Growth and development of 18 month toddler

Growth and development of 18 month toddler

1. GROWTH AND DVELOPMENT OF AN EIGHTEENTH MONTH TODDLER Mrs. Melba Sahaya Sweety . D Msc Nursing Pediatric department GIMSAR

2. Anterior fontanel closed (May be closed as early as 12 months) PHYSICAL OR BIOLOGIC DEVELOPMENT

3. PHYSICAL OR BIOLOGIC DEVELOPMENT Abdomen protrudes

4. PHYSICAL OR BIOLOGIC DEVELOPMENT Physiologic anorexia due to decreased growth

5. PHYSICAL OR BIOLOGIC DEVELOPMENT Has Sphincter control

6. MOTOR DEVELOPMNT

7. GROSS MOTOR DEVELOPMENT Walk with some what wide stance, but increasingly more like adult gait

8. GROSS MOTOR DEVELOPMENT Walk sideways and backward

9. GROSS MOTOR DEVELOPMENT Walk upstairs with one hand held

10. GROSS MOTOR DEVELOPMENT Runs stiffly, often falls Throws ball overhand without falling

11. GROSS MOTOR DEVELOPMENT Move quickly from place to place. Jumping attempted using both feet. May fall in initial attempts since the body is propelled forward

12. GROSS MOTOR DEVELOPMENT Seat self in small chair Climbs on furniture

13. GROSS MOTOR DEVELOPMENT Pulls and pushes toy, Pushes light furniture around room

14. FINE MOTOR DEVELOPMENT Builds tower of 3-4 Cubes, Scribbles Vigorously

15. FINE MOTOR DEVELOPMENT Imitates a vertical stroke with crayon

16. FINE MOTOR DEVELOPMENT Turn pages in a book two or three at a time

17. FINE MOTOR DEVELOPMENT Dumps Pellet From Bottle , Puts block in to hole

18. FINE MOTOR DEVELOPMENT Transfer objects hand to hand at will

19. SELF CARE ( FEEDING SKILL) Holds cup with both hands. Hands it to care giver, puts it down, or drops it on floor

20. SELF CARE ( FEEDING SKILL) Eats with spoon ; turn spoon in mouth. Spills frequently

21. SELF CARE ( FEEDING SKILL) May play with food, Finger feeds Proficiently

22. SELF CARE ( DRESSING SKILL) Removes Simple garments ( mittens, shoes) and unzips garments

23. SELF CARE ( TOILETING & GROOMING SKILL) May complain When wet or soiled or give indication of need to toilet

24. SELF CARE ( TOILETING & GROOMING SKILL) Increased readiness for bowel and bladder control. Possibly early control of bowel movements

25. SENSORY DEVELOPMENT Can see better, thus has intense interest in picture

26. SENSORY DEVELOPMENT Identifies various shapes

27. PSYCHOSOCIAL DEVELOPMENT Negativism and dawdling predominant SENSE OF AUTONOMY VERSES DOUBT AND SHAME

28. PSYCHOSOCIAL DEVELOPMENT Autonomous behaviour increasing and autonomy is tested with “NO” SENSE OF AUTONOMY VERSES DOUBT AND SHAME

29. PSYCHOSOCIAL DEVELOPMENT Begins to have temper tantrums if things go wrong SENSE OF AUTONOMY VERSES DOUBT AND SHAME

30. PSYCHOSOCIAL DEVELOPMENT Imitates parent’s domestic activities (sweeping, Dusting) SENSE OF AUTONOMY VERSES DOUBT AND SHAME

31. PSYCHOSEXUAL DEVELOPMENT Anal Stage (1 to 3 Years)

32. SPIRITUAL DEVELOPMENT Intuitive – projective faith

33. INTLLECTUAL DEVELOPMENT Sensorimotor stage Substage IV ( Invention of new mean through Mental combination)

34. MORAL DEVELOPMENT Pre conventional morality

35. RECEPTIVE LANGUAGE Identifies picture of familiar objects when named Identifies on or more parts of body when named

36. EXPRESSIVE LANGUAGE Speaks 10 real words (average) besides jargons Uses words more than gestures to express desires

37. EXPRESSIVE LANGUAGE Name Pictures About 25% of vocalizations are intelligible

38. PLAY STIMULATION Wooden blocks, pull toys, clay, large crayons, stuffed toys, sand toys,

39. PLAY STIMULATION Enjoy Solitary play, Imitates parental action Enjoy playing with balls

40. THANK You………………….