18 months old

Gross Motor: walks up steps (double foot). Persistent toe walking may indicate spasticity.
Fine Motor: turns pages of book by self
Sensory:
Language: 10-20 words, points to 4 body parts. Referral Guidelines for speech delay
Personal/Social: feeds self with spoon, thumb sucking peaks 18-21 mos of age, resolves by 4 yo. Socially, they
imitate performing household chores such as sweeping, washing dishes, and gardening. Can do Checklist for Autism in Toddlers (CHAT)
Other Development: Toilet Training: usually ready to begin after 2nd birthday.
Nutrition: Juice and Water: 1-6 years old can get 4-6 oz per day
Growth:
Head circumference 1-3 yrs 0.25 cm/month. In 2nd year, grow 12.5 cm/year (5 inches). Anterior fontanelle closes 13 mos (7-19 mos). Teeth: should have all incisors, canines, and first molars. The final 2nd molars will be in at 22 mos.
PE:
Physiologic bowing from 18 mos to 36 mos.
Elim
:
Sleep
:
Immunizations
:

Health:
Safety
:
Screening Labs: Vision-Screening
Next visit in

Expect: