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Developmental milestones record - 18 months

Definition

Skills and growth milestones relevant to 18-month-old children mark the physical and mental development that is expected for this age.

Alternative Names

Growth milestones for children - 18 months; Normal childhood growth milestones - 18 months; Childhood growth milestones - 18 months

Information

PHYSICAL AND MOTOR SKILL MARKERS

The typical 18 month old:

  • Has a closed anterior fontanel (soft spot on the front of the head)
  • Is growing at a slower rate and has less of an appetite compared to previous months
  • Is physically able to control sphincter muscles, but may not be psychologically ready to use the toilet
  • Runs with a lack of coordination and falls frequently
  • Jumps in place
  • Is able to get onto chairs without assistance
  • Walks up stairs while holding on with one hand
  • Can build a tower of 2 - 3 blocks
  • Can use a spoon and cup with help
  • Imitates scribbling
  • Can turn the pages of a book 2 or 3 at a time

SENSORY AND COGNITIVE MARKERS

The typical 18 month old

  • Shows affection
  • Listens to a story or looks at pictures
  • Can say 10 or more words when asked
  • Identifies parts of the body
  • Understands and is able to point to and identify common objects
  • Frequently imitates
  • Feeds self
  • Is able to take off some clothing items, such as gloves, shoes, and socks
  • Begins to feel a sense of ownership identifying people and objects by saying "my"

PLAY RECOMMENDATIONS

  • Encourage and provide the necessary space for physical activity
  • Provide safe replicas of adult tools and equipment for the child to play with
  • Allow the child to help around the house and participate in the daily responsibilities of the family
  • Encourage play that involves building and creativity
  • Read to the child
  • Control the type and quantity of television viewing
  • Control the type and quantity of games played

Review Date:12/4/2006
Reviewed By:Rachel A. Lewis, MD, FAAP, Columbia University Pediatric Faculty Practice, New York, NY. Review provided by VeriMed Healthcare Network.

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