2 yo
Gross Motor: walks up steps (double step),
jumps, kicks ball. Persistent toe walking may indicate spasticity.
Fine Motor: solves single piece puzzles,
imitates vertical/horizontal lines (vertical first)
Communication: combines 2-3 words, uses "I"
and "you,"
Referral Guidelines for
speech delay
Personal/Social: removes coat, verbalizes
wants, thumb sucking peaks 18-21 mos of age,
resolves by 4 yo, Masturbation
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). Average height:
2-12 years: 6 x age + 77 (2.5 x age + 30). Age at which half adult height is reached: girls 2 yrs, boys 2.5 years. Anterior fontanelle
should be closed; closes 13 mos (7-19 mos).
Teeth: should have
all primary teeth, 4 incisors, 2 canines, 4 molars (by 22 mos).
PE: Internal tibial torsion is non-pathologic in
kids under 5.
Sleep:
Immunizations:
Health:
Safety:
Screening Labs: Vision-Screening,
Hb screening CHDP requires it at age 2
(not an AAP recommendation)
Next visit in
Expect: