TODDLER * Period of slowed growth * Birth Wt. quadrupled by 2 ½ years. * Adult height about 2X height at 2 years. * Baby fat disappears * brain 90 % adult size * Baby fat disappears * CC > HC; inc by 2 cm. * Anterior fontanels closes by 18 months. * Protuberant abdomen. * Stomach capacity increases. * Develops sphincter control necessary for bowel and bladder control. * IgG and IgM * 20 deciduous teeth (primary dentition)
GROWTH AND DEVELOPMENTAL MILESTONES
Gross and Fine Motor * 15 mos – walks alone well * 18 mos – run and jump in place - walk up & down stairs holding on to railing - seat self in chair * 24 mos – walks up & down stairs w/ both feet same step, same time. Runs fairly well * 2 ½ yo – tiptoes * 3 yo - throws balls, rides tricycles. - stands on 1 foot momentarily.
LANGUAGE
* 15 mos - vocalizes wants - 3 words other than dada, mama * 18 mos - uses phrases * 2 y/o - short sentences; 2-3 words - points to one body part * 3 y/o - speaks fluently using longer sentences - tells stories - plurals
PERSONAL/SOCIAL * 15 mos - pats pictures - imitates housework * 18 mos - turns page 2-3 at a time - uses spoon * 2 yo - removes garments - toilet trained by day (2-3 yrs old) * 3 yo - dry by night (3-4 yrs old) - washes and dries hands
NUTRITION
* Decrease in appetite * Picky eaters * 1, 300 kcal/day * Allow self feeding * Allow choice between 2 types of food * Offer finger food * Risk of aspiration
PLAY – parallel play: plays alongside, but not with another; has not learned sharing yet * Babbling and talking * Ball games * Clay * Listening to music * Listening to stories * Making music and noise * Push and Pull