Know what to expect! Year 5-11
Pediatric Anticipatory Guidance
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Growth
- Children learn quickly.
- Your child will learn to read, write, and do math.
- They will be making friends.
- Your child may want to play sports, draw, or play music.
- Help your child explore with a library card, sports team, or after-school program.
- If you have concerns about your child, talk with your doctor.
Shots
- Children need 2 HPV shots starting at 9 years.
- At 11 years, they need tetanus and meningitis shots.
- Children need flu and COVID vaccines in the fall.
Food and Drinks
- Limit junk food and fast food.
- Offer fruits, vegetables, beans, nuts, seeds, and whole grains.
- Try for 5 vegetables or fruits every day.
- Give foods that taste and feel different. It may take 12 tries before a child likes
a new food. Keep offering healthy foods! - Let children eat when they’re hungry and stop when they’re not hungry.
- Offer mainly water to drink.
- Children should have 2-3 servings of calcium-rich milk or food every day.
- Limit juice, soda, and other sweet drinks.
Teeth
- Brush teeth twice a day.
- Use fluoride toothpaste.
- See the dentist every 6 months.
Exercise
- Have a sports physical before starting.
- Exercise at least 1 hour every day. Do something fun!
- Wear a helmet and pads for biking, skateboarding, scootering, horseback riding, or skiing.
- Children might need safety glasses and mouth guards too.
Screens
- Limit screen time (phones, tablets, computers) to less than 2 hours a day.
- Don’t use screens as background noise or to keep children busy.
- Keep screens out of bedrooms. Turn all screens off 1-2 hours before bed.
- Go to www.healthychildren.org to make a plan for your family.
- Talk with your children about being safe online.
- Talk about not friending strangers online, not sending private pictures, and reporting
anything bad that was sent to them. - The websites www.sos.fbi.gov and www.netsmartzkids.org are helpful.
- Report concerns to:
• Local police
• NCMEC CyberTipline at https://report.cybertip.org/ or 1-800-843-5678
• FBI at https://www.fbi.gov/contact-us/field-offices, https://tips.fbi.gov/ or 1-800-CALL-FBI.
Sleep
- Keep the bedroom cool, dark, and quiet.
- Have a regular, ½ hour, bedtime routine.
- Keep bedtimes and wakeup times the same every day.
- Use sunlight to help wake up in the morning.
- Keep a regular schedule of meals, play, snacks, and sleep every day.
Help
- If you need help, go to findhelp.org.
You can get help with food, housing, medicine, and other things.
Booster Seat
- Use https://cert.safekids.org/ to get your booster seat checked.
- Booster seats should be in the back seat.
- Children need a booster seat until they are:
- 8 years old
- 4 feet 9 inches
- Children can’t ride in the front seat until they are 13 years old.
Poisons
- Keep vitamins, medicines, cleaners, and other dangerous stuff locked away.
- Keep the Poison Control Center number (1-800-222-1222) handy.
Tobacco
- Do not use or be around tobacco, e-cigarettes, vapes, Juuls, or other smoke.
- Call 1-800-NO-BUTTS and visit nobutts.org for free help.
Safety
- Set home water temperature to 120F or less to prevent burns.
- Watch children closely when they swim.
- Fence swimming pools on all sides.
- Check smoke detectors twice a year and replace batteries.
- Keep volumes low, especially in earbuds. Limit the time in noisy areas.
Sun
- Protect your child from the sun with long sleeves and long pants.
- Put on sunglasses and a hat.
- Re-apply sunscreen every 2 hours. If swimming or sweating, re-apply every 1 hour.
- Limit time in the sun between 10am and 4pm.
School
- Being at school every day is important.
- Talk with the doctor if:
- Your child has more than 2 sick days a month
- Your child needs to take medicine at school
- Your child has trouble paying attention or sitting still
- Talk with the school if:
- It’s hard for your child to learn
- Your child needs a special plan to learn
Bullying
- Report bullying—online or in-person—to a teacher, counselor, principal, or coach.
- Go to stopbullying.gov for more help.
Mental Health
- Good apps for mental health are Calm, Headspace, Mindshift, Smiling Mind, and Panic Relief.
- For mental health crises, call or text 988 for help.
- For thoughts of hurting self or others, call 911 or go to the ER.
Firearms
- Firearms at home should be unloaded and locked.
- Ammunition should be locked separately.
- If anyone at home has depression or mental illness, keep firearms at a different location.