Medical Care and Your 1- to 2-Year-Oldenparentshttps://kidshealth.org/EN/images/headers/P-medCare1To2-enHD1.jpgThe 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.1-year-old, 2-year-old, 12-month-old, my child's doctor, pediatrician, going to the doctor, height, weight, growth charts, sleeping, hospitals, fevers, diaper rashes, feeding, caring for my toddler, nurse practitioners, medical problems, home, smoking, babyproofing, immunizations, drowsiness, runny nose, diarrhea, dehydration, 1 year old, toddler, ear infections, 2 years old, rashes, colds, shots, eating habits, solid foods, breastfeeding, bottles, car seats, cruising, accidents, office visits, reflexes, temper tantrums, physical development, emotional development, milestones, general pediatrics, neonatology, neonatal, CD1Primary Care03/22/200006/26/201906/26/2019Mary L. Gavin, MD06/17/20190fead6f7-706f-4fd9-885d-cd3b62f637adhttps://kidshealth.org/ws/RadyChildrens/en/parents/med12yr.html/<p>The toddler months continue to bring the medical challenges of <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/cold.html/">colds</a>, scrapes and bruises, and other minor emergencies. Y<span style="font-size: 1em;">ou'll also find yourself dealing with an emerging personality and increasing conflicts.</span></p> <p>Your doctor will see your child four times for routine well visits during this period, at 12, 15, 18, and 24 months. If your toddler has missed any <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/vaccine.html/">immunizations</a>, or if a problem has been detected that needs special attention, additional visits may be scheduled.</p> <h3>What to Expect During the Office Visit</h3> <p>The well-child <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/checkups.html/">checkups</a> during your child's second year are similar to those before, but discussions with your doctor about behavior and habits may become more detailed as your toddler gets older.</p> <p>Your toddler's checkup will include:</p> <ul class="kh_longline_list"> <li>Measurement of your child's length, weight, and head circumference. Growth will be plotted on the <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/growth-charts.html/">growth chart</a>, and you'll be advised of your toddler's progress.</li> <li>A physical exam.</li> <li>A review of your toddler's development through both observation and your progress report. Is your tot starting to walk? Scribbling? Following simple instructions? Saying a few words? Combining two words by age 2? The doctor may ask you these questions and others like them.</li> <li>The doctor may go over safety questions such as: Have you childproofed your home? (You'll need to review your <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/childproof.html/">babyproofing</a> efforts now that your toddler can stand and reach.) Is your tot in an appropriate <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/auto.html/">safety seat</a> while riding in the car?</li> <li>A discussion of your child's eating habits. Is he or she eating a variety of foods? Finger feeding or using a spoon? Using a cup? Being <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/weaning.html/">weaned</a> from the breast or bottle? Most doctors advise a switch from bottle to cup between 12 and 18 months.</li> <li>Advice on what to expect in the coming months.</li> <li>Some immunizations.</li> </ul> <p>If they haven't already, kids this age might undergo a tuberculin skin test, especially those at risk for <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/tuberculosis.html/">tuberculosis</a>. You'll be given instructions on how to monitor the test and report results to the doctor's office. Your doctor may recommend a blood test to check for <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/anemia.html/">anemia</a> and <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/safety-poisoning.html/">lead poisoning</a>.</p> <p>Address any questions or concerns you have, and write down any specific instructions the doctor gives you regarding special care. Keep updating your child's permanent <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/medhist.html/">medical record</a>, listing information on growth and any problems or illnesses.</p> <h3>Immunizations Your Child Will Receive</h3> <p>A child who did not have them at the 12-month visit will get these vaccines at 15 months:</p> <ul> <li>the third or fourth <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/hib-vaccine.html/">Hib vaccine</a>, depending on the manufacturer</li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/mmr-vaccine.html/">measles, mumps, and rubella (MMR) vaccine</a></li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/varicella-vaccine.html/">chickenpox (varicella) vaccine</a></li> <li>the fourth <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/pneumococcal-vaccine.html/">pneumococcal conjugate vaccines (PCV, PPSV)</a></li> <li>fourth <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/dtap-vaccine.html/">diphtheria, tetanus, and pertussis (DTaP) vaccine</a></li> </ul> <p>At the 18-month visit, if not already been given, children should get:</p> <ul> <li>fourth <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/dtap-vaccine.html/">DTaP vaccine</a></li> <li>third <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/hepb-vaccine.html/">hepatitis B vaccine&nbsp;(HBV)</a>, which can be given starting at 6 months</li> <li>third <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/polio-vaccine.html/">inactivated poliovirus vaccine (IPV)</a>, which can be given starting at 6 months</li> </ul> <p>Your child may also get a&nbsp;<a href="https://kidshealth.org/ws/RadyChildrens/en/parents/flu-vaccine.html/">flu shot</a>, which is recommended every year before flu season for children older than 6 months. If your child is at high risk for developing meningococcal disease, a serious infection that can lead to bacterial <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/meningitis.html/">meningitis</a>, your doctor may offer the <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/meningitis-vaccine.html/">meningococcal vaccine</a> as well.</p> <p>Discuss possible vaccine reactions with your doctor and get advice on when to call with problems.</p> <h3>Developmental Progress</h3> <p>At the 18-month visit, toddlers undergo&nbsp;a screening test to help identify <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/not-talk.html/">developmental delays</a> and <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/pervasive-develop-disorders.html/">autism</a>.</p> <p>There is a wide range of normal when it comes to reaching developmental milestones. But by 18 months, most toddlers:</p> <ul> <li>walk on their own</li> <li>speak at least 15 words</li> </ul> <p>By age 2, toddlers should be able to:</p> <ul> <li>put two words together to form a sentence</li> <li>follow simple directions</li> <li>imitate actions</li> <li>push and pull a toy</li> </ul> <p>Talk to your doctor if you have concerns about your child's development.</p> <h3>When Should I Call the Doctor?</h3> <p>By now you have probably called your doctor's office many times with questions and concerns about your child's health. Don't hesitate to notify the doctor if you think that something is wrong &mdash; <strong>you know your child best</strong>.</p> <p>And always call the doctor if your child has a <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/fever.html/">fever</a>, is acting sick, has serious problems sleeping, is refusing all food or drink, is <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/vomit.html/">vomiting</a>, or has <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/diarrhea.html/">diarrhea</a>.</p>Atención médica y su hijo de 1 a 2 añosSi tiene un bebé de uno a dos años, usted seguirá encontrando los desafíos de resfriados, moretones y otras urgencias de poca importancia, pero también tendrá que hacer frente a la emergente personalidad de su hijo.https://kidshealth.org/ws/RadyChildrens/es/parents/med12yr-esp.html/b2d7ef8c-949c-4dae-995b-37b31114f21d
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
Choosing Safe Baby ProductsChoosing baby products can be confusing, but one consideration must never be compromised: your little one's safety.https://kidshealth.org/ws/RadyChildrens/en/parents/products.html/415febdd-eb0a-4f8a-b7d3-34ed61b7509c
Communication and Your 1- to 2-Year-OldYour toddler is probably saying a few first words now, but you may not be able to understand them all. Learn about how your child is communicating.https://kidshealth.org/ws/RadyChildrens/en/parents/c12yr.html/0e17c1ef-a517-4bd7-b468-85c5e2aefcf4
Feeding Your 1- to 2-Year-OldToddlers have little tummies, so serve foods that are packed with the nutrients they need to grow healthy and strong, and limit the sweets and empty calories.https://kidshealth.org/ws/RadyChildrens/en/parents/feed12yr.html/6bfff690-c633-480f-83f3-dcf985f77294
Growth and Your 1- to 2-Year-OldYou're in for a year of changes! Midway through this year, most babies are walking and starting to lose that "baby" look.https://kidshealth.org/ws/RadyChildrens/en/parents/grow12yr.html/9a944dd8-8e03-4289-9365-0a27de771b03
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
Knowing Your Child's Medical HistoryIn an emergency, health care professionals will have many questions about a patient's medical history. It's easy to compile this information now, and it could save critical minutes later.https://kidshealth.org/ws/RadyChildrens/en/parents/medhist.html/f6063f6a-56b4-4bb2-8d8c-ef9641fc25fb
Learning, Play, and Your 1- to 2-Year-OldKids go from babies to toddlers during this time, from first steps to walking well. They also make major strides in language and communication.https://kidshealth.org/ws/RadyChildrens/en/parents/learn12yr.html/02f47f2b-8593-4120-a748-4db6da7c750e
Movement, Coordination, and Your 1- to 2-Year-OldMost toddlers this age are walking and gaining even more control over their hands and fingers. Give your child lots of fun (and safe) things to do to encourage this development.https://kidshealth.org/ws/RadyChildrens/en/parents/move12yr.html/3c148075-4dfa-4a4c-bc9d-9cf88428c608
Sleep and Your 1- to 2-Year-OldNighttime feedings may be a thing of the past, but in this second year of life your tot might be rising for other reasons. Learn more.https://kidshealth.org/ws/RadyChildrens/en/parents/sleep12yr.html/2ae39128-646c-49f8-a688-0b4f3e97aecb
What You Need to Know in an EmergencyIn an emergency, it's hard to think clearly about your kids' health information. Here's what important medical information you should have handy, just in case.https://kidshealth.org/ws/RadyChildrens/en/parents/healthin.html/1a2e653b-b86b-4866-aa55-a6a084f4f7f8
Your Child's Checkup: 1 Year (12 Months)Find out what this doctor's visit will involve and what your baby might be doing by the first birthday.https://kidshealth.org/ws/RadyChildrens/en/parents/checkup-1-yr.html/05c4f8db-c67f-42e8-ac53-cc3ca381b1f2
Your Child's Checkup: 1.5 Years (18 Months)Find out what this doctor's visit will involve and what your toddler might be doing by 18 months.https://kidshealth.org/ws/RadyChildrens/en/parents/checkup-18mos.html/1399d019-4321-4475-b4c7-8404414451d1
Your Child's Checkup: 15 MonthsFind out what this doctor's visit will involve and what your toddler might be doing by 15 months.https://kidshealth.org/ws/RadyChildrens/en/parents/checkup-15mos.html/da60925b-3140-41bf-9f0e-78922014cb52
Your Child's Checkup: 2 Years (24 Months)Find out what this doctor's visit will involve and what your child might be doing by the second year.https://kidshealth.org/ws/RadyChildrens/en/parents/checkup-2yrs.html/12ef5a8b-a70f-4e94-8fe5-f57ee7c46734
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