Don’t prop bottle
Infancy-First Sustains periods of Exclusive Clean the gums Use rear-facing car seat in backseat of Hepatitis B #1, if
Week Visit wakefulness for feeding breastfeeding for 1st 6 after feeding to car not previously
Cries with discomfort months remove bacteria Never put baby in front seat of received
Calms to adult voice Iron-fortified formula from the mouth, vehicle with passenger air bag Encourage family to
Lifts head briefly when on is recommended as a as well as allow Keep baby in safety seat at all times receive Influenza
stomach and turns it to the good substitute. the baby to get during travel and Tdap since the
side Recognize signs of used to the Always use seat belt child is too young
Reflecively moves arms hunger/fullness process. To clean Do not drive under the influence of for immunization
and legs, observed in the Develop feeding baby's gums, drugs or alcohol
Moro and Tonic Neck routine wrap a clean, Prevent heatstroke, never leave baby
reflexes Adequate weight gain damp washcloth alone in care
, Keeps hand in a fist is 6-8 wet cloth around a finger Put baby to sleep on back
diapers per day and gently rub Choose crib with slats less than 2 3/8”
Give no extra fluids the gums. apart.
Feed every 1-3 hours Don’t use loose, soft bedding
daytime and every Don’t leave toys in crib while
3hts nighttime for 8-12 sleeping
feedings per 24 hours. Have baby sleep in your room in their
Begin giving baby own crib
vitamin d (400IU per Don’t co-sleep
day) Learn about pet risks
Mothers should Keep home safe for babe
continue prenatal Choose plastic bottles made from new,
vitamn with iron safer plastics or tempered glass baby
Eat healthy diet bottles.
Prepare/store formula Never heat a bottle in a microwave. If
safely you wish to warm a bottle, a hot water
Feed 2oz every 2-3hrs, bath is recommended.
more if seems hungry If you bathe your baby in the kitchen
Hold baby semi- sink, do not run the dishwasher at the
upright same time. Hot water from the
Don’t prop bottle dishwasher can come up the
sink drain and scald the baby.
Infancy-1 Looks at parent; follows Moves both arms and Clean the gums Use rear-facing car seat in backseat of Hep B #2 (Can be
Month Visit with eyes both legs together after feeding to car given between 1-
Has self-comforting Holds chin up when remove bacteria Never put baby in front seat of 2mo)
behaviors, such as on stomach from the mouth, as vehicle with passenger air bag
bringing hands to mouth Opens fingers slightly well as allow the Keep baby in safety seat at all times
Starts to become fussy when at rest baby to get used to during travel
when bored Exclusive the process. To Always use seat belt
Calms when picked up or breastfeeding for 1st 6 clean baby's gums, Do not drive under the influence of
spoken to months wrap a clean, drugs or alcohol
Looks briefly at objects Iron-fortified formula damp washcloth Prevent heatstroke, never leave baby
Makes brief short vowel is recommended as a around a finger alone in care
sounds good substitute. and gently rub the Put baby to sleep on back
Alerts to unexpected Recognize signs of gums. Choose crib with slats less than 2 3/8”
sounds hunger/fullness apart.
Quiets or turns to parents Develop feeding Don’t use loose, soft bedding
voice routine Don’t leave toys in crib while
Shows signs of sensitivity Adequate weight gain sleeping
to environment is 6-8 wet cloth Have baby sleep in your room in their
