Anticipatory Guidance 30 Month Checkup


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

Development and Behavior

  • Read books and talk about pictures/story using simple words
  • Begin self-dressing with T-shirt
  • Discipline constructively using time out for 1 minute/year of age
  • Establish consistent limits/rules and consistent consequences
  • Limit TV/computer time to 1-2 hours/day
  • Provide age-appropriate toys to develop imagination/self-expression
  • Use of “No” for self-opinion/frustration/expression of anger
  • 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
  • Establish consistent bedtime routine
  • Encourage supervised outdoor exercise


  • Lead risk assessment
  • 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 when near or in water even if child knows how to swim
  • Teach how to answer the telephone
  • Use rear-facing car seat in back seat of car until child 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