Healthy Habits for Food, Teeth, Sleep and Screens

Practical, everyday ways to help your 3- to 6-year-old build healthy habits. You'll set up calm, regular mealtimes and help your child try new foods without battles, brush teeth well twice a day with the right amount of fluoride toothpaste, build a bedtime routine that leads to enough sleep, and balance screen time with plenty of active play. Along the way you'll find simple words to explain why each habit matters, plus picture charts, choices and praise that help your child do more of each routine on their own.

Pre-K, KindergartenLesson 2 of 3 in Feelings, Friends and Routines: For Parents Course

What you will learn

  1. Give your child a steady daily rhythm of meals and snacks, share the jobs at the table so meals stay calm, and choose drinks, snacks and lunchboxes that keep a growing body going.
    • Set a daily rhythm of meals and snacks
      Plan meals and snacks at about the same times each day, with the same small steps before and after, so your child comes to the table hungry but not starving.
    • Share the jobs at the table so meals stay calm
      Split the roles between you and your child, trust your child's hunger and fullness signals, and keep pressure, bribes and battles away from the table.
    • Choose everyday drinks, snacks and lunchboxes
      Make water and milk the main drinks, plan snacks like small meals, talk about everyday and sometimes foods, and pack lunchboxes that fill your child up safely.
  2. Understand why many young children are wary of new foods, and use small, repeated, pressure-free tries to widen the range of foods your child eats.
    • Understand picky eating
      Know what picky eating is, why it is so common at ages 3 to 6, and why one refusal does not mean your child dislikes a food.
    • Offer new foods in small, pressure-free steps
      Introduce new foods in tiny portions next to safe foods, involve your child in shopping and cooking, model eating, and praise brave tries instead of finished plates.
  3. Brush your child's teeth well twice a day with the right amount of fluoride toothpaste, make brushing a routine your child goes along with, and protect teeth from sugar between brushings.
    • Brush twice a day the right way
      Know why brushing matters, how much fluoride toothpaste to use, how to reach every tooth in about two minutes, and how much help your child still needs.
    • Make brushing a routine your child goes along with
      Anchor brushing to the same moments every day and use songs, timers, choices and modeling so two minutes of brushing happen without a daily battle.
    • Protect teeth between brushings
      Keep sugar to mealtimes, make water the drink between meals and after the night brush, and use dentist visits to keep teeth healthy.
  4. Know how much sleep your child needs, set a calm bedtime routine and sleep space, and handle common bedtime struggles kindly and consistently.
    • Know how much sleep your child needs
      Know the recommended hours of sleep for ages 3 to 6, how naps change, why sleep matters, and how to work out a bedtime from your child's wake-up time.
    • Set up a calm bedtime routine and sleep space
      Use the same few calm steps in the same order every night, wind down without screens, and make the bedroom a dark, quiet, comfortable place for sleep.
    • Handle common bedtime struggles calmly
      Deal with stalling, getting out of bed, fears and night waking in calm, consistent ways that help your child settle.
  5. Set screen limits that suit young children, make the screen time your child has calmer and better, and make sure your child moves and plays actively every day.
    • Set screen limits that fit young children
      Know the recommended screen-time limits for ages 3 to 6, why limits matter, and which times and places to keep free of screens.
    • Make screen time better and end it smoothly
      Choose calm, age-appropriate content, watch and talk together, set up devices to help you, and end screen time with warnings and a planned next activity.
    • Keep your child moving every day
      Know how much active play children aged 3 to 6 need, what counts as energetic play, and how to break up long stretches of sitting.
  6. Explain each habit in words your child understands, and use charts, choices and praise so your child does more of each routine with fewer reminders.
    • Explain why habits matter in simple words
      Give short, concrete, positive reasons for each habit that a 3- to 6-year-old can understand and repeat in their own words.
    • Use charts, choices and praise to make routines stick
      Use picture charts, “first–then” steps, small choices and specific praise, and change one habit at a time, so routines become your child's own.

Healthy Habits for Food, Teeth, Sleep and Screens study guide

6 chapters

1

Make mealtimes calm, regular and shared

Calm meals begin before anyone takes a bite. A familiar daily pattern helps your child arrive ready to eat. At the table, clear jobs leave room for appetite and choice. You will plan eating times, respond to fullness, and choose practical drinks and snacks for home or a lunchbox.

1.1 Set a daily rhythm of meals and snacks

A familiar eating pattern helps your child know when food is coming. Plan three meals and two or three snacks, about two to three hours apart. Small stomachs need regular chances to eat.

Give food a place in the day

Start with the times your family already shares. Put breakfast after getting dressed, a snack in the middle of the morning, and lunch before rest. Add an afternoon snack and dinner. Write the plan where other caregivers can see it. Offer water between eating times.

Grazing means nibbling or sipping food drinks on and off. Crackers in the stroller and milk all afternoon can leave little appetite for dinner. Move those foods into a planned snack, served sitting down. Keep water within reach afterward.

Walk through a morning

Suppose breakfast is at 8:00 a.m. and lunch at 12:30 p.m. That leaves four and a half hours between meals. Add a snack at 10:15 a.m. Now each gap is two hours and fifteen minutes.

Before lunch, give a short warning: “Lunch is soon. Finish your tower, then we'll wash hands.” Put toys away, wash hands, and sit in the usual place. Repeating these steps makes the change from play to eating easier.

Let the meal have an ending

Turn off the TV and put phones away, including yours. Background shows can draw attention away from food and conversation. Sit and eat together when you can; your child learns by watching you.

Young children's meals usually last about 20 to 30 minutes. When eating has ended and play takes over, clear the plate calmly. Say when food comes next: “Snack is after quiet time.” Offering a favorite food straight after a refused lunch can make skipping lunch a way to get that favorite.

On a travel day, eating times may shift. Keep the familiar order and table steps, and plan snack stops before everyone becomes very hungry.

Key Takeaways

  • Plan regular meals and snacks.
  • Offer water between eating times.
  • Use the same short steps before meals.
  • Put screens away and eat together.
  • End meals calmly; keep the next planned food time.

1.2 Share the jobs at the table so meals stay calm

You and your child have different jobs at meals. You choose what food to offer, when to serve it and where to eat. Your child decides whether to eat and how much. This is called the division of responsibility in feeding.

Make the family meal welcoming

Include at least one food your child usually eats. This familiar food is sometimes called a safe food. Serve it alongside the other family foods. Begin with small helpings and offer more when asked. Shared serving bowls let your child practice choosing amounts with your help.

Set up a comfortable seat with feet supported. Give a small job, such as placing napkins. Keep table rules simple: “We sit while we eat” and “You can say, ‘No, thank you.’”

Listen when your child is full

A hungry child may ask for food and start eating eagerly. Slowing down, turning away, pushing the plate back or saying “I'm done” can mean they are full. Appetite changes from meal to meal. Look at the pattern over several days, not just one small lunch.

For example, Elena eats bread and a little soup, then puts down her spoon. Her mom asks, “Are you finished?” Elena says yes. Mom clears her place without counting bites. The next food comes at the planned snack time.

Keep food out of bargains

“Three more bites” asks your child to eat past their own signal. A clean plate is not the goal. You can enjoy the food yourself and talk about the day without watching every mouthful.

Dessert should not depend on eating vegetables. A bargain makes dessert the prize and vegetables the price. If dessert is part of your meal, serve it without a bite rule.

When your child refuses the main dish, you do not need to cook a new dinner. The familiar food is already available. Your child can eat that and meet the other foods again at another meal.

Key Takeaways

  • You choose what, when and where.
  • Your child chooses whether and how much.
  • Include a familiar food in the family meal.
  • Respect fullness; skip bite bargains.

1.3 Choose everyday drinks, snacks and lunchboxes

Everyday drinks and snacks help your child arrive at the next meal ready to eat. Keep water easy to reach. Offer plain milk with meals, and whole fruit more often than juice.

Build a small meal for snack time

Pair a fruit or vegetable with something filling. Try soft pear with yogurt, or soft-cooked vegetables with hummus and bread. A snack is a planned chance to eat, not a prize for good behavior.

Across the day, offer vegetables and fruit; grains such as oats, rice and tortillas; protein foods such as beans, eggs and tofu; and milk, yogurt, cheese or a calcium-rich alternative. Foods from your family's culture belong here. Lentils with rice can be as familiar a family meal as a sandwich.

Use “everyday foods” for foods served most days, and “sometimes foods” for foods such as candy, cake and chips. A cartoon on a snack package does not tell you what kind of snack is inside.

Choose drinks with teeth in mind

Soda, sweet fruit drinks and flavored milk add sugar and can fill a small stomach. Keep them occasional. Even 100% juice has less fiber than whole fruit. Serve a small amount with a meal in an open cup, not in a cup carried around all afternoon.

Pack and prepare food

A lunchbox might hold a small bean sandwich, soft vegetable pieces, thin pear slices, plain yogurt and water. Include something familiar and amounts your child usually eats. Look at what comes home to help plan tomorrow, without scolding.

Round and hard foods can cause choking. Cut grapes and cherry tomatoes lengthwise into quarters. Grate hard vegetables or cook them soft; grate apple or slice it very thinly. Avoid whole nuts, popcorn and hard candy under about age five. Have your child sit while eating, with an adult watching.

When your child is upset, offer words, a cuddle or time together. A cookie offered to stop tears makes food the answer to the feeling.

Key Takeaways

  • Keep water available; offer plain milk with meals.
  • Pair produce with a filling food for snacks.
  • Offer a range of familiar family foods.
  • Keep juice small and with meals.
  • Prepare hard and round foods for safe eating.
  • Use comfort and attention for upset feelings.
2

Help your child try new foods

New foods bring new smells, textures and tastes. Your child may need many small meetings before choosing a bite. You can make those meetings easier through familiar foods, tiny portions and shared preparation. Begin by noticing what your child finds unfamiliar.

2.1 Understand picky eating

A child who enjoyed a food yesterday may refuse it today. Picky eating means accepting a narrow range of foods or often refusing foods. Wariness of unfamiliar food, called food neophobia, is common in young children.

Notice what feels unfamiliar

Smell, color and texture all matter. A child may eat a smooth soup but dislike a lumpy one, or want foods kept apart. Bitter vegetables can take time to enjoy. A smaller appetite than you expect can also make a meal look disappointing; growth is slower now than in infancy.

A food jag is a period of wanting the same food again and again. Keep offering the favorite alongside other foods. You can describe what is happening without giving your child a label: “You're still learning about this food.”

Keep offering, without counting down

Repeated exposure means meeting the same food over days and weeks. Children often need many tries; research commonly describes about 8 to 15 taste tries, and some foods need more. Looking, touching and smelling help a child become familiar with food before tasting.

One refusal gives you very little reason to remove a food forever. Offer a small amount again another day. Your child's task today might be getting used to seeing it on the table.

Read a small change fairly

For example, Amir leaves cooked zucchini untouched twice. At the next offer, he pokes it with a fork and smells it. His parent keeps the serving small and eats some too. Amir has gained experience even though he has not eaten a bite. His parent can offer it again without announcing a test.

If a child accepts only a handful of foods, loses weight, seems unwell, or often gags, chokes or vomits during meals, talk with their doctor.

Key Takeaways

  • Food wariness is common in young children.
  • Texture and smell can matter as much as taste.
  • Offer refused foods again over time.
  • Describe learning without labeling your child.

2.2 Offer new foods in small, pressure-free steps

Make a new food a small part of a familiar meal. Your child can meet it without having to finish it, or even taste it today.

Take one small step

Offer one or two bites beside a familiar food when your child is hungry and rested. Eat some yourself. Use words about what you notice: “This squash is soft and warm.” Let your child look, touch, smell, lick or taste. Keep a napkin nearby so a taste can be spat out calmly.

Offer the food again a few days later. You might change how it is cooked, while keeping the rest of the meal familiar. A huge new helping can feel like a big demand even when you say nothing.

Build from a food your child knows

Suppose your child likes toast. First, offer toast with a little mashed avocado beside it. On a later day, let your child spread a tiny patch on one corner. If that becomes familiar, offer a little more. Each meeting changes just one feature; your child still decides whether to eat.

You can notice effort without turning tasting into a performance: “You felt how soft it is.” Praise the exploration, not the amount swallowed. Avoid offering a sweet prize for a bite.

Start before the meal

Let your child choose between two vegetables at the store, wash produce, tear leaves or stir a cool mixture. Use a blunt spreading knife together. Books, pretend cooking and growing herbs also build familiarity.

If you blend vegetables into a sauce, be honest about what is inside. Eating a hidden ingredient does not teach your child to recognize and accept that vegetable on its own. Keep offering it visibly too.

For example, a child who helps shell peas may be ready to touch them at lunch. You can share the meal and let that be today's step, then offer peas again another day.

Key Takeaways

  • Keep new portions tiny and beside familiar food.
  • Model eating and allow gentle exploration.
  • Change one thing at a time.
  • Include your child in choosing and preparing food.
  • Praise effort without a food reward.
3

Look after your child's teeth every day

Young children need your help to keep teeth clean. A small amount of fluoride toothpaste, gentle brushing and a steady place in the day work together. You will learn where the brush needs to reach, how to help your child take part, and what protects teeth between morning and night.

3.1 Brush twice a day the right way

Brushing has two jobs: remove the sticky film on teeth and put fluoride on them. The film is called plaque. Its bacteria use sugar to make acid, which weakens enamel, the hard outside of a tooth. Over time, decay can leave a hole called a cavity.

Get the brush ready

Use a small, soft toothbrush and fluoride toothpaste. Fluoride helps enamel resist decay. The American Dental Association recommends a rice-grain smear for children under three and a pea-sized amount at ages three to six. Put the paste on yourself; a full stripe is too much.

Brush twice daily, in the morning and before bed. The night brush is especially important because the mouth makes less saliva during sleep. Saliva helps clear food and acid.

Reach every tooth

Use gentle little circles along the gumline. Clean the outside, inside and chewing surfaces of the top and bottom teeth. About two minutes gives time to work around the mouth.

One way to organize this is to divide the mouth into four quarters. Spend about 30 seconds on each quarter, moving across all its surfaces. Four lots of 30 seconds make two minutes. Timing only the front teeth still leaves other teeth uncleaned.

Let your child take a turn, then finish the job yourself. At ages three to six, their hands cannot yet reach and clean every surface well. Keep helping or checking until at least about seven. Standing behind your child at a mirror can help you see the back teeth.

Finish gently

Teach your child to spit out extra toothpaste. Avoid a big water rinse, so fluoride stays on the teeth. Watch to prevent swallowing or eating paste, and store the tube out of reach.

Replace the brush every three to four months, sooner if its bristles fray. Hard scrubbing can hurt gums, so use gentle movements. Baby teeth help with chewing and speaking and hold spaces for adult teeth. Around six, new adult molars may appear behind them; reach those far-back teeth too.

Key Takeaways

  • Brush morning and night with fluoride toothpaste.
  • Use a pea-sized amount at ages three to six.
  • Clean every surface gently for about two minutes.
  • Give your child a turn and finish the cleaning.
  • Spit out extra paste; avoid a big water rinse.
  • Reach baby teeth and new back molars.

3.2 Make brushing a routine your child goes along with

A familiar place for brushing in the day can reduce arguments. Attach it to the same morning and bedtime steps, so your child knows when it happens.

Make a clear beginning

After pajamas and the toilet, point to a toothbrush picture: “First teeth, then a book.” Offer two choices that both lead to brushing, such as which brush to use or who takes the first turn. Asking whether your child wants to brush opens a needed care step to a yes-or-no choice.

Brush your own teeth where your child can see. You can also practice with a toy before taking a turn at the sink. Choose a two-minute song, sand timer or brushing timer to mark the time.

Walk through a reluctant evening

Tessa wants to choose her story before brushing. Her dad places two books beside the sink and says, “Choose a book, then we'll brush before reading.” She chooses, starts the timer and takes her turn. Dad gently finishes the surfaces she missed. He says, “You opened wide so I could reach the back.”

The book stays part of the bedtime order. Dad does not add candy for brushing or threaten a frightening dental visit. The useful praise names what Tessa did.

Adjust what feels uncomfortable

If your child closes their mouth, pause and try again calmly. Change position so you can see well and your child feels supported; some children prefer resting their head in a parent's lap. A milder-flavored fluoride toothpaste or a softer brush may help with taste and foam. Keep to the right toothpaste amount.

Clean back teeth slowly if the brush makes your child gag, allowing pauses to breathe comfortably. A difficult evening is a reason to offer gentle help and try again, not to drop the night brush from the routine.

Key Takeaways

  • Put brushing at the same points each day.
  • Offer a choice inside the brushing step.
  • Use a song or timer and model brushing.
  • Adjust discomfort calmly and praise cooperation.

3.3 Protect teeth between brushings

Teeth need care between brushings too. Both the amount of sugar and how often teeth meet it affect decay. Repeated sweet sips and bites keep giving plaque bacteria sugar to make acid.

Give teeth a break

Keep sweet foods small, occasional and with meals. Make water the drink between eating times. Sticky sweets and dried fruit can cling to teeth.

Imagine a child carrying a sweet drink around during an afternoon of play. Each return to the cup gives plaque bacteria more sugar. Moving the drink to one meal cuts down those repeated contacts; offering water afterward avoids more sugar. The amount still matters, so a large sweet drink is not made harmless by finishing it quickly.

After the night brush, offer only water until morning. Milk and juice leave sugar on the cleaned teeth. Sleeping with a bottle or cup of either is especially unhelpful when saliva flow is lower overnight.

Make dental visits familiar

Keep regular checkups at the interval your dentist recommends. Dental organizations advise a first visit by the first birthday. If your preschooler has not been, arrange a visit now.

Prepare with a book or a pretend dental visit. You can say, “The dentist will look at your teeth and count them.” At a visit, the dentist checks for early problems and may use fluoride varnish, a protective coating painted on teeth.

Watch while you help brush. Chalky white marks near the gums, dark spots, tooth pain or gum swelling are reasons to see the dentist soon. Decay in baby teeth can hurt, cause infection and make eating or sleeping difficult. Their adult replacements do not make these problems unimportant.

Key Takeaways

  • Limit both sugary amounts and repeated contacts.
  • Offer water between eating times and after the night brush.
  • Keep dental checkups and prepare positively.
  • Seek dental help for spots, pain or swelling.
4

Build a bedtime routine for good sleep

A good night starts with enough space for sleep and a familiar ending to the day. Work backward from waking, then choose calm steps you can repeat. Simple choices, a comfortable room and steady reassurance help you handle both ordinary extra requests and real worries.

4.1 Know how much sleep your child needs

Count sleep across the whole day: night sleep plus naps. The American Academy of Sleep Medicine recommends about 10 to 13 hours in 24 hours at ages three to five, and 9 to 12 hours at age six.

Plan backward from waking

Begin with the time your child needs to wake. Choose a sleep amount within their age range, then allow time for falling asleep. The bedtime routine comes before lights out; it is not part of sleep.

For example, Priya is five and wakes at 7:15 a.m. Her family plans for 11 hours of sleep. She needs to be asleep by 8:15 p.m. She usually takes 20 minutes to settle, so lights out is 7:55 p.m. A 25-minute routine starts at 7:30 p.m.

That gives 11 hours asleep, not 11 hours from the start of washing. If she also naps, include that actual sleep in the daily total.

Watch the daytime pattern

Enough sleep supports attention, memory, learning and feelings. A child short on sleep may be hard to wake, tearful in the afternoon or unusually wound up at night. Watch those signs alongside the hours; children within the same age band have different needs.

Many children stop napping between three and five. Replace the nap with quiet books or play, and bring bedtime earlier when needed. A late nap can make settling at night harder.

Keep the timing steady

Keep waking and bedtime similar each day, including weekends, ideally within about an hour. Morning daylight and outdoor play help set the body clock. Keeping a tired child up very late can make settling harder and does not reliably produce a later morning.

Talk with your child's doctor about loud snoring most nights, pauses in breathing, or sleep problems that continue despite a steady routine.

Key Takeaways

  • Count actual sleep, including naps.
  • Use the sleep range for your child’s age.
  • Allow separate time for settling and the bedtime routine.
  • Watch daytime tiredness and adjust after naps stop.
  • Keep waking and bedtime steady.

4.2 Set up a calm bedtime routine and sleep space

A bedtime routine is a short chain of calm steps ending in bed. Keep the same order each night, usually over about 20 to 30 minutes.

Choose a few steps you can repeat

A wash, pajamas, toilet, teeth, books and a cuddle can be enough. Put any food or milk before brushing, with only water afterward. A picture chart lets your child point to what comes next.

For example, Rafael's lights go out at 8:00 p.m. At 7:30, he washes and puts on pajamas. Next come the toilet and teeth. At 7:45 he chooses two short books. A cuddle and the same goodnight words finish the routine at 8:00. Falling asleep follows lights out.

Small choices let your child take part: “Striped pajamas or plain pajamas?” and “Which two books?” The steps stay the same even when the chosen book changes.

Start winding down earlier

Keep screens off for the hour before bed. In that hour, dim bright lights and choose drawing, puzzles or quiet building. Leave chase games and rough play for earlier. A child sitting quietly with a tablet is still using a screen; choose books or songs for winding down.

Help the room feel ready

Make the sleep space dark, quiet and comfortably cool. A dim night-light, a favorite soft toy or a steady soft sound can help. Keep TVs, phones and tablets outside the bedroom.

Finish with your child calm and awake, so falling asleep can become a familiar skill. Offer reassurance and a dependable goodnight. Keep bed a pleasant place for rest, without using bedtime as a punishment for a difficult day.

Key Takeaways

  • Use the same calm bedtime order.
  • Finish food and milk before brushing.
  • Keep the hour before bed screen-free.
  • Make the sleep space quiet, dark and comfortable.
  • Offer small choices and a reassuring goodnight.

4.3 Handle common bedtime struggles calmly

Bedtime can bring extra requests and real worries. A calm ending works best when the routine already includes ordinary needs, and your child knows you will respond to fear or discomfort.

Plan for ordinary requests

Include water, the toilet and a final hug before goodnight. Choose a set number of books. Some families give one bedtime pass, a card exchanged for one extra ordinary request. Explain it before bedtime.

If your child comes out again after those needs are met, walk them back quietly. Use a short phrase such as “It's sleep time.” A long conversation or another game can make getting up more rewarding.

For example, June keeps asking for another story. Her parent names the final book before reading it, then says goodnight. When June asks again, the answer stays calm and brief. Adding a third book after many requests would teach her that asking longer changes the ending.

Take fear seriously

If your child is afraid, listen and comfort them. Offer a dim light or a familiar toy. If you promise to peek in after five minutes, return when you said you would. A bedtime pass does not limit help for fear, illness or pain.

After a nightmare, your child is awake and needs comfort. A night terror is different: the child may scream or thrash while not fully awake and usually remembers nothing later. Stay nearby, protect them from injury and do not try to wake them.

Keep familiar steps through changes

A move, a new baby or starting school may unsettle sleep. Keep the bedtime order familiar. If bedtime needs to change, shift it about 15 minutes every few days. Notice a successful step the next morning: “You went back to bed after your hug.”

Key Takeaways

  • Include water, toilet and a final hug before goodnight.
  • Return your child calmly after ordinary extra requests.
  • Comfort fears and keep promised check-ins.
  • Respond differently to nightmares and night terrors.
  • Shift bedtime gradually through changes.
5

Balance screen time with active play

Screens share the day with meals, sleep, conversation and movement. A family plan helps you choose when a show fits and when it ends. Alongside it, make room for light movement and energetic play, using the guidance for your child’s age.

5.1 Set screen limits that fit young children

Screen limits make room for talking, reading, movement and sleep. Count time on TVs, phones, tablets, computers and game consoles together.

Know which age band you are using

The World Health Organization advises no more than one hour of seated screen time daily at ages three to four; less is better. “Seated” screen time means watching or using screens while sitting still.

For school-age children from about five, Canadian and Australian guidance uses a ceiling of two hours of recreational screen time daily. Recreational means screens for leisure. That ceiling is not a daily amount to fill.

Educational apps still use screen time. Include them when you plan a young child's day. A label does not create extra time for screens.

Make a small family plan

Write down when, where, what and how long. Use pictures your child can follow, and share the same plan with other caregivers. Keep meals, bedrooms and the hour before bed screen-free. Turn off background TV when nobody is watching.

For example, a four-year-old watches a 15-minute story and later uses a drawing app for 25 minutes. The total is 40 minutes across both devices. If lights out is 8:15 p.m., screens stop by 7:15 p.m. A daily total below the ceiling still needs to fit around meals and bedtime.

Show the habit yourself

Put your phone away while you eat or play together. When you need it briefly, explain: “I'm finding the address, then my phone goes away.” Keep other ways to settle nearby, such as a cuddle, a book or a quiet corner, so a screen is not the only way the day slows down.

Key Takeaways

  • Count screen use across devices.
  • WHO’s seated-screen ceiling is one hour at ages three to four.
  • School-age recreational limits need their national attribution.
  • Keep meals, bedrooms and the hour before bed screen-free.
  • Share a family plan and model it yourself.

5.2 Make screen time better and end it smoothly

Choose what your child will watch before turning on the device. Calm stories with clear speech and few scene changes are easier to follow than a fast stream of short clips.

Watch and talk together

Pick age-appropriate content without a stream of ads. Social media is not designed for young children. Sit together when you can and connect the story with real life: “They're making a nest. Have we seen a bird carrying twigs?”

Parental controls help you manage access. Turn off autoplay, which starts another episode without a fresh choice. Keep devices in shared rooms. A screen-free bedroom is easier to maintain when the device has a home elsewhere.

Work through an ending

Before starting, choose one episode that fits the available time. Say, “One story, then we'll water the plants.” Put the watering can ready and set a visual timer.

As the episode nears its end, remind your child what follows. At the ending, help them press stop and move toward the next activity. If they protest, acknowledge the feeling: “You wanted more. It's time for the plants.” Keep the agreed ending.

Choosing a natural stopping point beforehand avoids cutting a story halfway through. Letting autoplay keep running while you decide what comes next makes the limit harder to hold.

Look beyond the label

An app called “educational” still counts as screen time. Notice whether your child can understand it and share it with you. Hands-on play, conversation and real objects give young children many ways to learn.

Stay involved if your family uses smart speakers, AI chatbots or talking AI toys. Do not leave your young child alone with them; a child-friendly label does not replace adult involvement.

Key Takeaways

  • Choose calm content and watch together.
  • Turn off autoplay and use shared rooms.
  • Agree an endpoint and prepare the next activity.
  • Keep the ending calm when your child protests.
  • Stay involved with AI toys and chatbots.

5.3 Keep your child moving every day

Movement belongs throughout a young child's day. Walking and standing play are light activity. Energetic play makes your child warm and breathe faster: running, dancing, climbing and jumping all count.

Put the age bands in order

WHO recommends at least 180 active minutes daily for ages three to four, including at least 60 energetic minutes. The energetic minutes are part of the 180, not an extra hour.

From age five, WHO recommends an average of at least 60 minutes of moderate-to-vigorous activity daily across the week. Include vigorous play and muscle- and bone-strengthening activity on at least three days a week. Fast chase games can be vigorous; climbing and jumping help muscles and bones.

Look at a day in pieces

Suppose a four-year-old has 45 minutes of walking, 35 minutes of garden helping, 40 minutes of standing play and 60 minutes of energetic outdoor games. Adding those blocks gives 180 active minutes. The games provide the included 60 energetic minutes.

The total and the energetic part tell you different things. A long gentle walk adds activity but does not automatically provide faster-breathing play. Preschool may provide some of each; ask about the day before planning what comes next at home.

Make room without booking a class

Walk a short trip, dance to music, play chase or visit a playground. Free play counts. Outdoor space invites bigger movements, and morning daylight supports the sleep routine too.

Break up long sitting with a short movement game: “Let's reach high, then crawl to the door.” WHO advises that young children are not restrained in a stroller or seat for more than an hour at a time. Plan safe stops on a long journey; keep the car seat fastened while traveling. Quiet books still have a place, with chances to move between sitting activities.

Key Takeaways

  • Count everyday movement as well as energetic play.
  • At three to four, include 60 energetic minutes within 180 active minutes.
  • From five, use WHO’s weekly-average activity guidance.
  • Include vigorous, climbing and jumping play each week.
  • Break up long sitting with safe movement breaks.
6

Help your child understand and own healthy habits

Your child can learn both the steps of a habit and a simple reason for doing it. Short explanations, pictures and small choices make routines easier to follow. You will practice naming effort, sharing the plan with other adults, and handing over manageable steps while staying ready to help.

6.1 Explain why habits matter in simple words

Your child can understand a habit through a short reason about daily life. Use one or two simple sentences, then let the routine happen. Long explanations are hard to hold onto when a child is tired or busy playing.

Give a reason they can picture

Choose words your child can use again:

  • Food: “Different foods help you grow and give you energy to play.”
  • Teeth: “Brushing cleans away sticky germs that can make holes.”
  • Sleep: “Your body grows while you sleep. Your brain saves today's learning.”
  • Screens: “Your show is finished. Now there's time to move and play.”
  • Active play: “Running and climbing help your heart and muscles get strong.”

Talk about everyday and sometimes foods without making body size the reason to eat. “Cake is for sometimes” is enough; food does not need a warning about getting fat.

Let your child explain

At a relaxed moment, ask, “Why do we clean our teeth?” Listen for the idea, not an exact sentence. “To clean off the germs” shows useful understanding. You can add, “Yes, so they don't make holes.”

Pretend play makes this easy. Let your child help a toy get ready for bed or explain a pretend meal. You will hear which parts make sense and which need a simpler explanation.

Match the words with your actions

For example, your child asks why the TV goes off before bedtime. You say, “Quiet time helps your brain get ready for sleep.” Put your own phone away and sit down with the book. The reason and your action point in the same direction.

Avoid frightening claims about teeth falling out or screens ruining brains. A true, positive reason tells your child what the habit helps them do.

Key Takeaways

  • Give one short reason about daily life.
  • Use positive words without body-size warnings.
  • Let your child explain the idea in their own words.
  • Match your own actions to the habit.

6.2 Use charts, choices and praise to make routines stick

A routine becomes easier when your child can see the next step and take part. Start with one habit your family wants to improve, and work on it for a week or two before adding another.

Make the steps visible

Use pictures or photos in order. A morning chart and a bedtime chart keep each sequence short. Your child can point, move a clip or turn over a picture after a step. Stay nearby to help with care that still needs adult hands, such as thorough brushing.

A “first–then” sentence links two steps: “First pajamas, then a story.” Say it calmly and follow that order. Offer two choices you can accept, such as which pajamas or which book. Asking whether bedtime should happen gives away the decision you need to hold.

Build a small plan

For example, your child keeps forgetting to put the tablet away. Make three pictures: tablet on its shelf, shoes on, outdoor play. Show them before the screen session. At the ending, point to the shelf picture and let your child carry the tablet there. Say, “You put it away when the story ended.”

That praise tells your child which action helped. “Good job” is friendly but does not name the step to repeat.

Keep support steady

A sticker can mark a new routine step for a few weeks. Use praise, stickers or shared time, without sweets as prizes. As the step becomes familiar, use fewer stickers and keep noticing the effort.

Share the pictures and words with grandparents, babysitters and other caregivers. Ask about school or preschool routines so home can echo familiar steps. After a trip or sick day, return to the usual pattern. Keep anchors such as twice-daily brushing and the bedtime order while the rest of the day settles.

Key Takeaways

  • Practice one new habit at a time.
  • Show steps with pictures in order.
  • Use first–then words and two acceptable choices.
  • Name the action when you praise.
  • Fade stickers as the habit settles.
  • Share the routine with other caregivers.

Healthy Habits for Food, Teeth, Sleep and Screens examples

6 Walkthroughs

1

Plan a calmer day of eating

12 steps
Work through eating times, shared feeding jobs and practical food choices.
  1. 1
    IntroductionStart with familiar eating times

    Calm meals start with a plan your child can recognize. We will build an eating pattern with space between eating times so your child arrives hungry, decide what happens when appetite is small (who decides what and how much), and choose a useful snack. Keep your own family’s waking and meal times in mind as you follow the steps.

  2. 2
    ExplanationLeave space between eating times

    Plan three meals and two or three snacks, about two to three hours apart. Food has a clear time, with water available between. Constant little bites and milk sips can leave your child less hungry when the family sits down.

  3. 3
    ExampleFind the long morning gap

    Ellis eats breakfast at 7:45 a.m. and lunch at 12:15 p.m. That is four and a half hours without a planned eating time. His parent chooses a midmorning snack at 10:00 a.m., halfway through that gap.

  4. 4
    ExamplePut the snack into the routine

    From breakfast to snack is two hours and fifteen minutes. From snack to lunch is another two hours and fifteen minutes. At snack time, Ellis sits to eat. Afterward, the food is put away and his water stays within reach.

  5. 5
    ChallengeWhat changes on a later morning?

    Tomorrow lunch is later than usual. Would you keep snacks unplanned until your child asks repeatedly, or place a snack in the longer gap?

    ---reveal---

    Place a planned snack in the gap. Tell your child when it comes and serve it sitting down, so repeated nibbling does not take over the morning.

  6. 6
    ExplanationShare the jobs at the table

    You decide what food is offered, when and where. Include a familiar food in the family meal. Your child decides whether to eat and how much. Small portions and the chance for more let appetite guide the amount.

  7. 7
    ExampleLet a small meal end

    At lunch, Ellis eats a little chicken and some potato, then turns away. His parent asks whether he is finished. Ellis says yes. The plate is cleared calmly, without a final-bite bargain, and the parent names the next planned snack time.

  8. 8
    ChallengeWho chooses the amount?

    Your child eats the familiar part of dinner and says they are full. Should a parent ask for more bites of the unfamiliar dish before allowing them to stop?

    ---reveal---

    No. You have offered the meal; your child decides the amount. Asking for more bites overrides the fullness signal. Offer the unfamiliar food again at another meal.

  9. 9
    ExplanationMake a snack a mini-meal

    Pair produce with something filling. Soft fruit with plain yogurt or bread with hummus can fit. Water is the usual drink between eating times; plain milk can come with meals. A snack gives food a place without making it a reward.

  10. 10
    TipPrepare food for the child eating it

    Hard and round foods need care. Quarter grapes lengthwise, soften or grate hard vegetables, and grate or very thinly slice apple. Avoid whole nuts, popcorn and hard candy under about five. Have your child sit while eating with adult supervision.

  11. 11
    ChallengeBring the plan together

    A child grazes on fruit gummies after lunch, then refuses dinner. How could you change the afternoon while keeping a chance to eat?

    ---reveal---

    Set one afternoon snack time with produce and a filling food, then offer water between snack and dinner. Keep gummies occasional and with a meal. At dinner, include a familiar food and let your child choose how much.

  12. 12
    RecapChoose a first change

    Look at the longest gap in your family’s eating day. Place a snack there, prepare the food and name the time for your child. At the table, let the amount remain their decision.

2

Make a new food feel familiar

10 steps
Follow a child from an unfamiliar food to a small pressure-free step.

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  1. 1
    IntroductionMeet a new food gently
  2. 2
    ExplanationUnderstand the hesitation
  3. 3
    Key InsightMany meetings can come before acceptance
  4. 4
    ChallengeRead the refusal fairly
  5. 5
    ExampleKeep something familiar
  6. 6
    ExampleLet the first meeting be small
  7. 7
    TipMake the next meeting ordinary
  8. 8
    ChallengeKeep the change manageable
  9. 9
    ChallengeWhat counts as progress today?
  10. 10
    RecapPrepare one small meeting
3

Brush the whole mouth and protect teeth

13 steps
Work through a thorough brush, a willing routine and the time between brushes.

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  1. 1
    IntroductionBuild morning and night care
  2. 2
    ExplanationKnow the two jobs
  3. 3
    ExampleGet ready for a four-year-old
  4. 4
    ExampleTravel around the mouth
  5. 5
    TipCheck the places a child can miss
  6. 6
    ChallengeHas the brush done the whole job?
  7. 7
    ExplanationGive brushing a familiar place
  8. 8
    ChallengeA choice that still leads to brushing
  9. 9
    ExplanationGive teeth time without sugar
  10. 10
    ExamplePlace the last drink before brushing
  11. 11
    TipMake checkups part of care
  12. 12
    ChallengeFix the evening order
  13. 13
    RecapCheck tonight’s route
4

Work backward to a calmer bedtime

13 steps
Plan actual sleep, place the bedtime steps and respond to requests and fears.

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  1. 1
    IntroductionBegin with waking time
  2. 2
    ExplanationCount sleep across 24 hours
  3. 3
    ExampleChoose the time to be asleep
  4. 4
    ExampleAllow the steps before sleep
  5. 5
    ChallengeWhat if the nap disappears?
  6. 6
    ExplanationGive the evening a known order
  7. 7
    ExampleSet the room and the screen boundary
  8. 8
    ChallengeA quiet screen is still a screen
  9. 9
    TipMeet ordinary needs before goodnight
  10. 10
    ConnectionComfort belongs inside a steady ending
  11. 11
    ChallengeRecognize the night event
  12. 12
    ChallengePlan through a change
  13. 13
    RecapWrite three times
5

Make room for play around screens

15 steps
Count screen time, plan an ending and build activity through the day.

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  1. 1
    IntroductionPlan screens and movement
  2. 2
    ExplanationRead the screen guidance by age
  3. 3
    ExampleCombine the devices
  4. 4
    TipMark times screens stay away
  5. 5
    ChallengeDoes a short session fit everywhere?
  6. 6
    ExplanationPick the content before starting
  7. 7
    ExamplePrepare the ending first
  8. 8
    ExampleMove into the next activity
  9. 9
    ChallengeWhat changes the next ending?
  10. 10
    ExplanationSeparate light and energetic movement
  11. 11
    ExampleAdd a four-year-old’s active blocks
  12. 12
    ExampleCheck the energetic part too
  13. 13
    ConnectionKeep play growing with age
  14. 14
    ChallengeBalance the next part of the day
  15. 15
    RecapPrepare a place for the device
6

Help your child follow a routine

9 steps
Give a short reason, show the steps and build practice with choices and praise.

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  1. 1
    IntroductionChoose a habit to practice
  2. 2
    ExplanationGive a reason about daily life
  3. 3
    ExampleHear the idea in a child’s words
  4. 4
    ChallengeMatch the words and the action
  5. 5
    ExampleChoose one routine to practice
  6. 6
    ExampleAdd a choice and useful praise
  7. 7
    TipLet rewards shrink as practice grows
  8. 8
    ChallengeHand over a step without losing help
  9. 9
    RecapMake tomorrow’s first step clear

Healthy Habits for Food, Teeth, Sleep and Screens practice questions

50 Practice Questions in 5 sets

Set 1: Everyday choices at home10 Practice Questions

Question 1 of 10

What drink should you leave available between planned eating times?
  1. Plain milk
  2. Water
  3. Diluted fruit juice
  4. Sweetened fruit tea
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Answer: B
Water meets thirst without adding food or sugar between eating times. Milk can fit with meals, but sipping it through the afternoon can reduce appetite for the next meal.

Question 2 of 10

Your child slows down and says, “My tummy is full.” What should you do?
  1. Ask for two final bites.
  2. Offer a dessert reward.
  3. Praise a clean plate.
  4. Let eating end calmly.
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Answer: D
Saying they are full is a signal to respect. Asking for a few final bites still pressures your child to eat beyond that signal, even when the request sounds small.

Question 3 of 10

A parent uses a large stripe of fluoride paste and only swipes the brush briefly over the front teeth. What should change?
  1. Use a pea-sized amount and gently clean every surface.
  2. Use a larger stripe at night and skip morning brushing.
  3. Use the stripe twice daily and keep the quick front swipe.
  4. Use a pea-sized amount, then just rinse the back teeth.
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Answer: A
The small toothpaste amount provides fluoride, while gentle cleaning needs to reach every tooth surface. Extra paste cannot replace that cleaning; a large stripe is also too much for a preschooler.

Question 4 of 10

At lunch, your child smells a tiny piece of unfamiliar melon and leaves it. What is a useful next step?
  1. Ask for a bite before clearing up.
  2. Sneak melon into the next serving.
  3. Offer a tiny piece on another day.
  4. Serve only melon for the next lunch.
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Answer: C
Smelling is a step in becoming familiar with food, and another small offer gives more experience. Requiring a bite before the plate is cleared turns an open offer into pressure.

Question 5 of 10

Your child is four. What amount of fluoride toothpaste does ADA recommend?
  1. A rice-grain smear
  2. A pea-sized amount
  3. A stripe across the brush
  4. Half the length of the brush
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Answer: B
ADA recommends a pea-sized amount from ages three to six. A rice-grain smear belongs to the under-three age band; a young-looking four-year-old still falls in the older band.

Question 6 of 10

Your child wants control over brushing. What question gives a useful choice?
  1. “Which brush would you like?”
  2. “Will you brush your teeth?”
  3. “Can we skip brushing tonight?”
  4. “A story instead of brushing?”
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Answer: A
Choosing the brush gives your child a real decision while keeping brushing in the routine. Asking whether to brush lets the needed care step become a yes-or-no choice.

Question 7 of 10

A three-year-old sleeps 9 hours at night and naps for 1½ hours. How much actual sleep is that in 24 hours?
  1. 9 hours
  2. 9½ hours
  3. 11½ hours
  4. 10½ hours
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Answer: D
Night sleep and naps both count, giving 10½ hours in total. Counting only the nine night hours leaves out real sleep during the nap and understates the daily total.

Question 8 of 10

What should you offer to drink after the bedtime toothbrushing?
  1. Plain milk
  2. Water
  3. A little juice
  4. Warm flavored milk
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Answer: B
After the night brush, offer only water until morning. Plain milk is a useful meal drink, but after brushing it leaves sugar on teeth when saliva will be lower during sleep.

Question 9 of 10

A four-year-old uses a letter app for 18 minutes and watches cartoons for 27 minutes. What counts toward the seated-screen total?
  1. Only the 27 cartoon minutes
  2. Only the 18 app minutes
  3. All 45 minutes
  4. The longer session: 27 minutes
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Answer: C
Both the app and cartoons use a screen, so the total is 45 minutes. An educational label does not remove app time from the daily count.

Question 10 of 10

Two caregivers want to improve mornings. The child cannot read, needs help brushing, and forgets the order. What plan fits all three needs?
  1. Share a picture chart; let the child mark steps and an adult finish brushing.
  2. Share a written checklist; let the child mark steps and brush without a check.
  3. Use separate picture charts in different orders; let an adult finish brushing.
  4. Share a picture chart; give a sticker only when every task is done alone.
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Answer: A
Pictures make the order visible before reading, and sharing the order keeps it familiar across caregivers. Following a chart does not yet mean a young child can clean every tooth, so rewarding only fully independent care asks too much.
Set 2: Notice what needs changing10 Practice Questions

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Question 1 of 10

A snack packet has fruit pictures and cartoon characters. How should that affect your snack choice?
  1. Count it as a fruit snack because the packet shows fruit.
  2. Use the cartoon as evidence that it suits preschoolers daily.
  3. Check the food inside before calling it an everyday snack.
  4. Treat the child-sized packet as enough evidence of a balanced snack.
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Question 2 of 10

What sleep range does AASM recommend for a six-year-old?
  1. 9 to 12 hours in 24 hours.
  2. 10 to 13 hours in 24 hours.
  3. 7 to 9 hours in 24 hours.
  4. 12 to 15 hours in 24 hours.
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Question 3 of 10

Your child has wanted the same breakfast for several days. How can you respond to this food jag?
  1. Remove it until a new breakfast is eaten.
  2. Serve it as the only food at every meal.
  3. Label the child picky to explain the pattern.
  4. Keep it alongside offers of other foods.
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Question 4 of 10

Your five-year-old happily brushes only the teeth visible in the mirror. What help is needed?
  1. Let confidence replace your final check.
  2. Finish all surfaces, including back teeth.
  3. Add more paste to the visible front teeth.
  4. Extend front-tooth brushing by a minute.
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Question 5 of 10

Why are baby teeth worth protecting from decay?
  1. They need care only after adult teeth appear.
  2. They cannot develop painful holes before falling out.
  3. Their only role is making the smile look complete.
  4. Decay can hurt and disrupt eating and sleep.
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Question 6 of 10

Harper, six, wakes at 6:50 a.m. The family plans 10 hours asleep, 10 minutes to settle, and a 20-minute routine. When should the routine begin?
  1. 8:20 p.m.
  2. 8:40 p.m.
  3. 8:50 p.m.
  4. 9:20 p.m.
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Question 7 of 10

A child is frightened after waking from a remembered bad dream. What response fits?
  1. Avoid waking them because this is a night terror.
  2. Remove the bedtime pass because they called out.
  3. Comfort the awake child and help them settle.
  4. Begin a long daytime-style conversation and game.
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Question 8 of 10

One episode was agreed, but another starts automatically. What device setting should you change next time?
  1. Turn autoplay off.
  2. Turn the volume down.
  3. Make the screen dimmer.
  4. Choose a longer episode.
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Question 9 of 10

A four-year-old has 150 active minutes, including 40 energetic minutes. What smallest addition meets both WHO activity amounts for that day?
  1. 20 energetic minutes, with no other movement
  2. 30 active minutes, including 20 energetic
  3. 30 gentle minutes, with no energetic play
  4. 10 energetic minutes and 10 gentle minutes
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Question 10 of 10

What is a useful short reason for a preschooler to brush?
  1. “Brushing is how you prove you are a good child.”
  2. “Brushing will make all your baby teeth stay forever.”
  3. “Brushing matters only when a tooth already hurts.”
  4. “Brushing cleans away germs that can make holes.”
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Set 3: Fit the habits into a day10 Practice Questions

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Question 1 of 10

A child eats breakfast at 7:00 a.m. and lunch at noon. Where would a planned snack fit the usual spacing?
  1. 8:00 a.m.
  2. 11:30 a.m.
  3. 12:30 p.m.
  4. 9:30 a.m.
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Question 2 of 10

You are packing a snack of soft peach slices. What addition makes it more filling?
  1. Another peach
  2. A small fruit juice
  3. Plain yogurt
  4. A sweetened fruit drink
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Question 3 of 10

Your child eats plain rice but worries about unfamiliar sauces. What is a manageable first offer?
  1. Rice with a tiny sauce portion beside it.
  2. Rice covered completely with the new sauce.
  3. Only sauce, with rice after the first taste.
  4. Rice with sauce hidden in every spoonful.
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Question 4 of 10

What is plaque?
  1. The hard outside layer of a tooth.
  2. A sticky film of bacteria on teeth.
  3. A new adult tooth behind baby teeth.
  4. A protective coating painted by a dentist.
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Question 5 of 10

The same small sweet portion is eaten with lunch one day and nibbled across an afternoon another day. What changes for teeth?
  1. The afternoon brings repeated sugar contacts.
  2. The lunch portion contains no sugar anymore.
  3. The afternoon changes the amount of sugar eaten.
  4. The lunch portion makes brushing unnecessary.
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Question 6 of 10

Lights out is at 7:50 p.m. A parent plans a 25-minute routine and wants a 20-minute cartoon earlier in the evening. What is the latest the cartoon can begin while keeping the hour before bed screen-free?
  1. 6:50 p.m.
  2. 7:05 p.m.
  3. 6:30 p.m.
  4. 7:25 p.m.
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Question 7 of 10

A four-year-old is active for 190 minutes, but only 35 minutes are energetic. What still needs attention under WHO guidance?
  1. Add at least 25 gentle minutes.
  2. Remove 10 active minutes from the day.
  3. Keep the day unchanged because 190 is enough.
  4. Add at least 25 energetic minutes.
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Question 8 of 10

A three-year-old has used screens for 52 minutes. A caregiver proposes a 15-minute game ending 35 minutes before bed. What plan meets both the daily ceiling and bedtime rule?
  1. Shorten the game to eight minutes at the same time.
  2. Save the game for another day and choose a book.
  3. Move the full game earlier and keep all 15 minutes.
  4. Play for eight minutes now, then seven at bedtime.
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Question 9 of 10

What is a sign that play is energetic?
  1. Your child is standing at a drawing table.
  2. Your child is quietly watching a dance video.
  3. Your child is warm and breathing faster.
  4. Your child is slowly sorting toys on the floor.
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Question 10 of 10

A child follows a picture chart at home but uses a different order at a grandparent’s house. Stickers are also still needed for every familiar step. What adjustment supports the next stage?
  1. Share one order and gradually reduce stickers for steady steps.
  2. Remove both charts and keep stickers for every step indefinitely.
  3. Share one order and add sweets whenever a step is completed.
  4. Keep separate orders and require all care tasks without adult help.
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Set 4: Solve a routine problem10 Practice Questions

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Question 1 of 10

A child refuses the casserole but eats the bread served beside it. How can the parent keep the shared feeding jobs?
  1. Let the child finish without making another meal.
  2. Replace the casserole with a requested dinner.
  3. Withhold the bread until casserole is tasted.
  4. Require equal bites of bread and casserole.
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Question 2 of 10

A four-year-old wakes at 7:20 a.m. and the family plans 11½ hours asleep with no nap. Settling takes 20 minutes and the routine takes 25 minutes. When should the routine start?
  1. 7:25 p.m.
  2. 7:05 p.m.
  3. 7:50 p.m.
  4. 8:35 p.m.
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Question 3 of 10

What does food neophobia mean?
  1. A phase of one favorite food.
  2. Fullness after a family meal.
  3. A choice to stop serving greens.
  4. Wariness of unfamiliar food.
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Question 4 of 10

A child likes separate foods but refuses mixed dishes. A parent blends vegetables secretly and promises dessert for finishing. What change would support learning to accept the visible vegetable?
  1. Keep the ingredient secret and increase it until the flavor changes.
  2. Name the ingredient and keep dessert dependent on a finished plate.
  3. Name the ingredient and offer a tiny visible piece beside familiar food.
  4. Serve only the visible vegetable until the child chooses to taste.
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Question 5 of 10

Mint flavor makes brushing unpleasant for your child. Which adjustment keeps the key brushing care?
  1. Use more mint paste so the taste becomes familiar faster.
  2. Try a milder fluoride paste in the age-appropriate amount.
  3. Skip the night brush and keep only the morning brush.
  4. Switch to water alone as the regular brushing plan.
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Question 6 of 10

A five-year-old sleeps 8:40 p.m.–6:40 a.m. and naps 30 minutes. Their nap stops, and the family wants the same total sleep. With 15 minutes settling, when should lights go out?
  1. 8:10 p.m.
  2. 8:25 p.m.
  3. 8:40 p.m.
  4. 7:55 p.m.
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Question 7 of 10

After ordinary needs are met, a child repeatedly asks for a third book. The parent gives in after the sixth request each night. What may this teach?
  1. Repeated asking can change the ending.
  2. The child needs six books every night.
  3. Extra requests signal a night terror.
  4. Routines cannot work for this child.
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Question 8 of 10

A parent and child watch a story about a market. What makes the viewing more useful?
  1. Replay it silently while the parent checks messages.
  2. Let short clips autoplay to add more examples quickly.
  3. Talk about foods they also see at their own store.
  4. Choose an app labeled educational instead of talking.
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Question 9 of 10

A six-year-old meets the weekly-average energetic activity amount through brisk walking but has no vigorous or strengthening play. What addition fits WHO guidance?
  1. Add gentle walks on three days and leave the rest unchanged.
  2. Add vigorous play and climbing or jumping on at least three days.
  3. Add one very long vigorous session at the end of each month.
  4. Replace all walking with seated balance games on three days.
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Question 10 of 10

Your child explains brushing as “getting the sticky germs off.” How should you respond?
  1. Accept the meaning and add a short detail if needed.
  2. Require the exact adult sentence before moving on.
  3. Start a long lesson on every part of a tooth.
  4. Correct them because only the word plaque is acceptable.
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Set 5: Plan through changes and busy days10 Practice Questions

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Question 1 of 10

Breakfast is at 8:30 a.m., an outing runs from 9:30 to 11:30, and lunch is at 1:00 p.m. How can you avoid grazing and keep the usual spacing?
  1. Carry crackers to nibble all outing long.
  2. Pack one seated snack for about 10:45 a.m.
  3. Offer milk sips all outing, with no snack.
  4. Wait for lunch, then give a favorite snack.
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Question 2 of 10

A child helps rinse a new vegetable, then chooses only to touch it at lunch. What should the parent do?
  1. Require a bite because helping creates an obligation.
  2. Stop offering it because the preparation did not work.
  3. Let that be the step today and offer it again.
  4. Use dessert to reward swallowing a large portion.
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Question 3 of 10

A six-year-old brushes for two minutes with a large stripe of paste but misses newly appearing teeth behind the baby teeth. What should the adult change?
  1. Use a pea-sized amount and finish all surfaces of the new back teeth.
  2. Keep the stripe and spend the two minutes only on the new back teeth.
  3. Use a rice-grain smear and leave new teeth until they are fully grown.
  4. Use a pea-sized amount and let the child’s timer replace adult checking.
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Question 4 of 10

Under WHO guidance, what is the daily seated-screen ceiling for a three-year-old?
  1. Two hours, with less being better.
  2. Three hours, including background TV.
  3. One hour on each device used.
  4. One hour, with less being better.
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Question 5 of 10

A child brushes and then drinks milk in bed. What change keeps both milk and tooth care in the evening?
  1. Move milk before brushing and offer water afterward.
  2. Keep milk after brushing but serve it in an open cup.
  3. Add a morning brush and keep the same night order.
  4. Dilute the bedtime milk and leave brushing first.
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Question 6 of 10

A six-year-old goes to bed at 9:10 p.m., takes 25 minutes to fall asleep and wakes at 6:05 a.m., with no nap. What does comparison with AASM’s range show?
  1. 8 hours 55 minutes asleep, within range.
  2. 8½ hours asleep, below the age-six range.
  3. 9 hours 20 minutes asleep, within age range.
  4. 10½ hours asleep, below the age-six range.
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Question 7 of 10

A child delays bedtime by choosing from a large pile of books each night. What small change preserves choice and a clear ending?
  1. Add one more book after each new request.
  2. Skip books entirely whenever choosing takes time.
  3. Change the number of books according to protests.
  4. Offer two books and keep the same final goodnight.
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Question 8 of 10

A babysitter counts only television, leaves the TV playing during dinner and offers a tablet afterward. What family-plan change addresses the linked problems?
  1. Count only the longest device session and mute TV during meals.
  2. Count television and leave app time outside the total for learning.
  3. Count devices together and keep every screen away from meals.
  4. Count devices separately and allow background TV when nobody watches.
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Question 9 of 10

A short show ends at the agreed time, but your child protests. The next activity is ready. What response keeps the plan?
  1. Name the disappointment and move to the next activity.
  2. Allow another episode whenever the protest continues.
  3. Restart the show quietly while discussing the limit.
  4. Promise sweets if the child stops being upset.
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Question 10 of 10

After travel, brushing still needs adult help and the morning order is unsettled. The family wants to restore mornings and change snacks and bedtime too. Where should they start?
  1. Require all morning steps alone, then change snacks and bedtime on the same day.
  2. Restore one familiar picture routine with adult brushing help before adding more changes.
  3. Stop the familiar chart and wait for the child to organize all three routines.
  4. Keep the chart but reward brushing only when the adult no longer needs to check.
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Stuck on your own question? Homework Help

Key Terms

67 Key Terms, each with its definition

A

Autoplay
Autoplay is a device feature that starts another video or episode automatically.
Turn autoplay off before the chosen show begins.

B

Bedtime pass
A bedtime pass is a card exchanged for one extra ordinary request after goodnight.
A child may use a bedtime pass for one more quick hug.
Bedtime routine
A bedtime routine is the same short set of calm steps before sleep each night.
A wash, teeth and books form a simple bedtime routine.
Body clock
The body clock is the body's daily timing pattern for feeling awake and sleepy.
Steady wake-up times and morning daylight help the body clock.
Brushing timer
A brushing timer marks about two minutes while you clean your child's teeth.
A brushing timer runs while you move across all tooth surfaces.

C

Cavity
A cavity is a hole in a tooth caused by decay.
A cavity in a baby tooth can hurt and needs dental care.
Choice within a rule
A choice within a rule offers two acceptable ways to complete a step that still needs to happen.
Letting your child pick a blue brush or an orange brush is a choice within a rule.
Choking risk
A choking risk is something that could block breathing if it gets stuck in the airway.
A whole grape is a choking risk, so cut it lengthwise into quarters.
Comfort object
A comfort object is a familiar item, such as a soft toy, that helps your child feel secure.
A favorite bear can be a comfort object at bedtime.

D

Dental checkup
A dental checkup is a visit where a dentist examines teeth and gums for problems.
A picture book can help your child prepare for a dental checkup.
Division of responsibility
The division of responsibility means you choose what, when and where; your child chooses whether and how much.
The division of responsibility lets a child stop when full.

E

Enamel
Enamel is the hard outer layer of a tooth that can be weakened by acid.
Fluoride helps protect enamel against decay.
Energetic play
Energetic play is moderate-to-vigorous activity that makes your child warm and breathe faster.
Lively dancing can provide energetic play indoors.
Everyday foods
Everyday foods are the varied foods you offer most days to help your child grow and play.
Beans, rice and vegetables are everyday foods in many families.
Explain in your own words
To explain in your own words is to show the meaning without repeating a sentence exactly.
Ask your child to explain in their own words why brushing helps teeth.

F

Family media plan
A family media plan is an agreed set of rules about when, where, what and how long screens are used.
Share the family media plan with anyone caring for your child.
First–then statement
A first–then statement names a step to do now and the step that follows it.
“First pajamas, then a book” is a first–then statement.
Fluoride
Fluoride is a mineral that helps strengthen tooth enamel and prevent decay.
A small amount of fluoride toothpaste protects teeth during daily brushing.
Fluoride varnish
Fluoride varnish is a protective coating a dentist may paint onto teeth to help prevent decay.
The dentist may apply fluoride varnish during a checkup.
Food exploration
Food exploration means getting to know food through looking, touching, smelling or tasting.
Washing a vegetable lets your child begin food exploration before dinner.
Food jag
A food jag is a period when a child wants the same food again and again.
During a food jag, offer other foods alongside the favorite.
Food neophobia
Food neophobia is wariness of foods a child has not eaten before.
Food neophobia can make an unfamiliar smell enough to delay a taste.
Fullness signals
Fullness signals are signs that your child has had enough, such as slowing down or turning away.
Pushing the plate back can be a fullness signal.

G

Grazing
Grazing means nibbling food or sipping food drinks on and off through the day.
Crackers carried around all afternoon are one form of grazing.
Gumline
The gumline is the edge where the gums meet the teeth.
Move the brush gently along the gumline to remove plaque.

H

Hunger signals
Hunger signals are signs that your child is ready to eat, such as asking for food or eating eagerly.
Coming to the table eagerly can be one of your child's hunger signals.

L

Light activity
Light activity is gentle movement that does not make your child breathe much faster.
A relaxed walk can count as light activity.

M

Mealtime routine
A mealtime routine is the familiar timing and order of steps around meals and snacks.
We put toys away and wash hands as part of our mealtime routine.
Mini-meal
A mini-meal is a small, planned eating time with useful foods, such as produce and something filling.
Yogurt with soft fruit makes a snack into a mini-meal.
Modeling
Modeling means showing your child a habit through your own actions.
Eating a new food beside your child is modeling a relaxed approach.
Molar
A molar is a back tooth with a broad surface for chewing food.
Around six, a new adult molar may appear behind the baby teeth.
Movement break
A movement break is a short chance to move between stretches of sitting.
A movement break after a show might include hopping to a song.

N

Natural endpoint
A natural endpoint is a clear finish, such as the end of an episode, chosen for stopping.
When a screen-free hour is coming, plan a natural endpoint that fits before that hour starts.
Night terror
A night terror is an episode of distress during sleep when a child is not fully awake.
During a night terror, stay close and protect your child from injury.
Nightmare
A nightmare is a frightening dream after which a child wakes and may need comfort.
After a nightmare, listen and help your child feel safe again.

O

Overtired
An overtired child has stayed awake beyond their need for rest and may struggle to settle.
An overtired child can seem wound up at bedtime.

P

Parental controls
Parental controls are device settings adults use to manage children's access to content.
Parental controls can help keep unsuitable content out of reach.
Physical activity
Physical activity is body movement that uses energy, from gentle walking to energetic games.
Helping sweep the floor adds physical activity to the day.
Picky eating
Picky eating means eating a narrow range of foods or often refusing new or familiar foods.
Picky eating may include rejecting a mixed dish while accepting its parts.
Picture routine chart
A picture routine chart shows daily steps as pictures or photos in the order they happen.
Your child can point to the next step on a picture routine chart.
Planned snack
A planned snack is a small meal offered at a set point between main meals.
A planned snack after the library bridges the gap until lunch.
Plaque
Plaque is a sticky film of bacteria that builds up on teeth and makes acid when given sugar.
Brushing removes plaque from the back teeth as well as the front.
Pressure-free offer
A pressure-free offer makes food available without demanding a taste or a certain number of bites.
A tiny new portion beside rice can be a pressure-free offer.

R

Recreational screen time
Recreational screen time is screen use for leisure, such as games or entertainment.
School-age guidance can separate recreational screen time from schoolwork.
Repeated exposure
Repeated exposure means meeting the same food across many days or weeks.
Repeated exposure lets a child become familiar with a new vegetable.
Routine cue
A routine cue is a familiar sign that tells your child a daily step is coming.
A toothbrush picture can be the routine cue after pajamas.

S

Safe food
A safe food in this approach is a familiar food your child usually accepts.
Rice can be the safe food served beside an unfamiliar stew.
Screen time
Screen time is time spent watching or using a TV, phone, tablet, computer or game console.
Time on a drawing app is screen time too.
Screen-free time
Screen-free time is a part of the day kept clear of screen use.
The hour before bed is screen-free time for quiet play and books.
Sedentary screen time
Sedentary screen time means screen use while sitting still, such as watching a show.
WHO gives a daily limit for sedentary screen time at ages three to four.
Settling time
Settling time is the time between lights out and actually falling asleep.
Allow settling time before the hour your child needs to be asleep.
Shared meal
A shared meal is a time when you and your child sit and eat together.
At a shared meal, your child can watch you try the family food.
Shared viewing
Shared viewing means watching with your child and talking about what happens.
Shared viewing can connect a story's garden with plants near your home.
Simple reason
A simple reason is a short, true explanation connected to something your child understands.
“Sleep gives you energy for tomorrow” is a simple reason for bedtime.
Sometimes foods
Sometimes foods are foods enjoyed occasionally, such as candy or party cake.
A slice of birthday cake is an example of a sometimes food.
Specific praise
Specific praise names the action or effort you noticed so your child knows what helped.
“You put the brush back” is specific praise.
Stalling
Stalling means delaying bedtime with repeated requests for more stories, water or other extras.
Including water in the routine can reduce one reason for stalling.
Sticker chart
A sticker chart records practice of a new habit with stickers that can fade as the habit settles.
A sticker chart can mark mornings when your child follows a picture routine.
Strengthening activity
Strengthening activity makes muscles or bones work, as in climbing and jumping.
Playground climbing can be strengthening activity without a class.
Sugar contact
Sugar contact happens when sugary food or drink reaches the teeth and supplies plaque bacteria with sugar.
Sipping a sweet drink repeatedly creates more sugar contacts.

T

Texture
Texture is how food feels, such as smooth, lumpy, crisp or soft.
A child may accept a vegetable after its texture changes with cooking.
Tooth decay
Tooth decay is damage caused when acids from plaque bacteria weaken a tooth over time.
Frequent sweet drinks can contribute to tooth decay.
Total daily sleep
Total daily sleep is all actual sleep in 24 hours, including night sleep and naps.
A nap adds to total daily sleep but a quiet rest while awake does not.
Two acceptable choices
Two acceptable choices are two options you can both allow while keeping the needed routine.
Two acceptable choices might be walking or hopping to the bathroom.

V

Vigorous activity
Vigorous activity is the harder part of energetic play that makes breathing much faster.
Fast running in a chase game can be vigorous activity.

W

Whole fruit
Whole fruit is fruit served as food, with more fiber than its juice.
Soft pear pieces offer whole fruit at snack time.
Wind-down time
Wind-down time is a quiet period before bed when activities and lights become calmer.
Drawing can be part of wind-down time after screens go off.

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