Anticipatory Guidance 13 Year Checkup


  • Discuss additional help with teacher if there are concerns/bullying

Development and Behavior

  • Discuss puberty and physical changes/sexuality
  • Encourage constructive conflict resolution, demonstrate anger management at home
  • Establish consistent limits/rules and consistent consequences
  • Increase difficulty of chores to develop sense of family responsibility/self-accomplishment
  • Limit TV/computer time to 2 hours/day
  • Discuss school activities and school work
  • Provide space/time for homework/personal time
  • Pregnancy/STI prevention
  • Self-breast/testicular exam


  • Provide nutritious meals and snacks; limit sweets/sodas/high-fat foods
  • Importance of breakfast
  • Healthy weight
  • Eating behaviors
  • Ensure adequate calcium and vitamin D

Routine Care

  • Establish tooth brushing routine twice a day; floss daily
  • Encourage personal hygiene routine
  • Encourage physical activity for 1 hour/day


  • Develop a family plan for exiting house in a fire/establish meeting place after exit
  • Discuss drug/tobacco/alcohol use and peer pressure
  • Discuss family expectations concerning dating/sexual contact/abstinence/substance use/peer pressure
  • Do not ride in a car with teens who use alcohol/drugs
  • During sports wear protective gear at all times
  • Get to know teen’s friends and their parents
  • Lock up guns, enroll in gun safety class if interested
  • Promote use of seat belt
  • Provide home safety for fire/carbon monoxide poisoning
  • Provide safe/quality/appropriate after-school care
  • Teach self-safety if feeling unsafe at friend’s home/car, answer the door/telephone when adult not home, personal body privacy
  • Use of helmet when riding bicycle, skating etc.


Last updated February 26, 2015