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Developmental milestones record - 2 years

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

  • Information
    • 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, but 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 to 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 to 300 words, but 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.
  • References
    • Centers for Disease Control and Prevention. Important milestones: your child at two years. www.cdc.gov/ncbddd/actearly/milestones/milestones-2yr.html. Accessed April 7, 2016.

      Feigelman S. The second year. In: Kliegman RM, Stanton BF, St Geme JW, Schor NF, eds. Nelson Textbook of Pediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016:chap 11.

      Reimschisel T. Global developmental delay and regression. In: Daroff RB, Jankovich J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology in Clinical Practice. 20th ed. Philadelphia, PA: Elsevier; 2016:chap 8.