Diagnosis: General labs + FSH, LH, prolactin levels, TSH, T3,
and T4
Treatment: surgical correction of anatomical abnormalities,
medications or hormone therapies
Anticipatory Guidance - 1-3 months old Correct Answer
Regulation/ Sleep-wake patterns
-Structured sleep times
Strength and Motor Coordination
-Prone position strengthens entire body.
Feeding and Self-Care
-Feedings become more consistent
-Strong need for sucking
Communication/Language
-Sing, talk, read. Help infant become familiar with parent's voice
Social/Emotional Growth
-Hands are "first toy"
-Respond to all crying
,-Temperament is more expressed
Cognitive and Environmental Stimulation
-Visual acuity is increasing (mobiles/mirrors)
Anticipatory Guidance - 6-8 months old Correct Answer
Regulation/ Sleep-wake patterns
-Sleeping longer (Can go 6-8 hours without feeding)
-Can be sleeping through the night. (Interruptions with teething
or illness)
-Increased need for nighttime rituals and structure
-Soothing should be limited; stimulation decreased (no holding)
Strength and Motor Coordination
-Floor-time/crawling. Childproofing
-Check bath water temperature
-Supervision
Feeding and Self-Care
-If still no solids, now is the time
-Structured meal times
-Encourage self-feeding; hold spoon/cup
Communication/Language
-Use names, gestures
-Name body parts when changing diaper
-Respond to infants voice inflections
-Read picture books and magazines
Social/Emotional Growth
-Favorite object (i.e. blanket) to help with separation anxiety
,-Limit setting
Cognitive and Environmental Stimulation
-Interactive games
-Cause and effect Games
-Stacking things
-Household toys (e.g. wooden spoon)
Anticipatory Guidance - 9-12 months old Correct Answer
Regulation/ Sleep-wake patterns
-Predictability in schedule. Structure
-Temperament more apparent
Strength and Motor Coordination
-Exploring; placing things in mouth
-Safety and Childproofing
-Supervision
Feeding and Self-Care
-Self-feeding. Clear preferences and dislikes
-Soft cloth or toothbrush to clean gums
-Eating with family; consistent mealtimes
Communication/Language
-Encourage communication with gestures, pointing
-Naming utensils, colors, body parts
-Reading is more interactive with questions and pointing
Social/Emotional Growth
-Importance of discipline to promote positive behavior
-More autonomous, need for control and independence
, Cognitive and Environmental Stimulation
-Interactive games such as peek-a-boo, pat-a-cake, rolling a ball
-Dumping out box of toys for play
-Bath time, water tables, sand boxes
Anticipatory Guidance - Adolescents Correct Answer -
Individualized discussion with teenagers that helps them
understand, respond to, and take responsibility for their own
behavior and development
-Separate discussion with parents regarding need for support for
maturation and independence
-Physical fights, sexual activity, substance abuse
-Need for privacy
-Encourage benefits of education and completion of school
Anticipatory Guidance - Birth Correct Answer Parents should
leave the hospital knowing how to: -interpret their infant's
hunger and discomfort signs
-what signs and symptoms related to feeding (breast milk or
formula)
-jaundice
-infant care
*All instructions should be provided in writing
Anticipatory Guidance - Birth- 1 month Correct Answer
Regulation/ Sleep-wake patterns
-16 hours of sleep
-Naps in cribs (On back)
-External stimuli (music) can be helpful
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