18 Months: Well Child Appointment Schedule

Development

  • Probably the most impressive developmental change for children in this age group is the rapid advancement of their speech and language skills. Your toddler may be saying up to 50 words now and combining 2 or 3 of those words into small sentences. Their comprehension of spoken words still far exceeds what they say so he or she understands much more than they verbalize. You may hear your child uttering many animal noises and get lots of pleasure pointing to various body parts. By 18 months most children love books so take advantage of this and read to them often!
  • Dexterity continues to improve also. Many kids by this age are scribbling with crayons and painting on paper. You may see them stacking blocks, putting rings on a peg, and throwing a ball with one hand.
  • It may not be as obvious that large motor skills are changing. If your child is already running and climbing,  what you may notice is that they do such activities faster and with greater skill and coordination.

Behavior

Toddlers sometimes seem out of control and they can be very demanding. Oftentimes their favorite word is “no.” To help children learn about rules consider the following suggestions:

  • Divert and substitute. If your child is playing with an object you don’t want them to have, replace it with another toy that your child enjoys.
  • Teach and lead. Have as few rules as necessary and enforce them. Be as consistent as you can and don’t make threats that you cannot carry out.
  • Make consequences as logical as possible. For example, “if you don’t stay in your car seat, the car doesn’t go,” or “if you throw your food, you don’t get more and you may end up hungry.”

And be positive. Praise your child whenever you get a chance. Ultimately your child wants to please you.

Nutrition

  • Family meals are important for your child. Have them eat with you, this helps them learn that eating is a time to be together with the family and talk with others. Try not to make mealtime a battle. Let your child  feed him or herself and use utensils and a cup for liquids.
  • Please review with your provider if an iron supplement and/or Vitamin D is recommended for your baby.

Miscellaneous

  • Dental Care: At least twice a day you should try to clean your child’s teeth with a clean cloth or soft toothbrush. If you live in an area where the water is not fluoridated, your child should take supplemental fluoride. If you need a prescription for this medication please tell us and we can take care of that for you.

Your child’s next visit is at 24 months of age