1. Check your child's weight, height, and head circumference and
plot the measurements on the growth
charts. Your doctor will also calculate and plot your child's body
mass index (BMI).
2. Administer a screening (test) that helps with the early identification
3. Ask questions, address concerns, and provide guidance about
how your toddler is:
Don't be surprised if your toddler skips meals occasionally or loves something one
day and won't touch it the next. Schedule three meals and two or three nutritious
snacks a day. You're in charge of the menu, but let your child be in charge of how
much of it he or she eats.
Peeing and pooping. Most children are ready to begin potty
training between 2 and 3 years. You may have noticed signs your child is ready
to start potty training, including:
showing interest in the toilet (watching a parent or sibling in the bathroom,
sitting on potty chair)
staying dry for longer periods
pulling pants down and up with assistance
connecting feeling of having to go with peeing and pooping
Developing. By 2 years, it's common for many children to:
say more than 50 words
put two words together to form a sentence ("I go!")
be understood at least half the time
follow a two-step command ("Pick up the ball and bring it to me.")
kick a ball
walk down stairs
make lines and circular scribbles
play alongside other children
4. Do a physical exam with your child undressed while you are
present. This will include an eye exam, tooth exam, listening to the heart and lungs,
and paying attention to your toddler's motor
skills, use of language,
5. Update immunizations.Immunizations
can protect kids from serious childhood illnesses, so it's important that your child
get them on time. Immunization
schedules can vary from office to office, so talk to your doctor about what to
Here are some things to keep in mind until your child's next checkup at 30
Food "jags" are common during the toddler years. Even if your
child seems to get stuck on one food, continue to offer a variety of nutritious choices.
Let your child decide what to eat, and when he or she is full. Serve healthy
snacks andavoid sugary drinks.
Switch to low-fat or nonfat milk, or a fortified-milk alternative
like almond or soy milk. Offer dairy
products that are low-fat or nonfat.
Limit juice to no more than 4 ounces (120 ml) a day.
Toddlers learn by interacting with parents, caregivers, and their environment.
time (TV, computers, tablets, or other screens) to no more than 1–2
hours a day of quality children's programming. Watch with your child.
Have a safe play area and allow plenty of time for exploring
and active play. Play often together.
Let your child brush
his or her teeth with your guidance. Twice a day, use a small amount
of toothpaste (about the size of a pea) with a soft toothbrush. Go over any areas
that may have been missed. If you haven't already, schedule a dentist visit.
Look for the signs that your child is ready to start potty training.
If he or she doesn't show interest, it's OK to wait before trying again. A child who
uses the potty and is accident-free during the day may still need a diaper
Set reasonable and consistent rules. Use praise to encourage
good behavior and be positive when redirecting unwanted behavior
are common at this age, and tend to be worse when children are tired or hungry. Try
to head off tantrums before they happen — find a distraction or remove your
child from frustrating situations.
Don't spank your child. Children don't make the connection between
spanking and the behavior you're trying to correct. You can use a brief time-out to
discipline your toddler.
Keep your child in a rear-facing car
seat until he or she reaches the highest weight or height limit allowed
by the seat's manufacturer. Previous advice was to turn kids around by age 2. Now,
safety experts say to do this based on a child's size, not age. So, small children
can stay rear-facing until age 3 or 4.
Protect your child from gun
injuries by not keeping a gun in the home. If you do have a gun, keep
it unloaded and locked away. Ammunition should be locked up separately. Make sure
kids cannot access the keys.
Talk to your doctor if you're concerned about your living situation.
Do you have the things that you need to take care of your child? Do you have enough
food, a safe place to live, and health
insurance? Your doctor can tell you about community resources or refer you to
a social worker.
These checkup sheets are consistent with the American Academy of Pediatrics
(AAP)/Bright Futures guidelines.