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Medical Care and Your 1- to 2-Year-Old

The toddler months continue to bring the medical challenges of colds, cuts, bruises, and other minor emergencies.

But you'll also find yourself dealing with an emerging personality and increasing conflicts.

Your doctor will see your child four times for routine well visits during this period, at 12, 15, 18, and 24 months. If your toddler has missed any immunizations, or if a problem has been detected that needs special attention, additional visits may be scheduled.

What to Expect During the Office Visit

The well-child visits during your child's second year are similar to those before, although discussions with your doctor about behavior and habits may become more detailed as your toddler gets older.

Your toddler's checkup will include:

If they haven't already, kids this age might undergo a tuberculin skin test, especially those at risk for tuberculosis. You'll be given instructions on how to monitor the test and report results to the doctor's office. Your doctor may recommend a blood test to check for anemia and lead poisoning.

Address any questions or concerns you have, and write down any specific instructions the doctor gives you regarding special care. Keep updating your child's permanent medical record, listing information on growth and any problems or illnesses.

Immunizations Your Child Will Receive

A child who did not have them at the 12-month visit will receive these vaccines at 15 months:

At the 18-month visit, if not already been given, children should receive:

Your child may also receive the flu vaccine, which is recommended every year before flu season for children older than 6 months. If your child is at high risk for developing meningococcal disease, a serious infection that can lead to bacterial meningitis, your doctor may offer the meningococcal vaccine as well.

Discuss possible vaccine reactions with your doctor and get advice on when to call with problems.

Developmental Progress

At the 18-month visit, toddlers undergo a screening test to help identify developmental delays and autism.

There is a wide range of normal when it comes to reaching developmental milestones. But by 18 months, most toddlers:

By age 2, toddlers should be able to:

Talk to your doctor if you have concerns about your child's development.

When to Call the Doctor

By now you have probably called your doctor's office many times with questions and concerns about your child's health. Don't hesitate to notify the doctor if you suspect something is wrong — you know your child best.

Call if your child has a fever, is acting sick, has serious problems sleeping, is refusing all food or drink, is vomiting, or has diarrhea.

Reviewed by: Mary L. Gavin, MD
Date reviewed: January 2015

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Note: All information is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor.
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