Baby's 18-Month Checkup: What to Expect

By now, your toddler can probably say about 10 to 20 words, walk, point to body parts, and follow simple instructions, including "no" -- but that doesn't mean he'll always listen! It's normal if your child tries to push limits. Be sure to be consistent with discipline and talk about any concerns that you may have with your pediatrician.

Here's what to expect at your toddler's 18-month checkup.

You Can Expect Your Pediatrician to:

  • Weigh and measure your child
  • Perform a physical exam of your child
  • Catch up on any vaccines, including a flu shot in the fall/winter
  • Ask you to complete a developmental screening about your child


Questions Your Pediatrician May Ask

  • Has your child been having temper tantrums?
  • Is your child talking a lot? Pointing? Scribbling?
  • Is she sleeping and napping well?
  • Does he appear to understand what you are saying?
  • Has she had a dentist appointment?
  • Is he still taking a bottle?

Questions You May Have About Naps

  • My child doesn't want to nap. What can I do?
  • How can I keep afternoon naps from causing problems at bedtime?

Napping Tips

  • Try soft music or a sound machine to ease your child into naptime.
  • Stick to a routine so your child knows what to expect.
  • Starting naps earlier and limiting them to less than 3 hours may help nighttime sleep.
  • Expect to wean down to one nap per day.

Questions You May Have About Toilet Training

  • My child seems interested in potty training. Is it too early to start?

Toilet Training Tips

  • Many kids are physically ready between 18 months and 2 years old.
  • Girls are usually ready sooner than boys.
  • If your child shows interest in the potty or stops an activity to "go," he may be ready.
  • Your child needs to be able to understand instructions about the potty and control the muscles involved, and needs to be able to remove their pants and underwear.
  • Set up a potty chair in the bathroom and let him come in with you when you go. This will spike his interest!
  • Some parents use training pants to transition from diapers to underwear. Or you can go "cold turkey" if you are okay with some messes as he learns.
  • It can take a long time for a child to stay dry at night, so you might want to keep him in training pants at night for a while.
  • Celebrate and congratulate your child if he uses the potty -- even if nothing happened.
  • If it doesn't seem to be working, don't worry. Just try again a few months later.
  • Remember, your child may be enthusiastic at first. But then he may start finding his own activity too interesting to break away from to go to the potty.


Questions You May Have About Talking

  • How can I encourage my child to speak and learn words?

Talking Tips

  • Read to your child often. TV and videos (even the educational kind) can't compete with you reading or talking to your child.
  • Read the same book over and over if your child asks. Repetition helps him learn.
  • Read interactively. Ask questions abut characters. Ask your child to point to characters or objects, or ask him to tell you where characters or objects are. Ask him to tell you what the characters are doing.
  • If your child can't sit still long, keep reading when he's playing or moving around.
  • Pick books with lots of pictures about activities like bedtime or bath.
  • Music also helps with language development.
  • Expose your child to all kinds of music, not just children's songs.
  • Make up songs to daily activities, like brushing teeth.
  • Talk to her throughout the day. Explain to her what you are doing such as folding laundry or cooking dinner.

Talk to the pediatrician if your child:

  • Prefers to use gestures to communicate
  • Has trouble imitating sounds
  • Doesn't understand simple instructions such as "get your book"
  • Isn't walking

Remember that TV and media need to be limited. This time will go fast and you want to use the precious moments to stimulate his brain. TV will take this time away. Music, reading, and interactive play are wonderful ways to help his developing brain.

WebMD Medical Reference Reviewed by Renee A. Alli, MD on September 07, 2019


SOURCE: "Your Child's Checkup: 1.5 Years (18 Months)."

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