Anticipatory Guidance 18 Month Checkup


  • Maintain consistent family routine
  • Make 1:1 time for each child in family
  • Be aware of language used, child will imitate
  • Sibling rivalry

Development and Behavior

  • Assist to describe feelings in simple words
  • Provide age-appropriate toys to develop imagination/self-expression
  • Read books and talk about pictures/story using simple words
  • Discipline constructively using time-out for 1 minute/year of age
  • Establish consistent limits/rules and consistent consequences
  • Limit TV time to 1-2 hours/day
  • Praise good behavior
  • Provide opportunities for side-by-side play with others of same age group


  • Provide nutritious 3 meals and 2 snacks; limit sweets/high-fat foods

Routine Care

  • Establish routine and assist with tooth brushing with soft brush twice a day
  • Encourage supervised outdoor play
  • Establish consistent bedtime routine
  • Begin toilet training when ready


  • Lead risk assessment
  • Home safety for fire/carbon monoxide poisoning, stair/window gates, electrical outlet covers, household chemicals and medicines out of reach
  • Lock up guns
  • No shaking baby (Shaken Baby Syndrome)
  • Provide safe/quality day care, if needed
  • Supervise within arm’s length when near water
  • Use rear-facing car seat in back seat of car until child is at least 2 years old, or reaches the height and weight limit set by the car seat maker





Last updated July 23, 2015