Your Child's Checkup: 2 Years (24 Months)enparentshttps://kidshealth.org/EN/images/headers/P-YCC-2Years-enHD.jpgFind out what this doctor's visit will involve and what your child might be doing by the second year.Your Child's Checkup: 2 Years (24 Months), checkup, checkups, check up, check ups, check-up, check-ups, well-child visit, well-child visits, well visit, well visit, doctor's visit, doctor's visits, doctors visits, going to the doctor, development, physical exam, physical examination, routine exam, routine visit, routine examination, examination, examinations, your child's growth, milestone, milestones, what should my child be doing, preschooler, preschoolers, pre-schooler, pre-schoolers, toddler, toddlers, 2-year-old, 2 year old, 2 years, 2 years old, 2, two-year-old, two year old, two years, two years old, turning 2, turning two, just turned two, just turned 2, words, talking, talk, talks, potty training, pottytraining, using the potty, potty, going potty, toileting, toilet teaching, toiletteaching, potty-training, toilet-teaching, starting to use the potty, run, running, start running, kicking a ball, kick a ball, kicking, kick, scribble, scribbling, scribbles, tantrum, tantrums, food jags, food jag, picky, picky eater, picky eaters, won't eat, refuses to eat, sentence, sentences, run, running, jump, jumping, draw, drawing, scribble, scribbling, walk down stairs, CD1Primary Care08/16/200609/19/201809/19/2018Elana Pearl Ben-Joseph, MD09/05/201812ef5a8b-a70f-4e94-8fe5-f57ee7c46734https://kidshealth.org/ws/RadyChildrens/en/parents/checkup-2yrs.html/<h3>What to Expect During This Visit</h3> <p>Your doctor and/or nurse will probably:</p> <p><strong>1. Check your child's weight, height, and head circumference</strong> and plot the measurements on the <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/growth-charts.html/">growth charts</a>. Your doctor will also calculate and plot your child's <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/bmi-charts.html/">body mass index (BMI)</a>.</p> <p><strong>2. Administer a screening (test)</strong> that helps with the early identification of <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/pervasive-develop-disorders.html/">autism</a>.</p> <p><strong>3. Ask questions, address concerns, and provide guidance</strong> about how your toddler is:</p> <p><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/toddler-food.html/"><strong>Eating</strong></a><strong>.</strong> 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.</p> <p><strong>Peeing and pooping.</strong> Most children are ready to begin <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/toilet-teaching.html/">potty training</a> between 2 and 3 years. You may have noticed signs your child is ready to start potty training, including:</p> <ul> <li>showing interest in the toilet (watching a parent or sibling in the bathroom, sitting on potty chair)</li> <li>staying dry for longer periods</li> <li>pulling pants down and up with assistance</li> <li>connecting feeling of having to go with peeing and pooping</li> <li>communicating that diaper is wet or dirty</li> </ul> <p><strong>Sleeping.</strong> Generally 2-year-olds need about <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/sleep12yr.html/">11 to 14 hours of sleep</a> a day, including one <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/naps.html/">nap</a>.</p> <p><strong>Developing.</strong> By 2 years, it's common for many children to:</p> <ul> <li>say more than 50 words</li> <li>put two words together to form a sentence ("I go!")</li> <li>be understood at least half the time</li> <li>follow a two-step command ("Pick up the ball and bring it to me.")</li> <li>run well</li> <li>kick a ball</li> <li>walk down stairs</li> <li>make lines and circular scribbles</li> <li>play alongside other children</li> </ul> <p><strong>4. Do a physical exam</strong> 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 <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/move12yr.html/">motor skills</a>, use of <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/c12yr.html/">language</a>, and behavior.</p> <p><strong>5. Update immunizations.</strong> <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/vaccine.html/">Immunizations</a> can protect kids from serious childhood illnesses, so it's important that your child get them on time. <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/immunization-chart.html/">Immunization schedules</a> can vary from office to office, so talk to your doctor about what to expect.</p> <p><strong>6. Order tests.</strong> Your doctor may assess your child's risk for <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/test-lead.html/">lead exposure</a>, <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/anemia.html/">anemia</a>, high <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/cholesterol.html/">cholesterol</a>, and <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/tuberculosis.html/">tuberculosis</a> and order tests, if needed.</p> <h3>Looking Ahead</h3> <p>Here are some things to keep in mind until your child's next checkup at <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/checkup-30mos.html/">30 months</a>:</p> <h4>Feeding</h4> <ol class="kh_longline_list"> <li><strong>Food "jags"</strong> 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.</li> <li>Let your child decide what to eat, and when he or she is full. Serve <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/toddler-snacks.html/"><strong>healthy snacks</strong></a> and<strong>&nbsp;</strong>avoid sugary drinks.</li> <li>Switch to <strong>low-fat or nonfat milk,&nbsp;</strong>or a fortified-milk alternative like almond or soy milk. Offer <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/calcium.html/">dairy products</a>&nbsp;that are low-fat or nonfat.</li> <li><strong>Limit juice</strong> to no more than 4 ounces (120 ml) a day.</li> </ol> <h4>Learning</h4> <ol class="kh_longline_list"> <li>Toddlers learn by interacting with parents, caregivers, and their environment. Limit <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/screentime-baby-todd.html/"><strong>screen time</strong></a> (TV, computers, tablets, or other screens) to no more than 1&ndash;2 hours a day of quality children's programming. Watch with your child.</li> <li>Have a <strong>safe play area</strong> and allow plenty of time for <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/exploring.html/">exploring</a> and active play. Play often together.</li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/reading-toddler.html/"><strong>Read</strong></a> to your child every day.</li> </ol> <h4>Routine Care &amp; Safety</h4> <ol class="kh_longline_list"> <li>Let your child <strong><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/healthy.html/">brush his or her teeth</a></strong> 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.</li> <li>Look for the signs that your child is ready to start <strong>potty training</strong>. 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 <strong>diaper at night</strong>.</li> <li>Set <strong>reasonable and consistent rules</strong>. Use praise to encourage good behavior and be positive when redirecting unwanted behavior</li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/tantrums.html/"><strong>Tantrums</strong></a> are common at this age, and tend to be worse when children are tired or hungry. Try to head off tantrums before they happen &mdash; find a distraction or remove your child from frustrating situations.</li> <li><strong>Don't spank</strong> 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 <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/toddler-tantrums.html/">discipline your toddler</a>.</li> <li>Keep your child in a<strong> rear-facing <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/auto-baby-toddler.html/">car seat</a></strong> 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.</li> <li>Watch your child closely when playing outside and on playground equipment. Make sure your child always <strong>wears a helmet</strong> when <a href="http://kidshealth.org/en/parents/bike-safety.html">riding a tricycle or is in a seat on an adult bicycle</a>.</li> <li>Protect your child from <strong><a href="http://kidshealth.org/en/parents/gun-safety.html">gun injuries</a></strong> 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.</li> <li>Talk to your doctor if you're concerned about your <strong>living situation</strong>. 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 <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/buy-health-insurance.html/">health insurance</a>? Your doctor can tell you about community resources or refer you to a social worker.</li> </ol> <p><em>These checkup sheets are consistent with the American Academy of Pediatrics (AAP)/Bright Futures guidelines.</em></p>La revisión de su hijo cuando tenga 2 años (24 meses)Qué esperar durante esta visita.https://kidshealth.org/ws/RadyChildrens/es/parents/checkup-2yrs-esp.html/8f932309-c578-45da-bdab-e50f032ec33e
Childproofing and Preventing Household AccidentsYou might think of babies and toddlers when you hear the words "babyproofing" or "childproofing," but unintentional injury is the leading cause of death in kids 14 and under.https://kidshealth.org/ws/RadyChildrens/en/parents/childproof.html/0dfb8dee-0285-4d87-a4d3-a048bdc1289e
Communication and Your 2- to 3-Year-OldCommunicating with a child is one of the most pleasurable and rewarding experiences for both parent and child. Learn how to connect with your 2- to 3-year-old.https://kidshealth.org/ws/RadyChildrens/en/parents/comm-2-to-3.html/a6e39b80-52c7-4dc8-90eb-a8a5ce10475b
Fitness and Your 2- to 3-Year-OldKids this age are naturally active, so be sure to provide lots of opportunities for your child to practice basic skills, such as running, kicking, and throwing.https://kidshealth.org/ws/RadyChildrens/en/parents/fitness-2-3.html/aafcee7b-c460-4ee9-8e8f-da26898d0810
Growth and Your 2- to 3-Year-OldDuring the third year of life, toddlers are extremely active and mobile, and are learning in very physical ways.https://kidshealth.org/ws/RadyChildrens/en/parents/growth-2-to-3.html/a12ff6d4-0270-4e44-9b5c-e13053f3b29a
How Vaccines Help (Video)Vaccines help keep kids healthy, but many parents still have questions about them. Get answers here. https://kidshealth.org/ws/RadyChildrens/en/parents/vaccine-video.html/381d8b32-8c56-41c1-b6b5-247544dcac7e
Managing Your Toddler's Behavior (Video)Learn how to encourage good behavior, handle tantrums, and keep your cool when parenting your toddler.https://kidshealth.org/ws/RadyChildrens/en/parents/toddlerbehavior-video.html/e7f45ed7-783f-47b1-a05e-c393861ccf3c
Medical Care and Your 1- to 2-Year-OldThe toddler months might continue to bring colds, bruises, and other minor emergencies, but you'll also find yourself dealing with your toddler's emerging independence.https://kidshealth.org/ws/RadyChildrens/en/parents/med12yr.html/0fead6f7-706f-4fd9-885d-cd3b62f637ad
Medical Care and Your 2- to 3-Year-OldRegular well-child exams are essential to keeping kids healthy and up-to-date with immunizations against dangerous diseases. Here's what to expect at the doctor's office.https://kidshealth.org/ws/RadyChildrens/en/parents/medical-care-2-3.html/24250093-6a27-48ef-ae9e-3d8fde461287
Potty Training Your Child (Video)Get tips and advice on helping your child make the switch from diapers to big-kid underwear — for good! https://kidshealth.org/ws/RadyChildrens/en/parents/pottytraining-video.html/a2997853-82c8-4b64-b83d-35d94526e931
Snacks for ToddlersSome toddlers may seem too busy exploring to slow down and eat. Others may be fickle about food or refuse to eat at mealtime. That's where healthy, well-timed snacks come in.https://kidshealth.org/ws/RadyChildrens/en/parents/toddler-snacks.html/80d7a0b7-8d30-432c-aee6-4098ef0b6d98
Talking to Your Child's DoctorBuilding a relationship with your child's doctor requires communication and reasonable expectations.https://kidshealth.org/ws/RadyChildrens/en/parents/talk-doctor.html/27ae947a-1ed1-435e-ab95-61c84d7fde8d
Toddler Reading TimeReading to toddlers lays the foundation for their independent reading later on. Here are some tips.https://kidshealth.org/ws/RadyChildrens/en/parents/reading-toddler.html/1523ed51-955c-4e26-b03c-e697fda6661f
Toddlers: Learning by PlayingIt might look like just child's play, but toddlers are hard at work learning important physical skills as they gain muscle control, balance, and coordination.https://kidshealth.org/ws/RadyChildrens/en/parents/toddler-play.html/4fb8be62-1fe4-4f9f-a8ed-cff02b57f381
Your Child's CheckupsThese age-specific guides can help you be prepared for and keep track of your well-child visits.https://kidshealth.org/ws/RadyChildrens/en/parents/checkups.html/b9a0df04-49c9-43df-afb8-b8631c99c601
Your Child’s Development: 2 Years (24 Months)Doctors use certain milestones to tell if a child is developing as expected. Here are some things your toddler may be doing this month.https://kidshealth.org/ws/RadyChildrens/en/parents/development-24mos.html/4ea625f4-c546-464c-b674-10f2acef8933
kh:age-toddlerOneToThreekh:clinicalDesignation-NAkh:genre-printablekh:primaryClinicalDesignation-generalPediatricsMedical Carehttps://kidshealth.org/ws/RadyChildrens/en/parents/growth/medical/58c81291-e7c3-497a-a68c-727ac2678718Medical Care & Your Babyhttps://kidshealth.org/ws/RadyChildrens/en/parents/pregnancy-newborn/medical-care/df3dfd7e-c2c0-428d-9bad-86c3f01847feCheckupshttps://kidshealth.org/ws/RadyChildrens/en/parents/system/checkupsubcat/9ce95f19-e128-447f-9dca-bcb7532253a1