18 Month Visit Bright Futures Handout edited by Mark Simonian MD

Talking and Hearing
1. Read and sing to your child often
2. Talk about and describe pictures in books
3. USe simple works with your child
4. Tell your child the words for her or his feelings
5. Ask your child simple quesations, confirm his or her answers, and explain in a simple manner
6. Use simple, clear words to tell your child what you want him or her to do

Your Child and Family
1. Create time for your family to be together
2. Keep out with a toddler brief, about 1 hour or less
3. Do noot expect a toddler to share
4. Give older children a safe place for toys they do not want to share
5. Teach your child not to hit, bite, or hurt other people or pets
6. Your child may go from being independent to clinging; this is normal
7. If a new baby is coming, prepare your toddler by reading books about being a big brother or sister
8. Spend time with each child
9. Make sure you are taking care of yourself
10. Tell your child when he or she is doing a good job
11. Give your toddler many chances to try a new food. 

1. Use a car safety seat in the back of all vehicles. It will be facing toward the rear window until 2 years of age.
2. Everyone should wear a seat belt in the car
3. Lock away medications, poisons, and cleaning supplies
4. Call Poison Control if you think you child has eaten something harmful (see below)
5. Place gates at the top and bottom of stairs
6. Move furtnitue away from open windows
7. Watch your child closely when he or she is on the stairs
8. When backing out of garage or driveway has another adult make sure your child is a safe distance away
9. Keep weapons and ammunition locked in a safe location
10. Prevent burns by keeping hot liquids, matches, lighters, and stove where they can't touch
11. Have a working smoke detector in recommended locations throughout your home

Toilet Training
1. Signs of being ready for toilet training include: dry for 2 hours, knows if he or she is dry or wet, wants to learn, can pull pants down and up, can tell you if he or she wants to have a bowel movement
2. Read books about toilet training with your child
3. Have the parent of the same sex or sibling take the child to the bathroom
4. Praise sitting on the toilet even with clothes on (you should make sure feet can comfortable touch the ground or a stool when sitting on toilet)
5. Let child choose underwear when he or she feels ready

Your Child's Behavior
1. Set limits that are important to you and ask others to use them with the toddler
2. Be consistent
3. Praise your child for behaving well
4. Play with your child daily doing things they like
5. Keep time outs brief. Use simple words to explain what he or she did wrong
6.  Tell your child what you want them to do in a friendly way
7. Change your child's focus to another toy or activity if he or she becomes upset
8. Parenting classes can you understand your child's behavior and teach you what to do
9. Expect your child to cling to you in new situations

What to Expect at Your Child's 2 Year Visit

Poison Control 1-800 222-1222
Child Safety Seat Inspections: 1-866-SEATCHECK; www.seatcheck.org