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We just did a 21 hour drive with our 19 month DD this month. We split it into three days on the way there and two on the way back. I got her a little backpack and filled it with wrapped treats. I doled out a new little wrapped present every hour or two. Most of them were dollar spot/store finds. She got a new box of (washable) crayons, two coloring books, two sticker albums and an extra pack of stickers, a tambourine and clacker, a light-up wand, a toy car, three new books, a new kid's cd, and a magnadoodle. The magnadoodle held her attention for the longest by far, so I'd definitely suggest one of those. Plus it's mess-free, so it's a great one for when you're not in the backseat. Wrapping whatever you bring adds another activity/level of excitement too. We rarely do screen time, but we did download a few episodes of Daniel Tiger to our phones for when things got really desperate. We left crazy early in the morning and got in a good stretch before she woke up then stopped for sit down breakfast and lunch. We picked a place with a play place for the latter so that she could blow off some steam. Good luck, and let me know if you have any questions!

We have done several 4-6 hour road trips this summer at same age. I packed a backpack for him and got out a small toy each hour or so. He napped a lot. Small trucks, cars, water pen coloring books, iPad movies (a special treat he never gets) and he loved lots of books!

@MusicaV: nope! It's crazy I've been on dozens of road trips with my kids and every time j worry about nighttime sleep and they are never effected. I think they are so tired from the trip they sleep well at night!