Growth & Devpt - During age 12-18 mo

Physical development.

Growth rate slows - appetite declines

Exaggerated lumbar lordosis makes the abdomen protrude.

Brain growth continues, - myelinization continues throughout the 2nd yr

Walk with out support -some do not walk until 15 mo.

Wide-based gait, knees bent, and arms flexed at the elbow

Feet are flat.

While walking child can stop, turn, and bend.

Cognitive development.

Build blocks or putting things into bottle.

Uses comb for hair, cup for drinking.

Emotional development.

May be irritable.

Child walks around parents, moving away, looking back, moving farther, and then returning.

In unfamiliar surroundings-, such orbits might be small

In familiar ones- walks out of sight

Attachment = parents leave the child in an unfamiliar playroom, stops playing, cry, and try to follow.

Response of the child on the parents' return -  Emotionally mature child goes to parent to be picked up, comforted and returns to play. If not mature resist being comforted and hit at their parents in anger.

Linguistic development.

Listens first then starts talking. By 12 mo, respond to simple statements such as "no," "bye-bye," and "give me."

By 15 mo, points to major body parts

uses four to six words correctly, Toddlers likes jargoning

Clinical Importance

Parents remember when child began to walk, -walking is an act of independence.

Difficulty of supervision and the risks of injury – chance of accidents high.

Development at each age

15 Mo

Motor:             Walks alone

                        Crawls up stairs

Adaptive:        Makes tower of 3 cubes

                        Makes a line with crayon

                        Inserts pellet in bottle

Language:       Jargon

                        follows simple commands

                        may name a familiar object (ball)

Social:             Indicates some desires or needs by pointing

                        hugs parents

18 Mo

Motor:             Runs

                        Sits on small chair

                        Walks up stairs with one hand held

                        Explores drawers and wastebaskets

Adaptive:        Makes a tower of 4 cubes

                        Imitates writing

                        Imitates vertical stroke

                        Inverts bottle and brings put contents

Language:       10 words

                        Names pictures

                        Identifies parts of body

Social:             Feeds self

                        Seeks help when in trouble

                        May complain when wet or soiled

                        Kisses parent