Anticipatory Guidance 16 Year Checkup


  • Discuss additional help with teacher if there are concerns/bullying
  • Get to know teen’s friends and their parents

Development and Behavior

  • Discuss family expectations concerning dating/sexual contact/abstinence/substance use/peer pressure
  • 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
  • Pregnancy/STI prevention
  • Self-breast/testicular exam
  • Discuss nonviolent conflict resolution, demonstrate anger management at home
  • Discuss school activities and school work
  • Encourage independent decision-making skills/thinking through steps of a project/encourage involvement in family decisions
  • Establish an agreed-on curfew, after-school activities
  • Establish self-responsibility for homework completion
  • Observe for signs of depression/anxiety or other mental health issues
  • Provide space/time for homework/personal time


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

Routine Care

  • Establish tooth brushing routine twice a day; floss daily
  • Encourage physical activity for 1 hour/day
  • Use of hearing protection


  • Discuss self-safety in stalking/abusive relationship/bullying
  • Do not ride in a car if use of alcohol/drugs involved
  • During sports wear protective gear at all times
  • Lock up guns, enroll in gun safety class if interested
  • Promote use of seat belt
  • Provide information about sexuality/risks involved in sexual activity
  • Teach self-safety at friend’s home/car and how to exit situation
  • Discuss tobacco use
  • Discuss drug/tobacco/alcohol use and peer pressure
  • Use of helmet when riding bicycle, skating etc.


Last updated February 26, 2015