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Developmental milestones record - 2 years

Alternative Names

Growth milestones for children - 2 years; Normal childhood growth milestones - 2 years; Childhood growth milestones - 2 years

Information

Physical and motor skill markers:

  • Able to turn a door knob
  • Can browse through a book one page at a time
  • Can build a tower of 6 to 7 cubes
  • Can kick a ball without losing balance
  • Can pick up objects while standing, without losing balance (often occurs by 15 months, and would be cause for concern if you don't see it by 2 years)
  • Can run with better coordination, although the stance may still be wide
  • May be ready for toilet training
  • Should have the first 16 teeth (the actual number of teeth can vary widely)
  • At 24 months, they are about half their final adult height

Sensory and cognitive markers:

  • Able to put on simple clothes without help (often better at removing clothes than putting them on)
  • Able to communicate needs such as thirst, hunger, need to use the restroom
  • Can organize phrases of 2 - 3 words
  • Understand 2-step command ("give me the ball and then get your shoes")
  • Increased attention span
  • Vision fully developed
  • Vocabulary has increased to about 50 - 300 words (healthy children's vocabulary can vary widely)

Play recommendations:

  • Allow the child to help around the house and participate in the daily family responsibilities.
  • Encourage and provide the necessary space for physical activity.
  • Encourage play that involves building and creativity.
  • Provide safe copies of adult tools and equipment. Many children like to mimic activities such as cutting the grass or sweeping the floor.
  • Read to the child.
  • Try to avoid watching television at this age (recommendation of the American Academy of Pediatrics).
  • Control both the content and quantity of television viewing. Limit television viewing to fewer than 3 hours per day, and preferably 1 hour or less. Avoid programming with violent content. Redirect the child to reading or play activities.
  • Control the type of games played.

References

 

Feigelman S. The second year.In: Kliegman RM,Behrman RE, Jenson HB, Stanton BF, eds.Nelson Textbook of Pediatrics.19th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 9.

Updated: 2/1/2012

Jennifer K. Mannheim, ARNP, Medical Staff, Department of Psychiatry and Behavioral Health, Seattle Children's Hospital. Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.


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