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Developmental milestones record - 2 years

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 less 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.

Alternative Names

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

References

Feigelman S. The second year. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds.Nelson Textbook of Pediatrics.

Update Date 2/26/2014

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