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Developmental milestones record - 18 months

  • Definition
    • The typical 18-month-old child will demonstrate certain physical and mental skills. These skills are called developmental milestones.

  • Alternative Names
    • Growth milestones for children - 18 months; Normal childhood growth milestones - 18 months; Childhood growth milestones - 18 months

  • Information
    • All children develop a little differently. If you are concerned about your child's development, talk to your child's health care provider.

      PHYSICAL AND MOTOR SKILL MARKERS

      The typical 18-month-old:

      • Has a closed soft spot on the front of the head
      • Is growing at a slower rate and has less of an appetite compared to the months before
      • Is able to control the muscles used to urinate and have bowel movements, but may not be ready to use the toilet
      • Runs stiffly and falls often
      • Is able to get onto small chairs without help
      • Walks up stairs while holding on with 1 hand
      • Can build a tower of 2 to 4 blocks
      • Can use a spoon and cup with help to feed self
      • Imitates scribbling
      • Can turn 2 or 3 pages of a book at a time

      SENSORY AND COGNITIVE MARKERS

      The typical 18-month-old:

      • Shows affection
      • Has separation anxiety
      • Listens to a story or looks at pictures
      • Can say 10 or more words when asked
      • Kisses parents with lips puckered
      • Identifies 1 or more parts of the body
      • Understands and is able to point to and identify common objects
      • Often imitates
      • Is able to take off some clothing items, such as gloves, hats, and socks
      • Begins to feel a sense of ownership, identifying people and objects by saying "my"

      PLAY RECOMMENDATIONS

      • Encourage and provide the necessary space for physical activity.
      • Provide safe copies of adult tools and equipment for the child to play with.
      • Allow the child to help around the house and participate in the family's daily responsibilities.
      • Encourage play that involves building and creativity.
      • Read to the child.
      • Encourage play dates with children of the same age.
      • Avoid television and other screen time before age 2.
      • Play simple games together, such as puzzles and shape sorting.
      • Use a transitional object to help with separation anxiety.
  • References
    • Feigelman S. The second year. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 9.