Anticipatory Guidance 5 Year Checkup


  • Maintain consistent family routine
  • Advocate with teacher for child with school difficulties/bullying

Development and Behavior

  • Encourage child to tell the story his/her way
  • Encourage constructive conflict resolution, demonstrate at home
  • Establish consistent limits/rules and consistent consequences
  • Establish daily chores to develop sense of accomplishment and increase self confidence
  • Limit TV/computer time to 1-2 hours/day
  • Read and discuss story daily
  • Show affection/praise for good behaviors
  • Discuss school activities daily


  • Provide nutritious 3 meals and 2 snacks; limit sweets/sodas/high-fat foods
  • Importance of breakfast
  • 5 servings fruit/vegetables daily
  • Limit juice and ensure adequate calcium

Routine Care

  • Establish routine and assist with tooth brushing with soft brush twice a day; floss daily
  • Encourage supervised outdoor play for 1 hour/day
  • Establish consistent bedtime routine


  • Lead risk assessment
  • During sports wear protective gear at all times
  • Develop a family plan for exiting house in a fire/establish meeting place after exit
  • Lock up guns
  • Provide home safety for fire/carbon monoxide poisoning
  • Provide safe/quality after-school care
  • Supervise when near or in water even if child knows how to swim
  • Teach how to answer the door/telephone
  • Teach self-safety for personal privacy
  • Teach street safety/running after balls/crossing street/riding bicycle/boarding bus
  • Use of booster seat in back seat of car until 4ft 9in or 8 years old
  • Use of helmet when riding bicycle, skating etc.


Last updated February 26, 2015