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Milestones for 2-Year-Olds

Overview

Children usually progress from one developmental milestone to the next. But each child grows and gains skills at their own pace. Some children may be advanced in one area, such as language, but behind in another, such as sensory and motor development.

Milestones usually are grouped into five major categories: physical growth, cognitive development, emotional and social development, language development, and sensory and motor development.

Physical growth and development

Most children by age 2:

  • Have grown about 15 in. (38 cm) since birth.
  • Gain weight and grow at a steady but slower pace than during their first 12 months of life. Between 12 and 24 months of age, expect your child to gain about 3 lb (1.5 kg) to 5 lb (2.5 kg), grow an average of 3 in. (7.5 cm) to 5 in. (13 cm), and gain about 1 in. (2.5 cm) in head circumference. (This is the measurement around the top of the head.) Go to www.cdc.gov/growthcharts to view standard growth charts.

Thinking and reasoning (cognitive development)

Most children by age 2:

  • Start to understand simple time concepts, such as "now," "later," or "a few minutes." (The distant future or "forever" are too complex to understand at this age.)
  • Follow simple requests, such as "Put the book on the table." But two-step instructions, such as "Wash your hands, and come here," usually cannot be completed.
  • Recognize basic symbolism, such as nodding the head for yes or no.
  • Often want to do two incompatible things at the same time. For example, a 2-year-old may want to go out in the snow while wearing slippers.
  • Start to play "pretend," such as by talking on a toy telephone.
  • Start to recognize and sort objects by shape and color.

Emotional and social development

Most children by age 2:

  • Are developing self-awareness, the realization that they are individuals and are separate from other people. Children are excited by their developing skills. But they also often struggle with their emerging independence. Your child may resist your comforting one minute, only to run clinging to you the next. They understand and use the word "no" as a way to assert themselves. Sometimes calmly redirecting your child or stating the request in a different way will help this behavior. But a child can also stubbornly resist direction. Temper tantrums reflect related frustrations and competing feelings.
  • Are aware that they may not always get what they want or that they may have to wait for it. Many children also start to see a relationship between how they act and what happens next. But they often act on impulse. They often don't behave consistently, because they can't yet completely anticipate the consequences of their actions.
  • Like to observe and imitate other people.
  • Are interested and excited about being with other children. But they still engage in parallel play. This means playing next to, but usually not with, other children. They usually haven't mastered sharing and other cooperation skills.
  • Aren't concerned about gender differences, but start to recognize that they exist.

Language development

Most children by age 2:

  • Use at least 50 words.
  • Put two words together, such as "no bottle."
  • Name some body parts and familiar objects, such as "toy" or "cat."
  • Speak with a mix of made-up words and understandable words.
  • Repeat words they overhear, such as from adult conversations.

Sensory and motor development

Most children by age 2:

  • See and hear well.
  • Are quickly developing motor skills. Around the second birthday, children can usually go up and down stairs one step at a time and kick a ball, and they are starting to run. Most children can also stand on their tiptoes. You may see your child carrying toys, sometimes large toys, around the house. Pull-toys are also a favorite around this age.
  • Scribble and draw simple strokes with a crayon. They can also pour out toys or other objects from a container and build a tower with 4 or more blocks. You may notice your child using one hand more than the other.

Credits

Current as of: October 24, 2023

Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Current as of: October 24, 2023

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Dear patient

I am excited to announce that I will be relocating my practice to Houston Methodist DeBakey Cardiology Associates. Starting November 4, 2024, my new address will be:

Houston Methodist DeBakey Cardiology Associates
6550 Fannin St.
Smith Tower, Suite 1901
Houston, TX 77030

Please note that my phone number and fax number will also change to the following:
24-Hour Telephone: 713-441-1100
Fax: 713-790-2643
Clinical Support Telephone (M-F, 8-5): 713-441-3515

I am excited about caring for you in my new office and hope you will make the transition with me. I will also continue to refill your medications as I have in the past. To assist, please provide your pharmacy with my new contact information.

Please consider checking your prescription refills to verify that you have enough medication on hand to last you until your next visit. Please note that your medical records will remain at my former office until you authorize their transfer. If you choose for me to continue providing your medical care, please complete and sign the enclosed “Authorization for Release of Medical Records” form and fax it to 713-790-2643. Once we receive your authorization, we will be happy to process the request for you.

Thank you for entrusting me with your medical care. My new team and I are dedicated to making this transition as seamless as possible. For help scheduling an appointment and transitioning your care, please call my new office number above.

I look forward to continuing your care at my new location.

Sincerely,
Gopi A. Shah, MD

Dear patient

Dr. Albert Raizner, Dr. Michael Raizner, and Dr. Mohamed El-Beheary are excited to announce that our practice, Houston Cardiovascular Associates, will merge with Houston Cardiovascular Associates on November 1, 2024.

Our new offices are similarly located in Houston, near the Texas Medical Center and in Sugar Land. Our in-hospital care will continue at Houston Methodist Hospital in the Texas Medical Center and Houston Methodist Sugar Land Hospital. Importantly, our new offices expand our services with state-of-the-art equipment and amenities. Our core values will always be, as they began over 40 years ago when Dr. Albert Raizner founded HCA:

Integrity – Compassion – Accountability

Our new address and contact information are:

Your medical records are confidential and remain available at our new locations. We consider it a privilege to serve as your cardiologists and look forward to your continuing with us. However, should you desire to transfer to another physician, you may request a copy of your records by contacting us at our new addresses and phone numbers listed above.

We thank you for your trust and loyalty. As always, we will continue to be here to take care of you. Please do not hesitate to contact us if you have any questions or concerns.

Sincerely,

Dr. Albert Raizner,
Dr. Michael Raizner,
Dr. Mohamed El-Beheary