Management of Development
List strategies that might be used by a pediatric primary care provider to incorporate developmental anticipatory guidance into the following sick visits:
An 18-month-old with an acute upper respiratory infection
A 4-year-old with stool withholding and constipation
A 9-year-old with chronic headaches
A 15-year-old with dysmenorrhea.
Sample Answer
. 18-month-old with an acute upper respiratory infection
- Developmental Anticipatory Guidance:
- Language Development: Discuss typical language milestones for 18-month-olds (e.g., using single words, pointing to objects, following simple instructions). Offer age-appropriate language stimulation activities like reading books, singing songs, and engaging in simple conversations.
- Toddler Temper Tantrums: Explain that temper tantrums are common at this age and provide strategies for managing them, such as remaining calm, setting clear limits, and offering choices.