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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 look through a book turning 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 (This often occurs by 15 months. It is a cause for concern if not seen by 2 years.)
  • Can run with better coordination. (May still have a wide stance.)
  • May be ready for toilet training
  • Should have the first 16 teeth (The actual number of teeth can vary widely.)
  • At 24 months, will reach about half final adult height

Sensory and cognitive markers:

  • Able to put on simple clothes without help (The child is often better at removing clothes than putting them on.)
  • Able to communicate needs such as thirst, hunger, need to go to the bathroom
  • Can organize phrases of 2 - 3 words
  • Can understand 2-step command such as "give me the ball and then get your shoes"
  • Has increased attention span
  • Vision is 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 take part in the daily family chores.
  • Encourage active play and provide enough space for healthy 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 television watching at this age (recommendation of the American Academy of Pediatrics).
  • Control both the content and quantity of television viewing. Limit screen time to┬áless than 3 hours per day. One hour or less is better. Avoid programming with violent content. Redirect the child to reading or play activities.
  • Control the type of games the child plays.

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: 2/26/2014

Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.


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