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24 Month Checkup


Growth & Development

  • Your child may be talking more and pointing to things in books as you read together.
  • Your child will play with other children but don’t expect sharing.
  • Your child walks and runs more freely and should never be left alone in your home or yard. Keep children away from moving machines, garage doors, driveways, etc.
  • Your child is learning to express his or her self but may take time to respond. Help your child to express and name their feelings.
  • It is normal for your child to protest being away from you or meeting new people.

Toilet Training

  • Children are usually ready for potty training between 18 months and 3 years.
  • Some signs of your child being ready include: a dry diaper for 2 hours, your child knows that their diaper is wet or dry, he/she can pull pants down and up, wants to learn, and can tell you if he or she is needing to void.
  • Be patient!  If training is not successful, relax and try again in a few weeks or months.
  • Plan for frequent toilet breaks. Your child may use the toilet as many as 10 times a day.
  • When your child is ready, teach them to choose their own underwear.


  • Limit TV to 1-2 hours each day or less and watch with your child. Be mindful of what your child sees on TV, including advertisements.
  • Play is always preferable to TV. Be active together as a family.
  • Always have your child wear a good-fitting helmet when on a bike or trike.
  • Praise your child for good behavior. Hug and hold your child often.
  • Listen to your child and treat them with respect. Never make fun of a child’s fears or allow others to scare your child.
  • Practice car safety with the whole family. Never start your vehicle until everyone is buckled up.
  • All children 2 years or older, or those younger than 2 years who have outgrown the rear-facing weight or height limit for their car safety seat, should use a forward-facing car safety seat with a harness for as long as possible (confirm weight and height allowances according to the manufacturer’s limits).


Next Visit:  Developmental / Behavioral Assessment