World Health Organization GROWTH CHARTS Growth Charts

Appendix A WORLD HEALTH ORGANIZATION

823

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824

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Birth to 24 months: Girls Length-for-age and Weight-for-age percentiles WORLD HEALTH ORGANIZATION GROWTH CHARTS

98 95 90 75 50 25 10 5 2

10 5 2

Published by the Centers for Disease Control and Prevention, November 1, 2009 SOURCE: WHO Child Growth Standards (http://www.who.int/childgrowth/en) 825

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Birth to 24 months : Girls Head circumference-for-age and NAME WORLD HEALTH ORGANIZATION Weight-for-length percentiles RECOR D # GROWTH CHARTS Birth in cm cm in H E 52 52 A D 20 20 50 98 50 C 95 I 90 R H 19 48 75 48 19 C E 50 U A M 25 D 18 46 46 18 F 10 E 5 C R 44 2 44 E I 17 17 N R C 42 C 24 E 52 U 16 M 40 23 50 F 22 48 E 15 38 21 R 98 46 E 95 20 44 N 36 14 90 42 C 19 75 40 E 34 18 38 13 50 17 36 32 25 16 10 34 12 5 15 30 2 32 14 30 W 28 13 28 E 12 12 I 26 26 G 24 11 11 24 H 22 10 10 22 T 20 9 9 20 18 8 8 18 16 16 W 7 7 14 14 E 6 6 I 1214 12 G 5 5 10 kg lb H 4 LENGTH 8 T 64 66 68 70 72 74 76 78 80 82 84 86 88 90 92 94 96 98 100 102 104 106 108 110 cm 3 6 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 in 2 4 Date Age Weight Length Hea d Circ. Comment 2 1 lb kg cm 46 48 50 52 54 56 58 60 62 in 18 19 20 21 22 23 24

Published by the Centers for Disease Control and Prevention, November 1, 2009 SOURCE: WHO Child Growth Standards (http://www.who.int/childgrowth/en) 827

BFG 4TH ED.indb 827 1/20/17 2:48 PM BFG 4TH ED.indb 828 1/20/17 2:48 PM Appendix B Centers for Disease Control and Prevention Growth Charts CENTERS FOR DISEASE CONTROL AND PREVENTION GROWTH CHARTS

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2 to 20 years: Boys NAME Stature-for-age and Weight-for-age percentiles RECORD #

12 13 14 15 16 17 18 19 20 Mother’s Stature Father’s Stature cm in AGE (YEARS) Date Age Weight Stature BMI* 76 190 95 74 90 185 S 75 72 180 T 50 70 A 175 T 25 68 U 170 R 10 66 E in cm 3 4 5 6 7 8 9 10 11 5 165 64 160 160 62 62 155 155 S 60 60 T 150 150 A 58 T 145 U 56 140 105 230 R 54 E 135 100 220 52 130 95 95 210 PREVENTION GROWTH CHARTS PREVENTION 50 200

CENTERS FOR DISEASE CONTROL AND CONTROL DISEASE FOR CENTERS 125 90 48 90 190 120 85 46 180 115 80 75 44 170 110 75 42 160 105 50 70 150 40 W 100 65 E 25 140 38 I 95 60 10 130 G 36 90 5 55 120 H T 34 85 50 110 32 80 45 100 30 40 90 80 35 35 80 70 70 W 30 30 E 60 60 I 25 25 G 50 50 20 20 H 40 40 T 15 15 30 30 10 10 lb kg AGE (YEARS) kg lb 234 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Published May 30, 2000 (modified 11/21/00). SOURCE: Developed by the National Center for Health Statistics in collaboration with the National Center for Chronic Disease Prevention and Health Promotion (2000). 830 http://www.cdc.gov/growthcharts

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2 to 20 years: Girls NAME Stature-for-age and Weight-for-age percentiles RECORD #

12 13 14 15 16 17 18 19 20 Mother’s Stature Father’s Stature cm in AGE (YEARS) Date Age Weight Stature BMI* 76 190 74 185 72 S 180 T 70 A 95 175 T 90 68 U 170 R 75 66 165 E CENTERS FOR DISEASE CONTROL AND in cm 3 4 5 6 7 8 9 10 11 50 64 PREVENTION GROWTH CHARTS 160 25 160 62 62 155 10 155 60 5 60 150 150 58 145 56 140 105 230 54 S 135 100 220 T 52 210 A 130 95 50 T 125 90 200 U 48 190 R 120 85 E 46 95 180 115 80 44 170 110 90 75 42 160 105 70 150 W 40 75 100 65 140 E 38 I 95 60 50 130 G 36 90 55 120 H 25 T 34 85 50 110 10 32 80 5 45 100 30 40 90 80 35 35 80 70 70 W 30 30 E 60 60 I 25 25 G 50 50 20 20 H 40 40 T 15 15 30 30 10 10 lb kg AGE (YEARS) kg lb 234 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Published May 30, 2000 (modified 11/21/00). SOURCE: Developed by the National Center for Health Statistics in collaboration with the National Center for Chronic Disease Prevention and Health Promotion (2000). http://www.cdc.gov/growthcharts 831

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2 to 20 years: Boys NAME Body mass index-for-age percentiles RECORD #

Date Age Weight Stature BMI* Comments BMI

30 95 29

BMI 28 90 27 27 26 85 26

25 25 75 PREVENTION GROWTH CHARTS PREVENTION 24 24 CENTERS FOR DISEASE CONTROL AND CONTROL DISEASE FOR CENTERS 23 23 50 22 22

21 21 25 20 20 10 19 19 5 18 18

17 17

16 16

15 15

14 14

13 13

12 12

kg/m2 AGE (YEARS) kg/m2 253 4 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Published May 30, 2000 (modified 10/16/00). SOURCE: Developed by the National Center for Health Statistics in collaboration with the National Center for Chronic Disease Prevention and Health Promotion (2000). 832 http://www.cdc.gov/growthcharts

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2 to 20 years: Girls NAME Body mass index-for-age percentiles RECORD #

Date Age Weight Stature BMI* Comments BMI

95 31 CENTERS FOR DISEASE CONTROL AND 30 PREVENTION GROWTH CHARTS

BMI 28 90 27 27

26 85 26

25 25

24 75 24

23 23

22 22 50 21 21

20 20 25 19 19 10 18 18 5 17 17

16 16

15 15

14 14

13 13

12 12

kg/m2 AGE (YEARS) kg/m2 253 4 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

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NAME Weight-for-stature percentiles: Boys RECORD #

Date Age Weight Stature Comments kg lb 76 34 33 72 32

31 68 30 29 64 28 9597 lb kg 27 60 26 26 56 56 25 25 90 24 24 52 85 52 23 75 23 48 22 22 48 50

PREVENTION GROWTH CHARTS PREVENTION 21 21

CENTERS FOR DISEASE CONTROL AND CONTROL DISEASE FOR CENTERS 25 44 20 20 44 10 19 3 19 40 18 18 40 17 17 36 36 16 16 15 15 32 32 14 14 13 13 28 28 12 12

24 11 11 24 10 10 20 9 9 20 8 8 lb kg STATURE kg lb cm 80 85 90 95 100 105 110 115 120

in 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47

BFG 4TH ED.indb 834 1/20/17 2:48 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

NAME Weight-for-stature percentiles: Girls RECORD #

Date Age Weight Stature Comments kg lb 76 34 33 72 32

31 68 30 29 64 CENTERS FOR DISEASE CONTROL AND 28 97 PREVENTION GROWTH CHARTS lb kg 27 60 26 26 56 56 25 90 25

24 85 24 52 52 23 75 23

48 22 22 48 50 21 21

44 20 25 20 44 19 10 19 3 40 18 18 40 17 17 36 36 16 16 15 15 32 32 14 14 13 13 28 28 12 12

24 11 11 24 10 10 20 9 9 20 8 8 lb kg STATURE kg lb cm 80 85 90 95 100 105 110 115 120

in 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47

BFG 4TH ED.indb 835 1/20/17 2:48 PM BFG 4TH ED.indb 836 1/20/17 2:48 PM Appendix C

Bright Futures/American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care (Periodicity Schedule)

Available at www.aap.org/periodicityschedule PERIODICITY SCHEDULE

837

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Page numbers followed by an f or a t or b denote a figure, table, or box, respectively.

A Abuse. See Family violence; Intimate partner violence; Maltreat- decision-making skills in ment and neglect; Sexual abuse 11 through 14 Year Visits, 749 Abusive head trauma (AHT), 121–122 15 through 17 Year Visits, 781 ACE Study. See Adverse Childhood Experiences (ACE) Study 18 through 21 Year Visits, 810 Acoustic trauma deficit models for, 110t 11 through 14 Year Visits, 761–762 depression in, 138–139 15 through 17 Year Visits, 793–794 screening for, 283 18 through 21 Year Visits, 819 development/developmental surveillance in, 78–79 ADHD. See Attention-deficit/hyperactivity disorder (ADHD) 11 through 14 Year Visits, 739 Adolescence 15 through 17 Year Visits, 771 acoustic trauma in 18 through 21 Year Visits, 802–803 11 through 14 Year Visits, 761–762 cognitive deficits, 139 15 through 17 Year Visits, 793–794 cognitive development/skills, 108 18 through 21 Year Visits, 819 developmental domains, 107t, 108–109 alcohol use/exposure in developmental highlights/milestones, 110 11 through 14 Year Visits, 745–746, 760–761 growth, nutrition for, 187–189 15 through 17 Year Visits, 777–778, 792–793 healthy development, promotion of, 106–110 18 through 21 Year Visits, 808, 818 sexual development and sexuality, 221–225 anxiety disorders in, 138–139 diet and nutrition in, 187–190 asset models for, 110, 110t dietary reference intakes, 183b, 188b attachment patterns in, 138 growth, nutrition for, 187–189 attention deficits in, 139 oral health promotion, 213–214 behavioral concerns/problems in, 140 driving safely in, 248–249 bisexual, youth who identify as, 224–225 15 through 17 Year Visits, 795–796 body image in, 189–190 18 through 21 Year Visits, 820 11 through 14 Year Visits, 751 eating disorders in, 189–190 15 through 17 Year Visits, 783 eating habits in, 189–190 18 through 21 Year Visits, 811 11 through 14 Year Visits, 751–753 brushing teeth in, 214 15 through 17 Year Visits, 784–785 bullying in 18 through 21 Year Visits, 812 11 through 14 Year Visits, 743–744 eating disorders, 189–190 15 through 17 Year Visits, 775–776 e-cigarette use/exposure in 18 through 21 Year Visits, 805–806 11 through 14 Year Visits, 745–746, 760–761 calcium in, 183b, 188b 15 through 17 Year Visits, 777–778, 792–793 cheerleading safety, 252 18 through 21 Year Visits, 808, 818 cognitive development/skills in, 108 emotional development/well-being in, 108–109, 137, 137t cognitive deficits, 139 family dynamic/relationships in communication skills in, 108 11 through 14 Year Visits, 746–747 community connectedness/engagement in 15 through 17 Year Visits, 778–779 11 through 14 Year Visits, 747–748 18 through 21 Year Visits, 808–809 15 through 17 Year Visits, 779–780 family support in, 60–61 18 through 21 Year Visits, 809 fighting in concussions from sports, 251 11 through 14 Year Visits, 743–744 conduct disturbances in, 140 15 through 17 Year Visits, 775–776 connectedness in, 138 18 through 21 Year Visits, 805–806 social connections/skills, 108–109 firearm safety in contraception in, 222 11 through 14 Year Visits, 765 coping with stress in 15 through 17 Year Visits, 797 11 through 14 Year Visits, 749 18 through 21 Year Visits, 821 15 through 17 Year Visits, 781 fluoride in, 213–214 18 through 21 Year Visits, 810 839839

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Adolescence (cont) performance-enhancing substances, use of, 190 food security/insecurity in periodontal conditions, 214 11 through 14 Year Visits, 745 physical activity in, 194t, 201–202 15 through 17 Year Visits, 777 11 through 14 Year Visits, 753–755 18 through 21 Year Visits, 807 15 through 17 Year Visits, 786–787 friends/peers in 18 through 21 Year Visits, 813–814 11 through 14 Year Visits, 746–747 physical examinations in, 271–273 15 through 17 Year Visits, 778–779 11 through 14 Year Visits, 740–741 18 through 21 Year Visits, 808–809 15 through 17 Year Visits, 772–773 gang membership, 250 18 through 21 Year Visits, 804 gay, youth who identify as, 224–225 pregnancy in, 222 gender nonconforming, youth who identify as, 219b, 224–225 11 through 14 Year Visits, 759–760 health supervision visits in 15 through 17 Year Visits, 791–792 11 through 14 Year Visits, 733–765 18 through 21 Year Visits, 817 15 through 17 Year Visits, 767–797 rates of pregnancy, 222 18 through 21 Year Visits, 799–821 safety and injury prevention in, 248–252 helmets, use of school-based health clinics, 273 11 through 14 Year Visits, 763 school performance in 15 through 17 Year Visits, 795–796 11 through 14 Year Visits, 748–749 18 through 21 Year Visits, 820 15 through 17 Year Visits, 780–781 histories (patient and family) 18 through 21 Year Visits, 809 11 through 14 Year Visits, 738 screening/surveillance in 15 through 17 Year Visits, 770 11 through 14 Year Visits, 741–742 18 through 21 Year Visits, 802 15 through 17 Year Visits, 773–774 immunizations in 18 through 21 Year Visits, 804–805 11 through 14 Year Visits, 742 substance use/misuse, 141–144 15 through 17 Year Visits, 774 seat belts, use of 18 through 21 Year Visits, 805 11 through 14 Year Visits, 763 learning deficits/disabilities in, 139 15 through 17 Year Visits, 795–796 lesbian, youth who identify as, 224–225 18 through 21 Year Visits, 820 lifelong health promotion in, 35 sexual abuse in, 140 linguistic skills in, 108 sexual decision-making in, 221 living situation in sexual development and sexuality in, 221–225 11 through 14 Year Visits, 745 11 through 14 Year Visits, 757–758 15 through 17 Year Visits, 777 15 through 17 Year Visits, 789–790 18 through 21 Year Visits, 807 18 through 21 Year Visits, 816 medications in (18 through 21 Year Visits), 818 sexual intercourse in, 221–222 mental health in sexually transmitted infections in, 222 11 through 14 Year Visits, 756–757 11 through 14 Year Visits, 759–760 15 through 17 Year Visits, 788–789 15 through 17 Year Visits, 791–792 promotion of, 136–145 18 through 21 Year Visits, 817 models of care for, 110t sexual orientation in, 224–225 mood disorders/regulation in sleep behaviors, patterns, and safety 11 through 14 Year Visits, 756–757 11 through 14 Year Visits, 753–755 15 through 17 Year Visits, 788–789 15 through 17 Year Visits, 786–787 18 through 21 Year Visits, 815–816 18 through 21 Year Visits, 813–814 motor skills in social connections/skills in, 108–109 fine motor skills, 108 social determinants of health in, 24b gross motor skills, 108 social media use in, 233 oral health in, 213–214 special health care needs, adolescents with, 74–75 11 through 14 Year Visits, 750 healthy development of, 106–107 15 through 17 Year Visits, 782–783 nutrition for, 190 18 through 21 Year Visits, 811 physical activity for, 195–196 brushing teeth, 214 sports in, 250–252 orthodontics, 214 substance use/exposure in, 141–145 parent-child interaction/relationship in 11 through 14 Year Visits, 745–746, 760–761, 764–765 11 through 14 Year Visits, 740 15 through 17 Year Visits, 777–778, 792–793 15 through 17 Year Visits, 772 18 through 21 Year Visits, 808, 818 18 through 21 Year Visits, 803 suicide in, 140, 250 840

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sun exposure/protection in Anemia 15 through 17 Year Visits, 796–797 screening for, 278–279 18 through 21 Year Visits, 820–821 sickle cell. See Sickling/sickle cell trait (SCT) tobacco use/exposure in Anger management 11 through 14 Year Visits, 745–746, 760–761 5 and 6 Year Visits, 665 15 through 17 Year Visits, 777–778, 792–793 9 and 10 Year Visits, 716–717 18 through 21 Year Visits, 808, 818 Anticipatory guidance, 263, 270 transgender, youth who identify as, 219b, 224–225 Bright Futures anticipatory guidance materials, 8 violence in, 249–250 Anxiety disorders vitamin D in, 183b in early childhood, 128t weight in in middle childhood, 134 healthy weight, 164 in adolescence, 138–139 overweight and obesity, adolescents with, 153, 164 ASQ. See Ages and Stages Questionnaires (ASQ) Adolescent parents Asset models for adolescence, 110, 110t families with, 43–44 Athletics. See Sports pregnancy. See Adolescence Attachment/attachment patterns Adopted children, 44–45 in infancy, 119–120, 119t Adult assistance/care 1 Month Visit guidance, 398–400 family support. See Family support in early childhood, 124 local community resources, 33b in middle childhood, 131–132 transitioning to, 814 in adolescence, 138 special health care needs, youth with, 75 separation anxiety. See Separation anxiety Adverse Childhood Experiences (ACE) Study, 19–20, 19b Attention-deficit/hyperactivity disorder (ADHD), 133 After-school activities/care/programs Attention deficits 5 and 6 Year Visits, 667 in early childhood, 129t 7 and 8 Year Visits, 691–692 in middle childhood, 133 9 and 10 Year Visits, 725–726 in adolescence, 139 Ages and Stages Questionnaires (ASQ), 261 Autism spectrum disorder Aggression. See also Behavioral concerns/problems; early identification of, 129–130 Mood disorders/regulation screening for, 280 in early childhood, chronic, 127t Autonomy, 54. See also Independence anger management 5 and 6 Year Visits, 665 B 9 and 10 Year Visits, 716–717 Babies. See Infancy AHT. See Abusive head trauma (AHT) Bedtime/bedtime routine Alcohol use/exposure, 56 12 Month Visit, 514–515 in infancy 15 Month Visit, 535 Prenatal Visit, 314–315 bedtime struggles, 126t Newborn Visit, 343–344 sleep patterns. See Sleep behaviors, patterns, and safety 1 Month Visit, 393–394 Behavior 6 Month Visit, 465 beliefs and, 54–55 in early childhood biological determinants of health and, 22f 12 Month Visit, 511 guidance. See Behavioral guidance 2 Year Visit, 572 management of. See Behavior management 3 Year Visit, 611 positive behaviors, promotion of, 53–55 4 Year Visit, 633 problems. See Behavioral concerns/problems in middle childhood sleep. See Sleep behaviors, patterns, and safety 5 and 6 Year Visits, 661–662 Behavioral concerns/problems 7 and 8 Year Visits, 686 in early childhood, 124–125, 126t–129t 9 and 10 Year Visits, 712 in middle childhood, 134 in adolescence in adolescence, 140 11 through 14 Year Visits, 745–746, 760–761 Behavioral guidance 15 through 17 Year Visits, 777–778, 792–793 in infancy, 89–90 18 through 21 Year Visits, 808, 818 9 Month Visit guidance, 493–494 as a biological determinant of health, 21 in early childhood, 95–98 screening for, 298 12 Month Visit guidance, 513 Alternative care Prenatal Visit guidance, 320, 324 family-centered care, 49–50 841841

22 INDEX - BF.indd 841 1/25/17 1:42 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

Behavior management at the overall health system level, 5–6 15 Month Visit, 536–537 at the policy level, 5–6 18 Month Visit, 550–551 themes, 6, 9 anger management. See Anger management use for, 2 obesity prevention, use for, 155 health supervision visits. See Health supervision visits Beliefs and behaviors, 54–55 implementing, 8–9 Brendtro’s Circle of Courage, 53–54 life course framework in, 21–30 Beverages organization of, 6–7 alcoholic. See Alcohol use/exposure preventive services prompting sheet, 8 juice. See Juice principles, 1 milk. See Milk quality of care, using to improve, 9 sugar-sweetened. See Sugar-sweetened beverages strategies, 1 water. See Water in early childhood systems oriented, 2 Bilirubin, 291, 277, 340 themes, 6, 13 Biological determinants of health, 21–23, 22f theory based, 1–2 Bisexual, youth who identify as, 224–225 tools, 1 Blood Bright Futures Tool and Resource Kit, 8–9, 265b lead poisoning. See Lead poisoning who can use, 6 newborn screening, 291 Brushing teeth. See also Oral health sickle cell trait. See Sickling/sickle cell trait (SCT) in early childhood, 211 Blood pressure screening, 281 12 Month Visit, 514–515 Body image, 189–190 15 Month Visit, 538 11 through 14 Year Visits, 751 in middle childhood, 212 15 through 17 Year Visits, 783 5 and 6 Year Visits, 668 18 through 21 Year Visits, 811 7 and 8 Year Visits, 693 Body mass index (BMI), 151, 152t 9 and 10 Year Visits, 722–723 interpreting, 269t in adolescence, 214 weight-change targets based on, 161, 162t special health care needs, children with, 208 Body weight. See Weight Bullying/cyberbullying Brain development. See also Cognitive development/skills in middle childhood, 134–135, 247–248 biological determinants of health and, 22f 7 and 8 Year Visits, 684–685 early development (First Week Visit [3 to 5 Days]), 372 9 and 10 Year Visits, 710–711 Breakfast, importance of, 723–724 in adolescence Breastfeeding, 174–175 11 through 14 Year Visits, 743–744 in infancy 15 through 17 Year Visits, 775–776 Prenatal Visit, 323–324, 325 18 through 21 Year Visits, 805–806 Newborn Visit, 352–354 conduct disturbances from, 756, 788 First Week Visit (3 to 5 Days), 376–377 emotional/social development and, 105t, 131, 135 1 Month Visit, 404–405 LGBTQ, youth who identify as, 224 2 Month Visit, 427–428 neighborhood and community safety and, 660-661 4 Month Visit, 451 parenting advice, 135, 231, 233, 239 6 Month Visit, 476–477 preventing, 135, 240, 241, 242 in early childhood, 516–517 school performance and, 707 benefits of, 174, 175t types of, 134 cultural influences, 175 StopBullying.gov, 135 family support of, 325 Burns, prevention of frequency and amount of, 176–177 in infancy weaning, 495 First Week Visit (3 to 5 Days), 381 Bright Futures, 1–6 2 Month Visit, 432 anticipatory guidance materials, 8 6 Month Visit, 480 culturally appropriate interventions, 2–3 9 Month Visit, 498–499 evidence driven, 1–2 in early childhood health and well-being promotion 18 Month Visit, 561–562 at the clinical practice level, 4–5 2½ Year Visit, 601 at the community level, 5–6 Burping newborns, 375–376 current and emerging needs, 3 at the family level, 3–4

842

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C Children’s health, definition of, 15b Calcium Chlamydia trachomatis. See also Sexually transmitted in infancy, 183b infections (STIs) in early childhood, 183b screening for, 295, 296 in middle childhood, 186 Choking, prevention of 5 and 6 Year Visits, 669–670 in infancy, 480 7 and 8 Year Visits, 694–695 in early childhood, 183 dietary reference intakes, 183b 3 Year Visit, 622 in adolescence, 183b, 188b Choline, 172, 319, 352, 376, 404 dietary reference intakes, 183b, 188b Circumcision, 322 Calming the baby Cognitive behavior management. See Behavior management Newborn Visit guidance, 350 Cognitive development/skills First Week Visit (3 to 5 Days) guidance, 373–374 in infancy, 81–83 4 Month Visit guidance, 443 9 Month Visit guidance, 490 6 Month Visit guidance, 471 in early childhood, 91–93 self-calming, 443, 471 in middle childhood, 104 Caloric needs in infancy, 173 in adolescence, 108 Cardiopulmonary resuscitation (CPR), 236, 242 cognitive deficits, 139 Caries, prevention of. See Oral health attention deficits. See Attention deficits Car safety cognitive deficits safety seats. See Car safety seats in adolescence, 139 seat belts. See Seat belts special health care needs for children with. See Special substance use/exposure health care needs, children with driving under the influence, 820 Communication riding in vehicles (11 through 14 Year Visits), 764–765 parent-infant. See Parent-child interaction/relationship Car safety seats, 327–328 skills. See Communication skills in infancy Communication skills. See also Linguistic skills Newborn Visit, 355–356 in infancy, 81–83 First Week Visit (3 to 5 Days), 378–379 6 Month Visit, 468–469 1 Month Visit, 406 6 Month Visit guidance, 491 2 Month Visit, 430 in early childhood, 91–93 4 Month Visit, 453 15 Month Visit, 534 6 Month Visit, 478–479 2 Year Visit, 577 9 Month Visit, 496–497 in middle childhood, 104 in early childhood in adolescence, 108 12 Month Visit, 520 Community connectedness/engagement 15 Month Visit, 540 in early childhood (4 Year Visit), 635 18 Month Visit, 559 in adolescence 2 Year Visit, 581 11 through 14 Year Visits, 747–748 2½ Year Visit, 599–600 15 through 17 Year Visits, 779–780 3 Year Visit, 621 18 through 21 Year Visits, 809 booster seats, 644, 674, 697 Community partnerships/support Cervical dysplasia, screening for, 282 for healthy nutrition, 170–171 Cheerleading safety, 252 identifying and building on, 32–35 Child care local community resources, 32, 33b in infancy obesity prevention, role in, 157t Prenatal Visit, 320 Community safety. See Neighborhood and community safety/ 2 Month Visit, 418 violence 4 Month Visit, 442 Competence and mastery, 53 6 Month Visit, 467 Complementary and alternative care early care, 84. See also Prenatal care Prenatal Visit guidance, 320, 324 in early childhood family-centered care, 49–50 12 Month Visit, 511–512 Complementary foods in infancy, 177–179 early care, 100–101 Computer viewing, 55. See also Media use/exposure early care Concussions from sports, 251 in infancy, 84. See also Prenatal care Conduct disturbances. See Behavioral concerns/problems in early childhood, 100–101 Confidentiality of health supervision visits, 268b prenatal care. See Prenatal care Congenital heart disease, screening for, 292 843843

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Connectedness, 54 Dental checkups. See also Oral health in early childhood 12 Month Visit, 519 community connectedness/engagement, 635 7 and 8 Year Visits, 693 difficulty in forming friendships, 128t 9 and 10 Year Visits, 722–723 social connections/skills, 93, 95, 128t Dental home. See also Oral health in middle childhood, 131–132 importance of, 206–207 social connections/skills, 104, 105t responsibilities of, 206t in adolescence, 138 Depression community connectedness. See Community in adolescence, 138–139 connectedness/engagement screening for, 283 social connections/skills, 108–109 maternal/parental. See Maternal/parental depression with the community. See Community connectedness/ screening for engagement adolescent depression, 283 with the family. See Family dynamic/relationships maternal depression, 283 social connections. See Friends/peers; Social Determinants of health connections/skills biological, 21–23, 22f Contraception in adolescence, 222 physical, 28–30 Coping with stress in adolescence social. See Social determinants of health 11 through 14 Year Visits, 749 Development/developmental surveillance, 77–79, 284 15 through 17 Year Visits, 781 in infancy, 78 18 through 21 Year Visits, 810 Prenatal Visit, 308 CPR. See Cardiopulmonary resuscitation (CPR) Newborn Visit, 337 Crying, 88. See also Calming the baby; Fussiness in infancy First Week Visit (3 to 5 Days), 363–364 Cultural influences, 54–55 1 Month Visit, 386 in infancy, 84 2 Month Visit, 412 Prenatal Visit guidance, 317 4 Month Visit, 436 in early childhood, 93 6 Month Visit, 460 appropriate interventions, 2–3 9 Month Visit, 484 breastfeeding, 175 cognitive development/skills, 81–83, 490 families, beliefs and culture of, 54–55 developmental domains, 81–84 on food, 168–169 developmental highlights/milestones, 84–90 in safety and injury prevention, 237–238 growth, nutrition for, 172–173 weight, 169 healthy development, promotion of, 79–90 Cup drinking in infancy, 494–495 sexual development and sexuality, 217–218 Cyberbullying. See Bullying/cyberbullying in early childhood, 78 12 Month Visit, 506, 513 D 15 Month Visit, 528 Daily routines and rituals, 54 18 Month Visit, 546 in infancy (4 Month Visit), 444 2 Year Visit, 566, 574 in early childhood 2½ Year Visit, 588 2½ Year Visit, 592 3 Year Visit, 606 4 Year Visit, 641 4 Year Visit, 628 daily living tasks, 94 cognitive development/skills, 91–93 bedtime routine. See Bedtime/bedtime routine developmental domains, 91–93 familial. See Family rules and routines developmental highlights/milestones, 94–102 Dampness in home growth, nutrition for, 182–184 Prenatal Visit guidance, 311 healthy development, promotion of, 90–102 1 Month Visit guidance, 391–392 sexual development and sexuality, 218–219 Decision-making skills in middle childhood, 78–79 in early childhood 5 and 6 Year Visits, 656 2½ Year Visit, 595 7 and 8 Year Visits, 681 giving children choices, 595 9 and 10 Year Visits, 707 in adolescence cognitive development/skills, 104 11 through 14 Year Visits, 749 developmental domains, 103–104, 105t 15 through 17 Year Visits, 781 developmental highlights/milestones, 106 18 through 21 Year Visits, 810 growth, nutrition for, 185–186 shared decision-making, 31–32 healthy development, promotion of, 102–106 Deficit models for adolescence, 110t puberty/pubertal development, 690, 718–721 Dental caries, prevention of. See Oral health sexual development and sexuality, 219–221 844

22 INDEX - BF.indd 844 1/25/17 1:42 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

in adolescence, 78–79 Discipline. See also Behavior management 11 through 14 Year Visits, 739 in infancy, 89–90 15 through 17 Year Visits, 771 in early childhood, 95–98, 98b 18 through 21 Year Visits, 802–803 15 Month Visit, 536–537 cognitive deficits, 139 Disease prevention, 262 cognitive development/skills, 108 Distracted driving, prevention of, 249 developmental domains, 107t, 108–109 Divorce, impact of, 28 developmental highlights/milestones, 110 Domestic violence. See Family violence; Intimate partner violence growth, nutrition for, 187–189 Domestic violence hotline, 28 healthy development, promotion of, 106–110 Down syndrome, 72. See also Special health care needs, children with sexual development and sexuality, 221–225 National Down Syndrome Society, 72 brain. See Brain development Drinking, 56. See also Fluids cognitive. See Cognitive development/skills Driving safely Eco-Bio-Developmental Model of Human Health in adolescence, 248–249 and Disease, 16–17, 16f 15 through 17 Year Visits, 795–796 healthy development, promotion of, 77–110 18 through 21 Year Visits, 820 life course perspective of, 18f. See also Life course framework distracted driving, prevention of, 249 local community resources, 33b Driving under the influence, 820 mobility, 490 Drooling in infancy, 447 in puberty. See Puberty/pubertal development Drowning, prevention of and safety, 236–237 in infancy special health care needs, children with 2 Month Visit, 432 in infancy, 80–81 6 Month Visit, 480 in early childhood, 90 9 Month Visit, 498–499 in middle childhood, 103 in early childhood (12 Month Visit), 521 in adolescence, 106–107 Drugs Diet and nutrition. See also Food/feeding Prenatal Visit guidance, 324 in preconception/prenatal periods, 171–172 medications. See Medications Prenatal Visit guidance, 319 performance-enhancing substances, 190 in infancy, 172–182 use/misuse. See Substance use/exposure Prenatal Visit guidance, 319 Dyslipidemia, screening for, 285 Newborn Visit guidance, 346 in early childhood, 182–185 E oral health promotion, 211 Early adverse experiences in middle childhood, 185–187 Adverse Childhood Experiences (ACE) Study, 19–20, 19b 5 and 6 Year Visits, 668–670 focus on the effects of, 19–20 7 and 8 Year Visits, 694–695 moderating factors, use of, 20 9 and 10 Year Visits, 723–724 Early care. See also Early childhood programs oral health promotion, 212 in infancy, 84. See also Prenatal care saturated fat, 723–724 in early childhood, 100–101 in adolescence, 187–190 Early childhood dietary reference intakes, 183b, 188b alcohol use/exposure in growth, nutrition for, 187–189 12 Month Visit, 511 oral health promotion, 213–214 2 Year Visit, 572 as a biological determinant of health, 22 3 Year Visit, 611 community partnerships, 170–171 4 Year Visit, 633 essential components of, 171 attachment patterns in, 124 familial influences on, 55 attention deficits in, 129t feeding environment, 167–168 autism spectrum disorder, 129–130. See also Autism healthy nutrition, promotion of, 167–190 spectrum disorder maternal nutrition, 346 bedtime/bedtime routine in oral health, promotion of 12 Month Visit, 514–515 in early childhood, 211 15 Month Visit, 535 in middle childhood, 212 bedtime struggles, 126t in adolescence, 213–214 behavioral guidance in, 95–98 saturated fats, 723–724 12 Month Visit guidance, 513 snacks. See Snacks behavioral problems in, 124–125, 126t–129t for sports activities, 196–198 behavior management in sugar intake. See Sugar intake 15 Month Visit, 536–537 whole-grain consumption, 669–670 18 Month Visit, 550–551 845845

22 INDEX - BF.indd 845 1/25/17 1:42 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

Early childhood (cont) emotional development/well-being in, 93 breastfeeding in, 516–517 4 Year Visit, 637 brushing teeth in, 211 falls, prevention of 12 Month Visit, 514–515 15 Month Visit, 541 15 Month Visit, 538 18 Month Visit, 561–562 burns, prevention of 3 Year Visit, 622 18 Month Visit, 561–562 family activities in (2½ Year Visit), 592 2½ Year Visit, 601 family dynamic/relationships in calcium in, 183b 12 Month Visit, 511–512 car safety seats, use of 3 Year Visit, 612 12 Month Visit, 520 family support in, 59 15 Month Visit, 540 15 Month Visit, 533 18 Month Visit, 559 family time in (12 Month Visit), 514 2 Year Visit, 581 firearm safety in 2½ Year Visit, 599–600 18 Month Visit, 560–561 3 Year Visit, 621 2 Year Visit, 583 child care in 3 Year Visit, 623–624 12 Month Visit, 511–512 4 Year Visit, 647 early care, 100–101 fire safety in choking, prevention of, 183 15 Month Visit, 541 3 Year Visit, 622 18 Month Visit, 561–562 cognitive development/skills in, 91–93 2½ Year Visit, 601 communication skills in, 91–93 fluids in, 557, 619, 639. See also Juice; Milk; Water in 15 Month Visit, 534 early childhood 2 Year Visit, 577 fluoride in, 211 community connectedness/engagement in, 635 food/feeding in connectedness in 12 Month Visit, 516–518 community connectedness/engagement, 635 18 Month Visit, 556–558 difficulty in forming friendships, 128t 3 Year Visit, 619 cultural influences in, 93 4 Year Visit, 640 daily routines and rituals in appetite changes, 182, 182b 2½ Year Visit, 592 continued breastfeeding, 516–517 4 Year Visit, 641 eating/feeding skills, 184–185 daily living tasks, 94 expressing likes/dislikes, 558 decision-making skills in family meals, transition to, 516–517 2½ Year Visit, 595 fluids in, 557, 619, 639. See also Juice; Milk; giving children choices, 595 Water in early childhood development/developmental surveillance in, 78 nutritious foods, 517–518, 556–557, 619, 640 12 Month Visit, 506, 513 self-feeding, 516 15 Month Visit, 528 food security/insecurity in 18 Month Visit, 546 12 Month Visit, 510 2 Year Visit, 566, 574 2 Year Visit, 571 2½ Year Visit, 588 3 Year Visit, 610–611 3 Year Visit, 606 4 Year Visit, 632–633 4 Year Visit, 628 friends/peers in cognitive development/skills, 91–93 12 Month Visit, 511–512 developmental domains, 91–93 difficulty in forming friendships, 128t developmental highlights/milestones, 94–102 growth, nutrition for, 182–184 growth, nutrition for, 182–184 health supervision visits in healthy development, promotion of, 90–102 12 Month Visit, 503–523 sexual development and sexuality, 218–219 15 Month Visit, 525–541 diet and nutrition in, 182–185 18 Month Visit, 543–562 oral health promotion, 211 2 Year Visit, 563–583 discipline in, 95–98, 98b 2½ Year Visit, 585–601 15 Month Visit, 536–537 3 Year Visit, 603–624 drowning, prevention of (12 Month Visit), 521 4 Year Visit, 625–647 early care in, 100–101 histories (patient and family) early education in, 100–101. See also Early childhood 12 Month Visit, 505 programs; Preschool 15 Month Visit, 527 846 18 Month Visit, 545

22 INDEX - BF.indd 846 1/25/17 1:42 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

2 Year Visit, 565 outdoor safety in 2½ Year Visit, 587 2 Year Visit, 582 3 Year Visit, 605 4 Year Visit, 645 4 Year Visit, 627 parent-child interaction/relationship in home safety in 12 Month Visit, 507 12 Month Visit, 522–523 15 Month Visit, 529, 536 15 Month Visit, 541 18 Month Visit, 547 18 Month Visit, 561–562 2 Year Visit, 567 immunizations in 2½ Year Visit, 589 12 Month Visit, 509 3 Year Visit, 607 15 Month Visit, 531 4 Year Visit, 629 18 Month Visit, 549 pedestrian safety in, 622 2 Year Visit, 569 personal hygiene in, 580 2½ Year Visit, 591 pets/pet safety in 3 Year Visit, 609 12 Month Visit, 522 4 Year Visit, 631 3 Year Visit, 623 individuation in, 100 4 Year Visit, 646 15 Month Visit, 532 physical activity in, 194t, 199–200 interventions/programs. See Early childhood programs 18 Month Visit, 554–555 intimate partner violence in 2 Year Visit, 576 2 Year Visit, 570–571 3 Year Visit, 620 4 Year Visit, 634 4 Year Visit, 643 language development in, 91–93 physical examinations in, 271, 272b 3 Year Visit, 617 12 Month Visit, 508 4 Year Visit, 636 15 Month Visit, 530 learning/learning experiences in 18 Month Visit, 548 4 Year Visit, 638 2 Year Visit, 568 early childhood programs. See Early childhood programs 2½ Year Visit, 590 lifelong health promotion in, 35 3 Year Visit, 608 linguistic skills in, 91–93 4 Year Visit, 630 18 Month Visit, 553–555 calming technique, 272b 2 Year Visit, 577 play/playtime in, 99–100 2½ Year Visit, 594 18 Month Visit, 553–555 literacy skills in, 98–99 2 Year Visit, 575, 576 living situation in 2½ Year Visit, 595 12 Month Visit, 510 3 Year Visit, 603–624, 614 2 Year Visit, 571 4 Year Visit, 643 3 Year Visit, 610–611 poisoning, prevention of 4 Year Visit, 632–633 12 Month Visit, 522–523 media use/exposure in 15 Month Visit, 541 12 Month Visit, 515 18 Month Visit, 560 2 Year Visit, 576 reading/reading skills in 2½ Year Visit, 596 18 Month Visit, 553–555 4 Year Visit, 642–643 2 Year Visit, 578 social media, 231 2½ Year Visit, 594 mental health promotion in, 123–130 3 Year Visit, 616 motor skills in safety and injury prevention in, 245–246 3 Year Visit, 620 school readiness in, 101–102, 102b fine motor skills, 91 screening/surveillance in gross motor skills, 91, 284 12 Month Visit, 509 screening for, 284 18 Month Visit, 549 naptime in, 514–515 2 Year Visit, 569 neighborhood and community safety/violence in, 635 2½ Year Visit, 590 oral health in, 210–212 3 Year Visit, 609 12 Month Visit, 514–515, 519 4 Year Visit, 631 15 Month Visit, 538–539 self-regulation in, 94 caries, reduction of, 538–539 separation anxiety in, 100 dental hygiene, 519 15 Month Visit, 533 first dental checkup, 519 18 Month Visit, 550–551 847847

22 INDEX - BF.indd 847 1/25/17 1:42 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

Early childhood (cont) Early childhood programs sexual development and sexuality in, 218–219 health supervision visits sibling adjustment/relationships in, 615 2½ Year Visit, 597 singing in 4 Year Visit, 638 18 Month Visit, 553 rate of return on investments in, 17f 3 Year Visit, 616 readiness for, 597–598 sleep behaviors, patterns, and safety, 94 Early education 12 Month Visit, 514–515 in infancy, 84 15 Month Visit, 535 in early childhood, 100–101. See also Early childhood bedtime struggles, 126t programs; Preschool social connections/skills in, 93, 95 as a social determinant of health, 23 12 Month Visit, 511–512 Early Head Start, 23 4 Year Visit, 637 Eating disorders difficulty in forming friendships, 128t in middle childhood (9 and 10 Year Visits), 723–724 social media use in, 231 in adolescence, 189–190 special health care needs, children with, 72–73 Eating habits. See also Diet and nutrition healthy development of, 90 in middle childhood, 186–187 nutritional health for, 185 7 and 8 Year Visits, 694–695 substance use/exposure in 9 and 10 Year Visits, 723–724 12 Month Visit, 511 in adolescence, 189–190 2 Year Visit, 572 11 through 14 Year Visits, 751–753 3 Year Visit, 611 15 through 17 Year Visits, 784–785 4 Year Visit, 633 18 through 21 Year Visits, 812 sun exposure/protection in eating disorders, 189–190 12 Month Visit, 522 E-cigarette use/exposure 18 Month Visit, 560 in middle childhood 2½ Year Visit, 601 5 and 6 Year Visits, 661–662 4 Year Visit, 646 7 and 8 Year Visits, 686 talking in 9 and 10 Year Visits, 712 18 Month Visit, 553 in adolescence 3 Year Visit, 616 11 through 14 Year Visits, 745–746, 760–761 tantrums in 15 through 17 Year Visits, 777–778, 792–793 12 Month Visit, 513 18 through 21 Year Visits, 808, 818 15 Month Visit, 536 Eco-Bio-Developmental Model of Human Health and Disease, excessive, 127t 16–17, 16f teaching children in, 95–98 Ecological determinants of health temperament in, 93 physical determinants, 28–30 2 Year Visit, 575 social determinants. See Social determinants of health tobacco use/exposure in Emergency preparedness/readiness 12 Month Visit, 511 First Week Visit (3 to 5 Days) guidance, 374 2 Year Visit, 572 1 Month Visit, 408 3 Year Visit, 611 for parents, 236b, 374 4 Year Visit, 633 Emotional development/well-being. See also Mental health toilet training in, 95 in infancy, 83–84 18 Month Visit, 551 in early childhood, 93 2 Year Visit, 579 4 Year Visit, 637 readiness, signs of, 551 in middle childhood, 104, 105t resistance to, 126t 5 and 6 Year Visits, 662 vitamin D in, 183b 7 and 8 Year Visits, 687 water safety in 9 and 10 Year Visits, 714 12 Month Visit, 521 in adolescence, 108–109, 137, 137t 2½ Year Visit, 600 anger management. See Anger management 3 Year Visit, 623 anxiety disorders. See Anxiety disorders 4 Year Visit, 645 attachment/attachment patterns. See Attachment/attachment weight in patterns healthy weight, 163 mood disorders. See Mood disorders/regulation overweight and obesity, children with, 152–153, 163 self-esteem. See Self-esteem separation anxiety. See Separation anxiety 848

22 INDEX - BF.indd 848 1/25/17 1:42 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

Empathy, 53–54 Family dynamic/relationships. See also Parent-child interaction/ in middle childhood (5 and 6 Year Visits), 664–665 relationship; Sibling adjustment/ Energy needs in infancy, 173 relationships Environment in infancy consistency in child’s environment, 593 Prenatal Visit, 308 home environment, 47–48. See also Home safety; 1 Month Visit, 397 Living situation 4 Month Visit, 441 Epigenetics, 3, 16f, 19, 22f, 77 6 Month Visit, 466 9 Month Visit, 490 F in early childhood Falls, prevention of 12 Month Visit, 511–512 in infancy 3 Year Visit, 612 1 Month Visit, 408 in middle childhood 2 Month Visit, 432 5 and 6 Year Visits, 663 6 Month Visit, 480 7 and 8 Year Visits, 688 9 Month Visit, 498–499 9 and 10 Year Visits, 715 in early childhood in adolescence 15 Month Visit, 541 11 through 14 Year Visits, 746–747 18 Month Visit, 561–562 15 through 17 Year Visits, 778–779 3 Year Visit, 622 18 through 21 Year Visits, 808–809 Families, 42–43 Family media use plan, 232 with adolescent parents, 43–44 Family rules and routines with adopted children, 44–45 5 and 6 Year Visits, 664–665 alcohol use. See Alcohol use/exposure 7 and 8 Year Visits, 689–690 beliefs and culture of, 54–55. See also Cultural influences daily routines and rituals, 54 change and stress in, 51–52 Family support. See also Family-centered care with children who have special health care needs, 47 in infancy, 58–59 connectedness to. See Family dynamic/relationships Prenatal Visit, 316–317 description of, 41 Newborn Visit, 345 environment First Week Visit (3 to 5 Days), 368–369 effect of, 47–48 1 Month Visit, 395 living situation. See Living situation 2 Month Visit, 417 father’s role, 43 4 Month Visit, 441 with foster care children, 45–47 6 Month Visit, 466 grandparents’ role, 42 9 Month Visit, 490 histories. See Histories (patient and family) mental health support for infant illness, 122–123 immigrant families, 42 in early childhood, 59 obesity prevention, role in, 154, 156t–157t 15 Month Visit, 533 partnering effectively with, 48–53. See also Family support in middle childhood, 59–60 promoting positive behaviors in children, 53–55 in adolescence, 60–61 protective factors for, 26b of breastfeeding, 325 rules and routines. See Family rules and routines local community resources, 32, 33b safety and injury prevention, 237–238 mental health support for infant illness, 122–123 with same-sex parents, 44 promotion of, 41–61 siblings. See Sibling adjustment/relationships special health care needs, children with, 47 social media use, family plan for, 232b family-centered team approach, 68t substance use. See Substance use/exposure Family violence support for. See Family support 5 and 6 Year Visits, 660–661 tobacco use. See Tobacco use/exposure 7 and 8 Year Visits, 684–685 violence in. See Family violence; Intimate partner violence; 9 and 10 Year Visits, 710–711 Maltreatment and neglect; intimate partner violence. See Intimate partner violence Sexual abuse maltreatment. See Maltreatment and neglect Family-centered care, 48–49 sexual abuse. See Sexual abuse complementary and alternative care, 49–50 Father’s role, 43 immunization refusal, 50–51 Feeding. See Breastfeeding; Diet and nutrition; Food/feeding; Family constellation, 42–47 Formula feeding Prenatal Visit guidance, 317 Feelings. See Emotional development/well-being

849849

22 INDEX - BF.indd 849 1/25/17 1:42 PM 1. Set all the Paragraph Styles up in the order that they have to occur. 2. Highlight selected text to format. 3. Control/Click On “Head A” (this is the one that starts all the formatting). 4. Choose “Apply Head A and then Next Style”)

Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

Fighting Food/feeding. See also Diet and nutrition in middle childhood in infancy 7 and 8 Year Visits, 684–685 Newborn Visit, 351–354 9 and 10 Year Visits, 710–711 First Week Visit (3 to 5 Days), 375–378 in adolescence 1 Month Visit, 402–405 11 through 14 Year Visits, 743–744 2 Month Visit, 426–429 15 through 17 Year Visits, 775–776 4 Month Visit, 449–452 18 through 21 Year Visits, 805–806 6 Month Visit, 473–477 Finger sucking, 206b, 211–212, 214, 519 9 Month Visit, 494–495 Firearm safety allergies/sensitivities, 179 in infancy breastfeeding. See Breastfeeding Prenatal Visit, 331 complementary foods, 177–179 9 Month Visit, 498 cup drinking, 494–495 in early childhood delaying solid foods, 426, 450 18 Month Visit, 560–561 eating/feeding problems, 179–180 2 Year Visit, 583 feeding environment, 180 3 Year Visit, 623–624 financial resources for feeding, 326 4 Year Visit, 647 food insecurity. See Food security/insecurity in middle childhood formula feeding. See Formula feeding 5 and 6 Year Visits, 676 grazing, 449–450 7 and 8 Year Visits, 701 hunger cues, 176, 375–376, 427 9 and 10 Year Visits, 730 mealtime routines, 494–495 in adolescence pesticide exposure. See Pesticide exposure 11 through 14 Year Visits, 765 satiation cues, 375–376, 427 15 through 17 Year Visits, 797 self-feeding, 494–495 18 through 21 Year Visits, 821 solid foods, 426, 450, 474–475, 494–495 Fire safety. See also Burns, prevention of strategies, 375–376 in early childhood table food, introduction to, 494–495 15 Month Visit, 541 weaning, 495 18 Month Visit, 561–562 in early childhood 2½ Year Visit, 601 12 Month Visit, 516–518 in middle childhood (5 and 6 Year Visits), 675–676 18 Month Visit, 556–558 Flossing. See also Oral health 3 Year Visit, 619 5 and 6 Year Visits, 668 4 Year Visit, 640 7 and 8 Year Visits, 693 appetite changes, 182, 182b 9 and 10 Year Visits, 722–723 continued breastfeeding, 516–517 special health care needs, children with, 208 eating/feeding skills, 184–185 Fluids expressing likes/dislikes, 558 in infancy, 476 family meals, transition to, 516–517 cup drinking, 494–495 fluids in, 557, 619, 639. See also Juice; Milk; in early childhood, 557, 618, 639. See also Juice; Milk; Water in early childhood Water in early childhood food insecurity. See Food security/insecurity Fluoride, 207–208 nutritious foods, 517–518, 556–557, 619, 640 in infancy (6 Month Visit), 472 self-feeding, 516 in early childhood, 211 breakfast, importance of, 723–724 in middle childhood, 212 breastfeeding. See Breastfeeding 5 and 6 Year Visits, 668 cultural influences, 168–169 7 and 8 Year Visits, 693 family meals, early childhood transition to, 516–517 9 and 10 Year Visits, 722–723 feeding environment, 167–168 in adolescence, 213–214 in infancy, 180 dental varnishing, 293, 294 formula feeding. See Formula feeding supplementation, 293, 294 hunger. See Hunger toothpaste, 207, 209, 211, 212, 214 insecurity. See Food security/insecurity Folate intake, 188b lactose intolerance, 169 Folic acid, 171 pesticide exposure. See Pesticide exposure security. See Food security/insecurity self-feeding in infancy, 494–495 in early childhood, 516 850

22 INDEX - BF.indd 850 1/25/17 1:42 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

snacks. See Snacks Gay, youth who identify as, 224–225 sugar intake. See Sugar intake Gender. See also Sexual development and sexuality Food security/insecurity, 169–170 definitions related to, 219b in infancy Gender dysphoria, 219b Prenatal Visit, 310–311 Gender expression, 219b Newborn Visit, 341–342 Gender identity, 219b First Week Visit (3 to 5 Days), 367–368 Gender nonconforming, youth who identify as, 219b, 224–225 1 Month Visit, 390–391 Gender role, 219b 2 Month Visit, 416–417 Gonorrhea. See also Sexually transmitted infections (STIs) 4 Month Visit, 464–465 screening for, 296, 297 in early childhood Grandparents’ role, 42 12 Month Visit, 510 “Grazing,” 449–450 2 Year Visit, 571 Growth 3 Year Visit, 610–611 development. See Development/developmental surveillance 4 Year Visit, 632–633 nutrition for in middle childhood in infancy, 172–173 5 and 6 Year Visits, 661 in early childhood, 182–184 7 and 8 Year Visits, 685 in middle childhood, 185–186, 718–719 9 and 10 Year Visits, 711 in adolescence, 187–189 in adolescence spurt in puberty, 718–719 11 through 14 Year Visits, 745 Gums. See Oral health 15 through 17 Year Visits, 777 18 through 21 Year Visits, 807 H Formula feeding, 175–176 Handwashing guidance Prenatal Visit, 325–326 First Week Visit (3 to 5 Days) guidance, 374–375 Newborn Visit, 354 newborn health risks, 322 First Week Visit (3 to 5 Days), 378 Head Start, 23 1 Month Visit, 405 Health behaviors, 55 2 Month Visit, 429 Health care professionals 4 Month Visit, 452 as community advocates for safety, 242 6 Month Visit, 477 community supports frequency and amount of, 176–177 building on, 32–35 weaning, 495 identification of, 32–35 Foster care children, 44–47 family support, 42–43. See also Family support Friends/peers inter-conceptional guidance, 56 in early childhood life course framework implications for, 30–35 12 Month Visit, 511–512 obesity prevention, role in, 155, 156t difficulty in forming friendships, 128t pre-conceptional guidance, 56 in middle childhood prenatal guidance, 56–57. See also Prenatal care 5 and 6 Year Visits, 666 protective factors, identification of, 31 7 and 8 Year Visits, 688 risks 9 and 10 Year Visits, 729 addressing, 31 in adolescence identification of, 31 11 through 14 Year Visits, 746–747 sexuality and sexual development, role in, 222–225 15 through 17 Year Visits, 778–779 shared decision-making, establishment of, 31–32 18 through 21 Year Visits, 808–809 strengths, identification of, 31 Fruit Health disparity, definition of, 15b in middle childhood (5 and 6 Year Visits), 669–670 Health equity, definition of, 15b pesticides in. See Pesticide exposure Health supervision visits, 7, 7b, 259–260 Fussiness in infancy in infancy. See Infancy 1 Month Visit, 398–400 in early childhood. See Early childhood 2 Month Visit, 424–425 in middle childhood. See Middle childhood calming the baby. See Calming the baby in adolescence. See Adolescence Anticipatory Guidance section of, 263, 270 G chart documentation form, 8 Games. See also Play/playtime components of, 265–270 interactive games in early childhood, 614 confidentiality of, 268b Gang membership, 250 content of, 260–265 Gastroesophageal reflux disease in infancy, 179–180 context of, 265 851851

22 INDEX - BF.indd 851 1/25/17 1:42 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

Health supervision visits (cont) 5 and 6 Year Visits, 655 developmental surveillance, 267. See also Development/ 7 and 8 Year Visits, 680 developmental surveillance 9 and 10 Year Visits, 706 disease detection activities, 260–262 in adolescence disease prevention activities, 262 11 through 14 Year Visits, 738 evidence and rationale, 275–301 15 through 17 Year Visits, 770 employing evidence at visits, 264–265 18 through 21 Year Visits, 802 health promotion, 262–263 HIV. See also Sexually transmitted infections (STIs) health supervision, 266–270 screening for, 288–289 histories. See Histories (patient and family) Holding newborns, 375–376 history component, 266–267 Home immunizations at, 270. See also Immunizations adjustment to, 372–373 outline, 266b dental home. See also Oral health parent-child interaction, 267. See also Parent-child importance of, 206–207 interaction/relationship responsibilities of, 206t Periodicity Schedule, 275–277 environment, 47–48. See also Living situation physical examinations at, 262. See also Physical examinations medical. See Medical home previsit questionnaire, 8 safety. See Home safety priorities for, 265–266 transition home privacy of, 268b Newborn Visit guidance, 346–347 safety and injury prevention counseling in, 239–241 First Week Visit (3 to 5 Days) guidance, 370 screening/surveillance at, 260–262, 270. See also Screening/ Home safety surveillance in infancy developmental surveillance, 267. See also Development/ Prenatal Visit, 332 developmental surveillance Newborn Visit, 359 special health care needs, children with, 263–264 First Week Visit (3 to 5 Days), 381 systems review. See Systems review (Bright Futures Visits) 1 Month Visit, 408 timing of, 264 2 Month Visit, 432 Hearing loss, screening for, 286–288 4 Month Visit, 454–455 Heat-related illness/heatstroke prevention 6 Month Visit, 480 Prenatal Visit, 328–329 9 Month Visit, 498–499 Newborn Visit, 356 in early childhood First Week Visit (3 to 5 Days), 379–380 12 Month Visit, 522–523 9 Month Visit, 497 15 Month Visit, 541 sickling with sickle cell trait, 197t 18 Month Visit, 561–562 Helmets, use of in middle childhood (5 and 6 Year Visits), 675–676 11 through 14 Year Visits, 763 dampness 15 through 17 Year Visits, 795–796 Prenatal Visit guidance, 311 18 through 21 Year Visits, 820 1 Month Visit guidance, 391–392 Histories (patient and family) mold in infancy Prenatal Visit guidance, 311 Prenatal Visit, 307 1 Month Visit guidance, 391–392 Newborn Visit, 335–337 as a physical determinant of health, 28–30 First Week Visit (3 to 5 Days), 363 Home visitation program staff, 511–512 1 Month Visit, 385 Hospice care for children with special health care needs, 70 2 Month Visit, 411 Housing-related illnesses/injuries, 29–30 4 Month Visit, 435 evidence-based interventions to reduce, 30, 30b 6 Month Visit, 459 Human immunodeficiency virus. See also Sexually transmitted 9 Month Visit, 483 infections (STIs) in early childhood screening for, 288–289 12 Month Visit, 505 Hunger, 169–170. See also Food security/insecurity 15 Month Visit, 527 newborn cues, 176, 375–376, 427 18 Month Visit, 545 Hygiene 2 Year Visit, 565 oral. See Oral health 2½ Year Visit, 587 personal. See Personal hygiene 3 Year Visit, 605 Hyperactivity/impulsivity 4 Year Visit, 627 in early childhood, 129t in middle childhood in middle childhood, 133 attention deficits. See Attention deficits 852

22 INDEX - BF.indd 852 1/25/17 1:42 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

I burns, prevention of IEPs. See Individualized Education Programs (IEPs) First Week Visit (3 to 5 Days), 381 Illness prevention 2 Month Visit, 432 Newborn Visit guidance, 349 6 Month Visit, 480 First Week Visit (3 to 5 Days) guidance, 374–375 9 Month Visit, 498–499 Immigrant families, 24, 42, 47, 131, 395, 470 burping newborns, 375–376 Immunizations calcium in, 183b in infancy calming the baby Prenatal Visit, 309 Newborn Visit guidance, 350 Newborn Visit, 340 First Week Visit (3 to 5 Days) guidance, 373–374 First Week Visit (3 to 5 Days), 366 4 Month Visit guidance, 443 1 Month Visit, 389 6 Month Visit guidance, 471 2 Month Visit, 415 self-calming, 443, 471 4 Month Visit, 439 capabilities of newborns, 348 6 Month Visit, 463 care of newborns 9 Month Visit, 487 Newborn Visit, 348–349 in early childhood Prenatal Visit, 320 12 Month Visit, 509 2 Month Visit, 418 15 Month Visit, 531 4 Month Visit, 442 18 Month Visit, 549 6 Month Visit, 467 2 Year Visit, 569 cord care, 348–349 2½ Year Visit, 591 early care, 84. See also Prenatal care 3 Year Visit, 609 skin care, 348–349 4 Year Visit, 631 car safety seats, use of in middle childhood Newborn Visit, 355–356 5 and 6 Year Visits, 659 First Week Visit (3 to 5 Days), 378–379 7 and 8 Year Visits, 683 1 Month Visit, 406 9 and 10 Year Visits, 709 2 Month Visit, 430 in adolescence 4 Month Visit, 453 11 through 14 Year Visits, 742 6 Month Visit, 478–479 15 through 17 Year Visits, 774 9 Month Visit, 496–497 18 through 21 Year Visits, 805 choking, prevention of, 480 at Bright Futures Visits, 270 cognitive development/skills in, 81–83 parental refusal of, 50–51 9 Month Visit guidance, 490 Impulsivity. See Hyperactivity/impulsivity communication skills in, 81–83 Independence, 54 6 Month Visit, 468–469 in infancy (6 Month Visit), 470 6 Month Visit guidance, 491 in middle childhood (7 and 8 Year Visits), 689–690 complementary foods in, 177–179 Individualized Education Programs (IEPs), 691–692 cord care in, 348–349 Individuals with Disabilities Education Act, 71b, 80b critical congenital heart disease, 292 Individuation in early childhood, 100 cultural influences in, 84 15 Month Visit, 532 Prenatal Visit guidance, 317 Infancy daily routines and rituals in (4 Month Visit), 444 abusive head trauma in, 121–122 development/developmental surveillance in, 78 alcohol use/exposure in Prenatal Visit, 308 Prenatal Visit, 314–315 Newborn Visit, 337 Newborn Visit, 343–344 First Week Visit (3 to 5 Days), 363–364 1 Month Visit, 393–394 1 Month Visit, 386 6 Month Visit, 465 2 Month Visit, 412 attachment/attachment patterns in, 119–120, 119t 4 Month Visit, 436 1 Month Visit guidance, 398–400 6 Month Visit, 460 bed sharing during, 244–245 9 Month Visit, 484 behavioral guidance in, 89–90 cognitive development/skills, 81–83, 490 9 Month Visit guidance, 493–494 developmental domains, 81–84 bilirubin, 291 developmental highlights/milestones, 84–90 blood, 291 growth, nutrition for, 172–173 breastfeeding in. See Breastfeeding healthy development, promotion of, 79–90 sexual development and sexuality, 217–218 853853

22 INDEX - BF.indd 853 1/25/17 1:42 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

Infancy (cont) formula feeding. See Formula feeding diet and nutrition in, 172–182 grazing, 449–450 Newborn Visit guidance, 346 hunger cues, 176, 375–376, 427 Prenatal Visit guidance, 319 mealtime routines, 494–495 discipline in, 89–90 pesticide exposure. See Pesticide exposure drooling in, 447 satiation cues, 375–376, 427 drowning, prevention of self-feeding, 494–495 2 Month Visit, 432 solid foods, 426, 450, 474–475, 494–495 6 Month Visit, 480 strategies, 375–376 9 Month Visit, 498–499 table food, introduction to, 494–495 early care in, 84. See also Prenatal care weaning, 495 early education in, 84 food security/insecurity in eating/feeding problems in, 179–180 Prenatal Visit, 310–311 emergency preparedness/readiness in Newborn Visit, 341–342 First Week Visit (3 to 5 Days) guidance, 374 First Week Visit (3 to 5 Days), 367–368 1 Month Visit, 408 1 Month Visit, 390–391 emotional development in, 83–84 2 Month Visit, 416–417 energy (caloric) needs in, 173 4 Month Visit, 464–465 falls, prevention of formula feeding in. See Formula feeding 1 Month Visit, 408 fussiness in 2 Month Visit, 432 1 Month Visit, 398–400 6 Month Visit, 480 2 Month Visit, 424–425 9 Month Visit, 498–499 gastroesophageal reflux disease in, 179–180 family dynamic/relationships in growth, nutrition for, 172–173 Prenatal Visit, 308 handwashing guidance 1 Month Visit, 397 First Week Visit (3 to 5 Days) guidance, 374–375 4 Month Visit, 441 newborn health risks, 322 6 Month Visit, 466 health supervision visits in 9 Month Visit, 489 Prenatal Visit, 305–332 family support in, 58–59 Newborn Visit, 333–359 Prenatal Visit, 316–317 First Week Visit (3 to 5 Days), 361–381 Newborn Visit, 345 1 Month Visit, 383–408 First Week Visit (3 to 5 Days), 368–369 2 Month Visit, 409–432 1 Month Visit, 395 4 Month Visit, 433–455 2 Month Visit, 417 6 Month Visit, 457–480 4 Month Visit, 441 9 Month Visit, 481–499 6 Month Visit, 466 heat-related illness/heatstroke prevention in, 196 9 Month Visit, 489 Prenatal Visit, 328–329 mental health support for infant illness, 122–123 Newborn Visit, 356 firearm safety in First Week Visit (3 to 5 Days), 379–380 Prenatal Visit, 331 9 Month Visit, 497 9 Month Visit, 498 histories (patient and family) fluids in, 476 Prenatal Visit, 307 cup drinking, 494–495 Newborn Visit, 335–337 fluoride in (6 Month Visit), 472 First Week Visit (3 to 5 Days), 363 food/feeding in 1 Month Visit, 385 First Week Visit (3 to 5 Days), 375–378 2 Month Visit, 411 1 Month Visit, 402–405 4 Month Visit, 435 2 Month Visit, 426–429 6 Month Visit, 459 4 Month Visit, 449–452 9 Month Visit, 483 6 Month Visit, 473–477 holding newborns, 375–376 9 Month Visit, 494–495 home safety in allergies/sensitivities, 179 Prenatal Visit, 332 breastfeeding. See Breastfeeding Newborn Visit, 359 complementary foods, 177–179 First Week Visit (3 to 5 Days), 381 cup drinking, 494–495 1 Month Visit, 408 delaying solid foods, 426, 450 2 Month Visit, 432 eating/feeding problems, 179–180 4 Month Visit, 454–455 feeding environment, 180 6 Month Visit, 480 854 financial resources for feeding, 326 9 Month Visit, 498–499

22 INDEX - BF.indd 854 1/25/17 1:42 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

illness prevention in bottle in bed, avoidance of, 448, 472 Newborn Visit guidance, 349 drooling, 447 First Week Visit (3 to 5 Days) guidance, 374–375 maternal oral health, 447 Newborn Visit guidance, 349 oral hygiene, 448 immunizations in teething, 447 Prenatal Visit, 309 outings in Newborn Visit, 340 First Week Visit (3 to 5 Days) guidance, 374–375 First Week Visit (3 to 5 Days), 366 newborn health risks, 322 1 Month Visit, 389 overweight, infants with, 152–153, 162 2 Month Visit, 415 parent-child interaction/relationship in 4 Month Visit, 439 Prenatal Visit, 308 6 Month Visit, 463 Newborn Visit, 338, 345 9 Month Visit, 487 First Week Visit (3 to 5 Days), 364 independence in (6 Month Visit), 470 1 Month Visit, 387 intimate partner violence in 2 Month Visit, 413, 421–422 Prenatal Visit, 313–314 4 Month Visit, 437, 443–444 Newborn Visit, 342–343 6 Month Visit, 461, 468–469 1 Month Visit, 393 9 Month Visit, 485 9 Month Visit, 488–489 pesticide exposure in lead poisoning in 1 Month Visit guidance, 392 Prenatal Visit, 311–313 6 Month Visit guidance, 475–476 4 Month Visit, 440 pets/pet safety in lifelong health promotion in, 35 Prenatal Visit, 331 linguistic skills in, 81–83 Newborn Visit, 358–359 literacy skills in, 83b physical activity in, 194t, 199 6 Month Visit, 468–469 physical examinations in, 271 living situation in Newborn Visit, 339–340 Prenatal Visit, 310–311 First Week Visit (3 to 5 Days), 365 Newborn Visit, 341–342 1 Month Visit, 388 First Week Visit (3 to 5 Days), 367–368 2 Month Visit, 414 1 Month Visit, 390–391 4 Month Visit, 438 2 Month Visit, 416–417 6 Month Visit, 462 4 Month Visit, 464–465 9 Month Visit, 486 low-birth-weight babies, 22 play/playtime in maltreatment and neglect in, 120–122 1 Month Visit, 401 maternal/parental depression in 2 Month Visit, 424 Prenatal Visit, 318 4 Month Visit, 445–446 1 Month Visit, 396–397 poisoning, prevention of 2 Month Visit, 419–420 6 Month Visit, 480 6 Month Visit, 466 9 Month Visit, 498–499 media use/exposure in radon exposure in, 392 1 Month Visit, 401 regurgitation in, 179–180 2 Month Visit, 423 room sharing during, 244–245 4 Month Visit, 445 safety and injury prevention in, 242–245 6 Month Visit, 469 Prenatal Visit, 332 9 Month Visit, 492 Newborn Visit, 359 social media, 231 First Week Visit (3 to 5 Days), 381 medications in 1 Month Visit, 408 Prenatal Visit, 324 2 Month Visit, 432 4 Month Visit, 451 screening/surveillance in mental health promotion in, 118–123 Prenatal Visit, 308, 309 mineral supplements in, 173–174 Newborn Visit, 340 motor skills in First Week Visit (3 to 5 Days), 366 fine motor skills, 81 1 Month Visit, 389 gross motor skills, 81 2 Month Visit, 415 nutritional health in, 172–182 4 Month Visit, 439 Prenatal Visit guidance, 319 6 Month Visit, 463 Newborn Visit guidance, 346 9 Month Visit, 487 oral health in, 208–210 bilirubin, 291 4 Month Visit guidance, 447–448 blood, 291 6 Month Visit guidance, 472 critical congenital heart disease, 292 855855

22 INDEX - BF.indd 855 1/25/17 1:42 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

Infancy (cont) Injuries. See also specific injury self-regulation skills in, 87–88 intentional injury, 235–236 separation anxiety in, 84 prevention of. See Safety and injury prevention sexual development and sexuality in, 217–218 unintentional injury, 235 sibling adjustment/relationships in Inter-conceptional guidance, 56 Newborn Visit, 347 Internet use First Week Visit (3 to 5 Days), 370–371 7 and 8 Year Visits, 686–687 2 Month Visit, 420 9 and 10 Year Visits, 713 skin care in, 348–349 cyberbullying. See Bullying/cyberbullying sleep behaviors, patterns, and safety, 88, 88t, 89t safety and injury prevention and, 241–242 Prenatal Visit, 329–330 social media. See Social media use/exposure Newborn Visit, 357–358 Interpersonal violence. See Bullying/cyberbullying; Fighting First Week Visit (3 to 5 Days), 380–381 Intimate partner violence 1 Month Visit, 398, 407 in infancy 2 Month Visit, 423, 431 Prenatal Visit, 313–314 4 Month Visit, 454 Newborn Visit, 342–343 6 Month Visit, 470, 479 1 Month Visit, 393 9 Month Visit, 490 9 Month Visit, 488–489 bottle in bed, avoidance of, 448, 472 in early childhood infant putting self to sleep, 470 2 Year Visit, 570–571 sudden infant death and, 79, 243–245 4 Year Visit, 634 social connections/skills in, 83–84 National Domestic Violence Hotline, 28 social media and, 231 as a social determinant of health, 25, 28 special health care needs, children with, 70–72 Iron intake, 188b healthy development of, 80–81 nutrition for, 181–182 J spitting up in, 179–180 Juice substance use/exposure in in infancy, 476 Prenatal Visit, 314–315 in early childhood, 557, 619, 639 Newborn Visit, 343–344 1 Month Visit, 393–394 L 6 Month Visit, 465 Lactose intolerance, 169 sudden infant death, 79, 243–245 Language reducing, 243, 244b, 398 delay, screening for, 284 sun exposure/protection in development. See Language development First Week Visit (3 to 5 Days), 374–375 fluency with. See Language development 6 Month Visit, 480 understanding. See Language development supplements in, 173–174 Language development. See also Linguistic skills 4 Month Visit guidance, 451 in early childhood, 91–93 supplies for newborns, 348–349 3 Year Visit, 617 teaching infants, 89–90 4 Year Visit, 636 teething in, 447 simple phrases, use of, 553 temperature taking in, 374 simple words, use of, 553, 595 tobacco use/exposure in Lead poisoning Prenatal Visit, 316 Prenatal Visit, 311–313 Newborn Visit, 342 4 Month Visit, 440 First Week Visit (3 to 5 Days), 368 as a biological determinant of health, 21 1 Month Visit guidance, 391 screening for, 289–290 6 Month Visit, 465 Learning deficits/disabilities vitamin D in, 183b in middle childhood, 133 vitamin supplements in, 173–174 in adolescence, 139 weaning in, 495 special health care needs for children with. See Special health weight in care needs, children with healthy weight, 162 Learning/learning experiences low-birth-weight babies, 22 in infancy, interactive learning, 491 overweight, infants with, 152–153, 162 in early childhood weight gain, 375–376 4 Year Visit, 638 programs. See Early childhood programs 856

22 INDEX - BF.indd 856 1/25/17 1:42 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

structured learning M preschool. See Preschool Maltreatment and neglect readiness for, 638 in infancy, 120–122 school. See School in middle childhood Lesbian, youth who identify as, 224–225 5 and 6 Year Visits, 675 Life course framework, 18–20 7 and 8 Year Visits, 700–701 in Bright Futures, 21–30 sexual abuse. See Sexual abuse early adverse experiences Marijuana, 75, 141, 314, 343 focus on the effects of, 19–20 Marital separations, impact of, 28 moderating factors, use of, 20 Maternal alcohol use. See Alcohol use/exposure epigenetics and, 19, 22f Maternal health, 346 health care professionals, implications for, 30–35 Maternal nutrition, 346 lifelong health promotion. See Lifelong health Maternal oral health, 447 medical home, implications for the, 30–35 Maternal/parental depression, 52 physical determinants, 28–30 Prenatal Visit, 318 social determinants. See Social determinants of health 1 Month Visit, 396–397 Lifelong health 2 Month Visit, 419–420 definitions related to, 15b 6 Month Visit, 466 life course framework. See Life course framework as a biological determinant of health, 22 promoting, 15–17, 34f chronic, 318 in infancy, 35 perinatal, 318 in early childhood, 35 screening for, 52–53, 283 in middle childhood, 35 Maternal substance use. See Substance use/exposure in adolescence, 35 Maternal tobacco use. See Tobacco use/exposure Linguistic skills M-CHAT-R/F. See Modified Checklist for Autism in Toddlers in infancy, 81–83 Revised, with Follow-up in early childhood, 91–93 Media use/exposure 18 Month Visit, 553–555 in infancy 2 Year Visit, 577 1 Month Visit, 401 2½ Year Visit, 594 2 Month Visit, 423 in middle childhood, 104 4 Month Visit, 445 in adolescence, 108 6 Month Visit, 469 language delay, screening for, 284 9 Month Visit, 492 Literacy skills. See also Reading/reading skills social media, 231 in infancy, 83b in early childhood 6 Month Visit, 468–469 12 Month Visit, 515 in early childhood, 98–99 2 Year Visit, 576 Living situation 2½ Year Visit, 596 in infancy 4 Year Visit, 642–643 Prenatal Visit, 310–311 social media, 231 Newborn Visit, 341–342 in middle childhood First Week Visit (3 to 5 Days), 367–368 7 and 8 Year Visits, 695–696 1 Month Visit, 390–391 social media, 232–233 2 Month Visit, 416–417 familial influences on, 55 4 Month Visit, 464–465 social. See Social media use/exposure in early childhood Medical home 12 Month Visit, 510 Prenatal Visit guidance, 321 2 Year Visit, 571 1 Month Visit guidance, 401 3 Year Visit, 610–611 after-hours support, 401 4 Year Visit, 632–633 life course framework implications for, 30–35 in adolescence Medications 11 through 14 Year Visits, 745 in infancy 15 through 17 Year Visits, 777 Prenatal Visit, 324 18 through 21 Year Visits, 807 4 Month Visit, 451 Local community resources, 32, 33b in adolescence (18 through 21 Year Visits), 818 over-the-counter 4 Month Visit guidance, 451 Prenatal Visit guidance, 324 Menstruation, 718–719 857857

22 INDEX - BF.indd 857 1/25/17 1:42 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

Mental health, 115–116 calcium in, 186 in infancy 5 and 6 Year Visits, 669–670 Prenatal Visit guidance, 318 7 and 8 Year Visits, 694–695 promotion of, 118–123 dietary reference intakes, 183b in early childhood, promotion of, 123–130 cognitive development/skills in, 104 in middle childhood, promotion of, 130–136 communication skills in, 104 in adolescence community safety in, 246–247 11 through 14 Year Visits, 756–757 conduct disturbances in, 134 15 through 17 Year Visits, 788–789 connectedness in, 131–132 promotion of mental health, 136–145 social connections/skills, 104, 105t anxiety disorders. See Anxiety disorders development/developmental surveillance in, 78–79 attachment. See Attachment/attachment patterns 5 and 6 Year Visits, 656 challenges/problems 7 and 8 Year Visits, 681 in infancy, 120–122 9 and 10 Year Visits, 707 in early childhood, 124–129 cognitive development/skills, 104 in middle childhood, 132–136 developmental domains, 103–104, 105t in adolescence, 138 developmental highlights/milestones, 106 abuse. See Family violence; Intimate partner violence; growth, nutrition for, 185–186 Maltreatment and neglect; Sexual healthy development, promotion of, 102–106 abuse puberty/pubertal development, 690, 718–721 anger management. See Anger management sexual development and sexuality, 219–221 anxiety disorders. See Anxiety disorders diet and nutrition in, 185–187 conduct disturbances. See Behavioral concerns/problems 5 and 6 Year Visits, 668–670 mood disorders. See Mood disorders/regulation 7 and 8 Year Visits, 694–695 prevalence of, 116 9 and 10 Year Visits, 723–724 referrals for, 116–118 oral health promotion, 212 screening for, 116–118 saturated fat, 723–724 special health care needs, children with, 118 eating disorders in (9 and 10 Year Visits), 723–724 tantrums. See Tantrums eating habits in, 186–187 trends in, 116 7 and 8 Year Visits, 694–695 emotional development/well-being. See Emotional 9 and 10 Year Visits, 723–724 development/well-being e-cigarette use/exposure in family facing infant illness, support for, 122–123 5 and 6 Year Visits, 661–662 mood disorders. See Mood disorders/regulation 7 and 8 Year Visits, 686 promotion of, 115–145 9 and 10 Year Visits, 712 separation anxiety. See Separation anxiety emotional development/well-being in, 104, 105t suicide, 140, 250 5 and 6 Year Visits, 662 tantrums. See Tantrums 7 and 8 Year Visits, 687 MI. See Motivational interviewing (MI) to prevent obesity 9 and 10 Year Visits, 714 Middle childhood empathy in (5 and 6 Year Visits), 664–665 after-school activities/care/programs in family dynamic/relationships in 5 and 6 Year Visits, 667 5 and 6 Year Visits, 663 7 and 8 Year Visits, 691–692 7 and 8 Year Visits, 688 9 and 10 Year Visits, 725–726 9 and 10 Year Visits, 715 alcohol use/exposure in family rules and routines in 5 and 6 Year Visits, 661–662 5 and 6 Year Visits, 664–665 7 and 8 Year Visits, 686 7 and 8 Year Visits, 689–690 9 and 10 Year Visits, 712 family support in, 59–60 anger management in family violence in 5 and 6 Year Visits, 665 5 and 6 Year Visits, 660–661 9 and 10 Year Visits, 716–717 7 and 8 Year Visits, 684–685 anxiety disorders in, 134 9 and 10 Year Visits, 710–711 attachment patterns in, 131–132 fighting in attention-deficit/hyperactivity disorder in, 133 7 and 8 Year Visits, 684–685 brushing teeth in, 212 9 and 10 Year Visits, 710–711 5 and 6 Year Visits, 668 firearm safety in 7 and 8 Year Visits, 693 5 and 6 Year Visits, 676 9 and 10 Year Visits, 722–723 7 and 8 Year Visits, 701 bullying in, 134–135, 247–248 9 and 10 Year Visits, 730 7 and 8 Year Visits, 684–685 fire safety in (5 and 6 Year Visits), 675–676 858 9 and 10 Year Visits, 710–711

22 INDEX - BF.indd 858 1/25/17 1:42 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

flossing in parent-child interaction/relationship in 5 and 6 Year Visits, 668 5 and 6 Year Visits, 657 7 and 8 Year Visits, 693 7 and 8 Year Visits, 682 9 and 10 Year Visits, 722–723 9 and 10 Year Visits, 708 fluoride in, 212 parent-teacher communications in, 667 5 and 6 Year Visits, 668 patience in, 665 7 and 8 Year Visits, 693 personal hygiene in, 718–719 9 and 10 Year Visits, 722–723 physical activity in, 194t, 200–201, 248 food security/insecurity in 5 and 6 Year Visits, 670–671 5 and 6 Year Visits, 661 7 and 8 Year Visits, 695–696 7 and 8 Year Visits, 685 9 and 10 Year Visits, 725–726 9 and 10 Year Visits, 711 age-appropriate activities, 201t friends/peers in physical examinations in, 271 5 and 6 Year Visits, 666 5 and 6 Year Visits, 657 7 and 8 Year Visits, 688 7 and 8 Year Visits, 682 9 and 10 Year Visits, 729 9 and 10 Year Visits, 708 growth, nutrition for, 185–186 play in, 248 health supervision visits in puberty/pubertal development in 5 and 6 Year Visits, 651–676 7 and 8 Year Visits, 690 7 and 8 Year Visits, 677–701 9 and 10 Year Visits, 718–721 9 and 10 Year Visits, 703–730 respect for others in, 664–665 histories (patient and family) safety and injury prevention in, 246–248 5 and 6 Year Visits, 655 school attendance in 7 and 8 Year Visits, 680 5 and 6 Year Visits, 666 9 and 10 Year Visits, 706 7 and 8 Year Visits, 691–692 home safety in (5 and 6 Year Visits), 675–676 9 and 10 Year Visits, 720–721 immunizations in school in 5 and 6 Year Visits, 659 parent-teacher communications, 667 7 and 8 Year Visits, 683 pubertal transitions in, 720–721 9 and 10 Year Visits, 709 school food, 669–670 independence in (7 and 8 Year Visits), 689–690 school readiness, 666 Internet use in special education services, 691–692 7 and 8 Year Visits, 686–687 school performance in 9 and 10 Year Visits, 713 7 and 8 Year Visits, 691–692 learning deficits/disabilities in, 133 9 and 10 Year Visits, 720–721 lifelong health promotion in, 35 school problems in linguistic skills in, 104 7 and 8 Year Visits, 691–692 maltreatment and neglect in 9 and 10 Year Visits, 720–721 5 and 6 Year Visits, 675 school progress in 7 and 8 Year Visits, 700–701 7 and 8 Year Visits, 691–692 media use/exposure in 9 and 10 Year Visits, 720–721 7 and 8 Year Visits, 695–696 school safety, 246–247 social media, 232–233 screening/surveillance in menstruation in, 718–719 5 and 6 Year Visits, 658 mental health promotion in, 130–136 7 and 8 Year Visits, 683 mood disorders/regulation in, 133–134 9 and 10 Year Visits, 709 moral development in, 106 seat belts, use of motor skills in 5 and 6 Year Visits, 672–673 fine motor skills, 103 7 and 8 Year Visits, 697 gross motor skills, 103 9 and 10 Year Visits, 727 neighborhood and community safety/violence in self-esteem in 5 and 6 Year Visits, 660–661 5 and 6 Year Visits, 662 7 and 8 Year Visits, 684–685 7 and 8 Year Visits, 687 9 and 10 Year Visits, 710–711 9 and 10 Year Visits, 714 oral health in, 212–213 self-regulation in, 689–690 5 and 6 Year Visits, 668 setting reasonable limits in, 716–717 7 and 8 Year Visits, 693 sexual abuse in, 136 9 and 10 Year Visits, 722–723 sexual development and sexuality in, 219–221 outdoor safety in (5 and 6 Year Visits), 673 puberty/pubertal development, 690, 718–721 overweight and obesity, children with, 163–164 sexual safety in, 718–719 859859

22 INDEX - BF.indd 859 1/25/17 1:42 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

Middle childhood (cont) Mood disorders/regulation snacks in in middle childhood, 133–134 5 and 6 Year Visits, 668 in adolescence 7 and 8 Year Visits, 693 11 through 14 Year Visits, 756–757 9 and 10 Year Visits, 722–724 15 through 17 Year Visits, 788–789 social connections/skills in, 104, 105t 18 through 21 Year Visits, 815–816 social media use in, 232–233 anger management. See Anger management special education services in, 691–692 anxiety disorders. See Anxiety disorders special health care needs, children with, 73–74 separation anxiety. See Separation anxiety healthy development of, 103 Moral development, 106 nutrition for, 187 Motivational interviewing (MI) to prevent obesity, 155 spiritual development in, 106 Motor skills sports in, 248 in infancy substance use/exposure in, 135–136 fine motor skills, 81 5 and 6 Year Visits, 661–662 gross motor skills, 81 7 and 8 Year Visits, 686 in early childhood 9 and 10 Year Visits, 712 3 Year Visit, 620 sugar-sweetened beverages in fine motor skills, 91 5 and 6 Year Visits, 668 gross motor skills, 91, 284 7 and 8 Year Visits, 693 screening for, 284 9 and 10 Year Visits, 722–723 in middle childhood sun exposure/protection in fine motor skills, 103 5 and 6 Year Visits, 674–675 gross motor skills, 103 7 and 8 Year Visits, 699 in adolescence 9 and 10 Year Visits, 729 fine motor skills, 108 temperament in gross motor skills, 108 7 and 8 Year Visits, 689–690 Mouth 9 and 10 Year Visits, 716–717 oral health. See Oral health tobacco use/exposure in traumatic injury to, 214 5 and 6 Year Visits, 661–662 7 and 8 Year Visits, 686 N 9 and 10 Year Visits, 712 Naptime, 514–515 vitamin D in, 186 National Domestic Violence Hotline, 28 5 and 6 Year Visits, 669–670 National Down Syndrome Society, 72 7 and 8 Year Visits, 694–695 National Health and Nutrition Examination Survey (NHANES), dietary reference intakes, 183b 152 water safety in Neglect. See Maltreatment and neglect 5 and 6 Year Visits, 674 Neighborhood and community safety/violence, 246–247 7 and 8 Year Visits, 698–699 in early childhood (4 Year Visit), 635 9 and 10 Year Visits, 728 in middle childhood weight in 5 and 6 Year Visits, 660–661 5 and 6 Year Visits, 669–670 7 and 8 Year Visits, 684–685 7 and 8 Year Visits, 694–695 9 and 10 Year Visits, 710–711 9 and 10 Year Visits, 723–724 as a physical determinant of health, 29 healthy weight, 163–164 protective factors for, 26b overweight and obesity, children with, 163–164 Neisseria gonorrhea. See also Sexually transmitted infections whole-grain consumption in, 669–670 (STIs) Milk screening for, 296, 297 in early childhood, 557, 618, 639 Newborns. See Infancy lactose intolerance, 169 NHANES. See National Health and Nutrition Examination Mineral supplements in infancy, 173–174 Survey (NHANES) Mobility development, 490 Night walking, 535 Models of care for adolescence, 110, 110t Nutrition. See Diet and nutrition Modified Checklist for Autism in Toddlers Revised, with Follow-up (M-CHAT/R-F), 78 O Mold in home Obesity. See Overweight and obesity Prenatal Visit guidance, 311 Omega-3 fatty acids, 172 1 Month Visit guidance, 391–392 860

22 INDEX - BF.indd 860 1/25/17 1:42 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

Oral health, 205–206 preventing, 153–155, 156t–157t in infancy, 208–210 screening for, 158–159 4 Month Visit guidance, 447–448 severe obesity, 153 6 Month Visit guidance, 472 special health care needs, children with, 153 bottle in bed, avoidance of, 448, 472 treating, 159–161 drooling, 447 weight change targets, 162t maternal oral health, 447 oral hygiene, 448 P teething, 447 Pacifiers in early childhood, 210–212 and oral health, 206b, 209, 210, 211, 398, 447, 472, 519 12 Month Visit, 514–515, 519 self-consoling with, 399, 425 15 Month Visit, 538–539 sleeping with, 243, 244b, 398, 431 caries, reduction of, 538–539 sudden infant deaths, prevention of, 243, 244b, 398 dental hygiene, 519 Palliative care for children with special health care needs, 70 first dental checkup, 519 Parent-child conflicts in middle childhood, 212–213 discipline. See Behavior management; Discipline 5 and 6 Year Visits, 668 15 Month Visit, 536 7 and 8 Year Visits, 693 Parent-child interaction/relationship 9 and 10 Year Visits, 722–723 in infancy in adolescence, 213–214 Prenatal Visit, 308 11 through 14 Year Visits, 750 Newborn Visit, 338, 345 15 through 17 Year Visits, 782–783 First Week Visit (3 to 5 Days), 364 18 through 21 Year Visits, 811 1 Month Visit, 387 brushing teeth, 214 2 Month Visit, 413, 421–422 brushing teeth. See Brushing teeth 4 Month Visit, 437, 443–444 dental checkups 6 Month Visit, 461, 468–469 12 Month Visit, 519 9 Month Visit, 485 7 and 8 Year Visits, 693 in early childhood 9 and 10 Year Visits, 722–723 12 Month Visit, 507 dental home 15 Month Visit, 529, 536 importance of, 206–207 18 Month Visit, 547 responsibilities of, 206t 2 Year Visit, 567 fluoride. See Fluoride 2½ Year Visit, 589 promotion of, 205–214 3 Year Visit, 607 resources, 206b 4 Year Visit, 629 risk assessments in middle childhood in infancy, 209–210, 210f 5 and 6 Year Visits, 657 in early childhood, 211 7 and 8 Year Visits, 682 screening, 293–294 9 and 10 Year Visits, 708 special health care needs, children with, 208 in adolescence toothpaste guidance, 208, 208f 11 through 14 Year Visits, 740 Oral hygiene. See Oral health 15 through 17 Year Visits, 772 Orthodontics, 214 18 through 21 Year Visits, 803 Outdoor safety conflicts. See Parent-child conflicts in early childhood Parents 2 Year Visit, 582 activities outside the family, 592 4 Year Visit, 645 adolescent parents, 43–44 in middle childhood (5 and 6 Year Visits), 673 alcohol use. See Alcohol use/exposure Outings conflicts with. See Parent-child conflicts First Week Visit (3 to 5 Days) guidance, 374–375 depression in, 52–53 newborn health risks, 322 emergency preparedness/readiness for, 236b, 374 Overweight and obesity father’s role, 43 in infancy, 152–153, 162 immunizations, refusal of, 50–51 in early childhood, 152–153, 163 interaction/relationship with infant/child. See Parent-child in middle childhood, 163–164 interaction/relationship in adolescence, 153, 164 obesity prevention, role in, 154 assessment of, 158–159 promoting positive behaviors in children, 53–55 health care professional’s role, 155, 156t same-sex parents, 44 interpreting BMI, 269t seat belts, use of, 540, 559 prevalence of, 152–153 substance use. See Substance use/exposure 861861

22 INDEX - BF.indd 861 1/25/17 1:42 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

Parents (cont) injury prevention during, 198, 198b as teachers, 468 7 and 8 Year Visits, 698 tobacco use. See Tobacco use/exposure 9 and 10 Year Visits, 728 well-being of, 51–53 nutritional health for, 196–198 2 Year Visit, 573 Prenatal Visit guidance, 319 work-life balance, 613 pre-participation evaluations, 198 Parents’ Evaluation of Developmental Status (PEDStest), 261 promotion of, 193–202 Parent-teacher communications in middle childhood, 667 sickle cell trait, management of, 196, 196b Patience in middle childhood, 665 special health care needs, children with, 195–196 Pedestrian safety in early childhood, 622 and sports, 196–198. See also Sports PEDStest. See Parents’ Evaluation of Developmental Status Physical determinants of health, 28–30 (PEDStest) Physical examinations, 262, 267–269 Peers. See Friends/peers in infancy, 271 Performance-enhancing substances, 190 Newborn Visit, 339–340 Periodicity Schedule, 275–277 First Week Visit (3 to 5 Days), 365 Periodontal conditions, 214 1 Month Visit, 388 Personal hygiene 2 Month Visit, 414 in early childhood 4 Month Visit, 438 2 Year Visit, 580 6 Month Visit, 462 in middle childhood 9 Month Visit, 486 9 and 10 Year Visits, 718–719 in early childhood, 271 Pesticide exposure 12 Month Visit, 508 1 Month Visit guidance, 392 15 Month Visit, 530 6 Month Visit guidance, 475–476 18 Month Visit, 548 Pets/pet safety 2 Year Visit, 568 in infancy 2½ Year Visit, 590 Prenatal Visit, 331 3 Year Visit, 608 Newborn Visit, 358–359 4 Year Visit, 630 in early childhood calming technique, 272b 12 Month Visit, 522 in middle childhood, 271 3 Year Visit, 623 5 and 6 Year Visits, 657 4 Year Visit, 646 7 and 8 Year Visits, 682 Physical activity 9 and 10 Year Visits, 708 in infancy, 194t, 199 in adolescence, 271–273 in early childhood, 194t, 199–200 11 through 14 Year Visits, 740–741 18 Month Visit, 554–555 15 through 17 Year Visits, 772–773 2 Year Visit, 575 18 through 21 Year Visits, 804 3 Year Visit, 620 school-based health clinics, 273 4 Year Visit, 643 Play/playtime in middle childhood, 194t, 200–201, 248 in infancy 5 and 6 Year Visits, 670–671 1 Month Visit, 401 7 and 8 Year Visits, 695–696 2 Month Visit, 424 9 and 10 Year Visits, 725–726 4 Month Visit, 445–446 age-appropriate activities, 201t in early childhood, 99–100 in adolescence, 194t, 201–202 18 Month Visit, 553–555 11 through 14 Year Visits, 753–755 2 Year Visit, 575, 576 15 through 17 Year Visits, 786–787 2½ Year Visit, 595 18 through 21 Year Visits, 813–814 3 Year Visit, 603–624, 614 after-school activities. See After-school activities/care/ 4 Year Visit, 643 programs in middle childhood, 248 familial influences on, 55 playgroups, readiness for, 597–598 guidance, 194t Poisoning, prevention of heat-related illness, 196, 197t. See also Heat-related illness/ in infancy heatstroke 6 Month Visit, 480 inactivity 9 Month Visit, 498–499 in early childhood, 620 in early childhood growing problem of, 195 12 Month Visit, 522–523 from media viewing. See Media use/exposure 15 Month Visit, 541 18 Month Visit, 560 862 lead poisoning. See Lead poisoning

22 INDEX - BF.indd 862 1/25/17 1:42 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

Postpartum checkups S 1 Month Visit guidance, 396 Safety and injury prevention 2 Month Visit guidance, 419 in the prenatal period, 242 Preconception care, 56 in infancy, 242–245 nutritional health, 171–172 Prenatal Visit, 332 Prenatal Visit guidance, 319 Newborn Visit, 359 Pregnancy First Week Visit (3 to 5 Days), 381 Prenatal Visit, 305–332 1 Month Visit, 408 in adolescence, 222 2 Month Visit, 432 11 through 14 Year Visits, 759–760 in early childhood, 245–246 15 through 17 Year Visits, 791–792 in middle childhood, 246–248 18 through 21 Year Visits, 817 in adolescence, 248–252 rates of pregnancy, 222 abuse. See Family violence; Intimate partner violence; adjustment to, 313 Maltreatment and neglect; alcohol use in, 314–315 Sexual abuse assistance after discharge, 346–347 burns, prevention of. See Burns, prevention of biological determinants of health during, 21–23 car safety seats. See Car safety seats inter-conceptional guidance, 56 child development and, 236–237 maternal depression, 283 community safety. See Neighborhood and community Prenatal Visit guidance, 318 safety/violence postpartum checkups Connected Kids: Safe, Strong, Secure, 241 1 Month Visit guidance, 396 counseling in health supervision visits, 239–241 2 Month Visit guidance, 419 drowning, prevention of. See Drowning, prevention of preconception care. See Preconception care emergency preparedness suggestions for parents, 236b prenatal care. See Prenatal care falls, prevention of. See Falls, prevention of reducing complications in, 57–58 families and culture in, 237–238 substance use/misuse in, 314–315 firearm safety. See Firearm safety tobacco use in, 316 fire safety. See Fire safety Prenatal care, 56–57 health care professional’s role, 242 Prenatal Visit guidance, 320 heat-related illness. See Heat-related illness/heatstroke nutritional health, 171–172 prevention safety and injury prevention, 242 home safety. See Home safety social media use and, 231 intentional injury, 235–236 Prenatal Visit, 305–332 Internet use and, 241–242 Preschool maltreatment. See Maltreatment and neglect 4 Year Visit, 638 outdoor safety. See Outdoor safety as a social determinant of health, 23 pedestrian safety in early childhood, 622 Prescription medications. See Medications pet safety. See Pets/pet safety Privacy of health supervision visits, 268b during physical activity. See Physical activity Puberty/pubertal development as a physical determinant of health, 28–30 7 and 8 Year Visits, 690 promotion of, 235–252 9 and 10 Year Visits, 718–721 safe sleep. See Sleep behaviors, patterns, and safety school safety, 246–247 Q sexual. See Sexual safety Quality of care, using Bright Futures to improve, 9 sexual abuse. See Sexual abuse social media, use of, 229–233, 241–242. See also Social media R use/exposure Radon exposure, 392 special health care needs, children with, 238–239 Reading/reading skills. See also Literacy skills during sports. See Sports 18 Month Visit, 553–555 sun exposure. See Sun exposure/protection 2 Year Visit, 578 texting and, 241–242 2½ Year Visit, 594 unintentional injury, 235 3 Year Visit, 616 water safety. See Water safety linguistic skills. See Linguistic skills Same-sex parents, families with, 44 Regurgitation in infancy, 179–180 Saturated fats, 723–724 Respect for others, 664–665 Role modeling and social media, 231

863863

22 INDEX - BF.indd 863 1/25/17 1:42 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

School in early childhood in middle childhood 12 Month Visit, 509 attendance. See School attendance 18 Month Visit, 549 parent-teacher communications, 667 2 Year Visit, 569 pubertal transitions in, 720–721 2½ Year Visit, 590 school food, 669–670 3 Year Visit, 609 school performance. See School performance 4 Year Visit, 631 school problems. See School problems in middle childhood school progress. See School progress 5 and 6 Year Visits, 658 school readiness, 666 7 and 8 Year Visits, 683 school safety, 246–247 9 and 10 Year Visits, 709 special education services, 691–692 in adolescence in adolescence 11 through 14 Year Visits, 741–742 11 through 14 Year Visits, 748–749 15 through 17 Year Visits, 773–774 15 through 17 Year Visits, 780–781 18 through 21 Year Visits, 804–805 18 through 21 Year Visits, 809 substance use/misuse, 141–144 adaptation to, 691–692 for alcohol use, 298 after school. See After-school activities/care/programs for anemia, 278–279 Individualized Education Programs (IEPs), 691–692 for autism spectrum disorder, 280 performance in. See School performance for blood pressure, 281 School attendance for cervical dysplasia, 282 5 and 6 Year Visits, 666 for depression 7 and 8 Year Visits, 691–692 adolescent depression, 283 9 and 10 Year Visits, 720–721 maternal/parental depression, 52–53, 283 School-based health clinics, 273 of development. See Development/developmental School food surveillance in middle childhood, 669–670 disease detection, 260–261 obesity prevention, 157t for dyslipidemia, 285 School performance at health supervision visits, 260–262, 270 7 and 8 Year Visits, 691–692 developmental surveillance, 267. See also Development/ 9 and 10 Year Visits, 720–721 developmental surveillance School problems for hearing loss, 286–288 7 and 8 Year Visits, 691–692 for human immunodeficiency virus, 288–289 9 and 10 Year Visits, 720–721 for language delay, 284 School progress for lead poisoning, 289–290. See also Lead poisoning 7 and 8 Year Visits, 691–692 for mental health problems, 116–118 9 and 10 Year Visits, 720–721 for oral health, 293–294 School readiness for overweight and obesity, 158–159 in early childhood, 101–102, 102b for scoliosis, 295 in middle childhood, 666 for sexually transmitted infections, 288–289, 295–297 School safety, 246–247 for speech delay, 284 Scoliosis, screening for, 295 for substance use/misuse, 298 Screening/surveillance in adolescence, 141–144 in infancy for tobacco use, 298 Prenatal Visit, 308, 309 tools, 8 Newborn Visit, 340 for tuberculosis, 299 First Week Visit (3 to 5 Days), 366 for vision problems, 300–301 1 Month Visit, 389 SCT. See Sickling/sickle cell trait (SCT) 2 Month Visit, 415 Seat belts 4 Month Visit, 439 middle childhood, use in 6 Month Visit, 463 5 and 6 Year Visits, 672–673 9 Month Visit, 487 7 and 8 Year Visits, 697 bilirubin, 291 9 and 10 Year Visits, 727 blood, 291 adolescence, use in critical congenital heart disease, 292 11 through 14 Year Visits, 763 development, screening for. See Development/ 15 through 17 Year Visits, 795–796 developmental surveillance 18 through 21 Year Visits, 820 car booster seats, use with, 644, 674, 697 parental use of, 540, 559 864

22 INDEX - BF.indd 864 1/25/17 1:42 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

Self-esteem SIDS. See Sudden infant death syndrome (SIDS) 5 and 6 Year Visits, 662 Singing 7 and 8 Year Visits, 687 18 Month Visit, 553 9 and 10 Year Visits, 714 3 Year Visit, 616 Self-regulation engagement in, 553 in infancy, 87–88 Sleep behaviors, patterns, and safety in early childhood, 94 in infancy, 88, 88t, 89t in middle childhood, 689–690 Prenatal Visit, 329–330 Separation anxiety Newborn Visit, 357–358 in infancy, 84 First Week Visit (3 to 5 Days), 380–381 in early childhood, 100 1 Month Visit, 398, 407 15 Month Visit, 533 2 Month Visit, 423, 431 18 Month Visit, 550–551 4 Month Visit, 454 Sex, definition of, 219b 6 Month Visit, 470, 479 Sexual abuse 9 Month Visit, 490 in early childhood, 129 bottle in bed, avoidance of, 448, 472 in middle childhood, 136 infant putting self to sleep, 470 in adolescence, 140 sudden infant death, 79, 243–245 Sexual development and sexuality in early childhood, 94 in infancy, 217–218 9 Month Visit, 490 in early childhood, 218–219 12 Month Visit, 514–515 in middle childhood, 219–221 15 Month Visit, 535 puberty/pubertal development, 690, 718–721 bedtime struggles, 126t in adolescence, 221–225 in adolescence 11 through 14 Year Visits, 757–758 11 through 14 Year Visits, 753–755 15 through 17 Year Visits, 789–790 15 through 17 Year Visits, 786–787 18 through 21 Year Visits, 816 18 through 21 Year Visits, 813–814 circumcision, 322 bottle in bed, avoidance of definitions related to, 219b in infancy, 448, 472 ejaculation, 718–719 in early childhood, 535 menstruation, 718–719 night walking, 535 promotion of, 217–225 sleep schedule Sexual intercourse in adolescence, 221–222 9 Month Visit, 490 Sexuality. See Sexual development and sexuality 15 Month Visit, 535 Sexually transmitted infections (STIs) social media use and, 230 in adolescence, 222 sudden infant death, 79, 243–245 11 through 14 Year Visits, 759–760 reducing, 243, 244b, 398 15 through 17 Year Visits, 791–792 Smoking. See Tobacco use/exposure 18 through 21 Year Visits, 817 Snacks screening for, 288–289, 295–297 5 and 6 Year Visits, 668 Sexual orientation, 224–225 7 and 8 Year Visits, 693 Sexual safety 9 and 10 Year Visits, 722–724 in middle childhood, 718–719 Social connections/skills. See also Friends/peers contraception, 222 in infancy, 83–84 STIs. See Sexually transmitted infections (STIs) in early childhood, 93, 95 Shared decision-making, 31–32 12 Month Visit, 511–512 Shared plan of care (SPoC), 66, 67f 4 Year Visit, 637 Sibling adjustment/relationships difficulty in forming friendships, 128t in infancy in middle childhood, 104, 105t Newborn Visit, 347 in adolescence, 108–109 First Week Visit (3 to 5 Days), 370–371 Social determinants of health, 23 2 Month Visit, 420 definition of, 15b in early childhood, 615 health supervision visits, 262–263 Siblings risk factors in, 25, 27f, 28, 31 addition of, 552 strengths and protective factors in, 23–25, 31 relationships with. See Sibling adjustment/relationships Socialization. See Social connections/skills Sickling/sickle cell trait (SCT), 196 athletic settings, managing in, 196, 196b heat-related illness, signs of, 197t 865865

22 INDEX - BF.indd 865 1/25/17 1:42 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

Social media use/exposure Sports in the prenatal period, 231 in middle childhood, 248 in infancy, 231 in adolescence, 250–252 in early childhood, 231 cheerleading, 252 in middle childhood, 232–233 concussions from, 251 in adolescence, 233 heat-related illness, 196 cyberbullying. See Bullying/cyberbullying injury prevention during, 198 displacement of social interactions by, 230 7 and 8 Year Visits, 698 distraction of, 230 9 and 10 Year Visits, 728 family plan for, 232b performance-enhancing substances, 190 healthy/safe use, promotion of, 229–233, 241–242 and physical activity, 196–198 information quality, 230 sickle cell trait, management of, 196, 196b role modeling and, 231 sickling, 196 sleep behaviors/patterns and, 230 Spousal separations, impact of, 28 Special education services in middle childhood, 691–692 STIs. See Sexually transmitted infections (STIs) Special health care needs, children with, 65–66 Stress in infancy, 70–72 in adolescence. See Coping with stress in adolescence healthy development, 80–81 as a biological determinant of health, 22 nutritional health, 181–182 consequences of, 27f in early childhood, 72–73 family changes and, 51–52 healthy development, 90 precipitants of, 27f nutritional health, 185 as a social determinant of health, 25, 27f in middle childhood, 73–74 Substance use/exposure, 56 healthy development, 103 in infancy nutritional health, 187 Prenatal Visit, 314–315 in adolescence, 74–75 Newborn Visit, 343–344 healthy development, 106–107 1 Month Visit, 393–394 nutritional health, 190 6 Month Visit, 465 physical activity, 195–196 in early childhood adult care, transitioning to, 75 12 Month Visit, 511 brushing teeth, 208 2 Year Visit, 572 care coordination for, 66–69 3 Year Visit, 611 coordination eco-map, 66–69, 69f 4 Year Visit, 633 development in middle childhood, 135–136 in infancy, 80–81 5 and 6 Year Visits, 661–662 in early childhood, 90 7 and 8 Year Visits, 686 in middle childhood, 103 9 and 10 Year Visits, 712 in adolescence, 106–107 in adolescence, 141–145 family support for, 47 11 through 14 Year Visits, 745–746, 760–761, 764–765 family-centered team approach, 68t 15 through 17 Year Visits, 777–778, 792–793 flossing, 208 18 through 21 Year Visits, 808, 818 health promotion for, 65–75 car safety health supervision visits, 263–264 driving under the influence, 820 hospice care, 70 riding in vehicles (11 through 14 Year Visits), 764–765 mental health problems, 118 driving under the influence, 820 nutritional health during pregnancy, 314–315 in infancy, 181–182 screening for, 298 in early childhood, 185 in adolescence, 141–144 in middle childhood, 187 Youth Risk Behavior Surveillance System, 141, 142b in adolescence, 190 Sudden infant death syndrome (SIDS), 243–245. See also sudden oral health for, 208 unexpected infant death (SUID) overweight and obesity, children with, 153 reducing, 243, 244b, 398 palliative care, 70 Sudden unexpected infant death, 53, 79, 243–244. See also Sudden physical activity for, 195–196 infant death syndrome (SIDS) safety and injury prevention, 238–239 Sugar intake shared plan of care for, 66, 67f 7 and 8 Year Visits, 694–695 Speech delay, screening for, 284 9 and 10 Year Visits, 723–724 Spiritual development, 106 beverages. See Sugar-sweetened beverages Spitting up in infancy, 179–180 866 SPoC. See Shared plan of care (SPoC)

22 INDEX - BF.indd 866 1/25/17 1:42 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

Sugar-sweetened beverages in adolescence 5 and 6 Year Visits, 668 11 through 14 Year Visits, 739 7 and 8 Year Visits, 693 15 through 17 Year Visits, 771 9 and 10 Year Visits, 722–723 18 through 21 Year Visits, 803 Suicide, 140, 250 SUID. See Sudden unexpected infant death (SUID) T Sun exposure/protection Talking in infancy 18 Month Visit, 553 First Week Visit (3 to 5 Days), 374–375 3 Year Visit, 616 6 Month Visit, 480 engagement in, 553 in early childhood speech delay, screening for, 284 12 Month Visit, 522 Tantrums. See also Behavioral concerns/problems; Temperament 18 Month Visit, 560 in infancy 2½ Year Visit, 601 12 Month Visit, 513 4 Year Visit, 646 15 Month Visit, 536 in middle childhood in early childhood 5 and 6 Year Visits, 674–675 excessive, 127t 7 and 8 Year Visits, 699 Teaching children. See also Early education; Learning/learning 9 and 10 Year Visits, 729 experiences; Preschool; School in adolescence in infancy, 89–90 15 through 17 Year Visits, 796–797 in early childhood, 95–98 18 through 21 Year Visits, 820–821 Teeth. See Brushing teeth; Oral health Supplements Teething, 447 in infancy, 173–174 Television viewing, 55. See also Media use/exposure 4 Month Visit guidance, 451 Temperament vitamin. See Vitamin supplements in early childhood, 93 Survey of Well-being of Young Children (SWYC), 261 2 Year Visit, 575 Swaddling, 244b in middle childhood in infancy 7 and 8 Year Visits, 689–690 Prenatal Visit, 329–330, 350 9 and 10 Year Visits, 716–717 Newborn Visit, 357–358 tantrums. See Tantrums First Week Visit (3 to 5 Days), 380–381 Temperature taking in infancy, 374 1 Month Visit, 398–399, 400 Texting, 241–242 2 Month Visit, 424 Tobacco use/exposure, 56 4 Month Visit, 443 in infancy SWYC. See Survey of Well-being of Young Children (SWYC) Prenatal Visit, 316 Syphilis. See also Sexually transmitted infections (STIs) Newborn Visit, 342 screening for, 296, 297 First Week Visit (3 to 5 Days), 368 Systems review (Bright Futures Visits), 267 1 Month Visit guidance, 391 in infancy 6 Month Visit, 465 Newborn Visit, 338 in early childhood First Week Visit (3 to 5 Days), 364 12 Month Visit, 511 1 Month Visit, 387 2 Year Visit, 572 2 Month Visit, 413 3 Year Visit, 611 4 Month Visit, 437 4 Year Visit, 633 6 Month Visit, 461 in middle childhood 9 Month Visit, 485 5 and 6 Year Visits, 661–662 in early childhood 7 and 8 Year Visits, 686 12 Month Visit, 507 9 and 10 Year Visits, 712 15 Month Visit, 529 in adolescence 18 Month Visit, 547 11 through 14 Year Visits, 745–746, 760–761 2 Year Visit, 567 15 through 17 Year Visits, 777–778, 792–793 2½ Year Visit, 589 18 through 21 Year Visits, 808, 818 3 Year Visit, 607 as a biological determinant of health, 21 4 Year Visit, 629 e-cigarettes. See E-cigarette use/exposure in middle childhood screening for, 298 5 and 6 Year Visits, 656 7 and 8 Year Visits, 681 9 and 10 Year Visits, 707 867867

22 INDEX - BF.indd 867 1/25/17 1:42 PM Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents

Toilet training, 95 W 18 Month Visit, 551 Waking behaviors/patterns. See Sleep behaviors, patterns, and 2 Year Visit, 579 safety readiness, signs of, 551 Water in early childhood, 557, 618, 639 resistance to, 126t Water safety. See also Drowning, prevention of Toothbrushes in early childhood 6 Month Visit guidance, 472 12 Month Visit, 521 brushing teeth. See Brushing teeth 2½ Year Visit, 600 Toothpaste 3 Year Visit, 623 fluoridated, 207, 209, 211, 212, 214 4 Year Visit, 645 guidance, 208, 208f in middle childhood Transgender, youth who identify as, 219b, 224–225 5 and 6 Year Visits, 674 Transition home 7 and 8 Year Visits, 698–699 Newborn Visit guidance, 346–347 9 and 10 Year Visits, 728 First Week Visit (3 to 5 Days) guidance, 370 Weaning infants, 495 Traumatic injury Weight abusive head trauma in infancy, 121–122 in infancy acoustic trauma. See Acoustic trauma healthy weight, 162 to mouth, 214 low-birth-weight babies, 22 Tuberculosis, screening for, 299 overweight, infants with, 152–153, 162 weight gain, 375–376 U in early childhood Underweight, children with, 151 healthy weight, 163 interpreting BMI, 269t overweight and obesity, children with, 152–153, 163 low-birth-weight babies, 22 in middle childhood 5 and 6 Year Visits, 669–670 V 7 and 8 Year Visits, 694–695 Vegetables 9 and 10 Year Visits, 723–724 in middle childhood, 669–670 healthy weight, 163–164 pesticides in. See Pesticide exposure overweight and obesity, children with, 163–164 Violence. See also Maltreatment and neglect in adolescence in adolescence, 249–250. See also Bullying; Fighting healthy weight, 164 in the community. See Neighborhood and community overweight and obesity, adolescents with, 153, 164 safety/violence as a biological determinant of health, 22 domestic. See Family violence; Intimate partner violence body mass index, 151, 152t interpersonal. See Bullying/cyberbullying; Fighting interpreting, 269t sexual abuse. See Sexual abuse weight-change targets based on, 161, 162t Vision problems, screening for, 300–301 cultural attitudes about, 169 Vitamin D definitions and terminology, 151 in infancy, 183b healthy weight, promotion of, 151–164 in early childhood, 183b low-birth-weight babies, 22 in middle childhood, 186 overweight, children with. See Overweight and obesity 5 and 6 Year Visits, 669–670 underweight, children with, 151 7 and 8 Year Visits, 694–695 interpreting BMI, 269t dietary reference intakes, 183b low-birth-weight babies, 22 in adolescence, 183b Whole-grain consumption, 669–670 dietary reference intakes, 183b Windows, prevention of falls from, 622 Vitamin supplements Work-life balance, 613 in infancy, 173–174 vitamin D. See Vitamin D Y Youth Risk Behavior Surveillance System, 141, 142b

868

22 INDEX - BF.indd 868 1/25/17 1:42 PM