Anticipatory Guidance 24 Month Checkup


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

Development and Behavior

  • Assist in use of language to express feelings
  • Establish consistent limits/rules and consistent consequences
  • Limit TV time to 1-2 hours/day
  • 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
  • Praise good behavior
  • Provide opportunities for side-by-side play with others of same age group
  • Use of “No” for self-opinion/frustration/expression of anger


  • 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
  • Teach hand-washing
  • Progress with toilet training by providing frequent “potty” breaks every 2 hours
  • Encourage supervised outdoor exercise
  • Establish consistent bedtime routine


  • Lock up guns
  • No shaking baby (Shaken Baby Syndrome)
  • Provide home safety for fire/carbon monoxide poisoning
  • Provide safe/quality day care, if needed
  • Supervise within arm’s length when near or in 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
  • Use of helmet when riding tricycle or bicycle




Last updated July 23, 2015