Child development. 

At two years your child is able to say two word sentences, such as “me up,” and “brother no.”  Close caretakers should be able to understand about 75% of what the child says, and others should be able to understand about 50%.  They may try to sing songs they’ve heard or been taught, and can point out things in a book while being read to.

Physically, your child is getting stronger and more coordinated.  They’re starting to run better, can kick a ball, and can throw a ball overhand.  

Potty training at this age depends on your child.  Some are already there, some are about ready to start, and others still have no interest.  If your child seems interested, give it a try.  Praise them if they do it right, and ignore it if they don’t.  

Child growth.

We will plot your child on the growth chart.  At this age they are making the transition from the baby (0-24 month) chart to the big kid (2-18 years) chart.  Since it’s on the edge of both charts, the percentages may be a little different depending on which chart you’re looking at, but that’s okay.  It will become steadier again at the next visit.

General health.

As usual we will examine your child, and watch how they interact with us and you.  At this age sometimes they feel more comfortable saying some words with us in the room, but we don’t expect it.

Food and nutrition.

Eating together at the table as often as possible gives the family a sense of connection, as well as letting your child see others eating a variety of foods.  If they choose not to eat much at some meals, it’s still fine, they will probably eat more at another.  Making a different meal in an effort to get them to eat not only is not necessary, but teaches them that they don’t have to try new things.  Encourage them to taste new things, then be a good example by doing it yourself.  

Health history.

Let your pediatrician know if you’ve taken your child to the ER or another clinic.  Often those places will send your pediatrician notes, but sometimes it can take a few weeks.

Family history.

We continue to keep track of any new illnesses or issues in your family, so be sure to tell your pediatrician of anything new.  

Social history.

We also continue to keep track of any changes in the family, or where the child stays during the day.  

Safety and health issues.

We still want your child backward in the car until they are about 35 pounds, if possible.  Continue to keep medicines and cleaning fluids locked, or at least out of reach.  

Your child is starting to become more independent, so be prepared.  Make a few rules that you keep to, and have clear consequences for breaking them.  Time out for a few minutes is a good choice at this age.  

Vaccines.

At 24 months many children have already gotten their full complement of initial immunizations.  If they require a vaccine at this time, it is usually the second Hepatitis A.  There has to be at least six months from the first to second Hepatitis A, so depending on when the first one was given, the second one may be given from 18 to 24 months.  In fact all immunizations have rules about timing, which is why it’s important to always have your shot record with you at appointments so it can be checked.  

Links.

2yo Milestones at the CDC.

Ages and stages at HealthyChildren.