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 Two-Year Checkup



Date ______________________________________


A.  MEASUREMENTS                   

Length _________________ in     (         %tile) 

Weight ___________ lb ___ oz    (          %tile) 

Head Size ______________ cm    (         % tile)



Unless your child is behind on an immunization, or it is time for a flu vaccine, there will be no immunizations today



Offer well-balanced, attractively prepared meals on a regular schedule m a pleasant atmosphere. Let the child eat what he will readily take in a reasonable period. Expect his intake to be variable with large meals on occasion and almost nothing at other times. Never coax, force or bribe to eat. Allow 20-30 minutes, and then quietly and without fuss remove food from table.  A supplemental vitamin such as Poly-Vi-Sol is now recommended.  He or she may take a chewable vitamin with close adult supervision.



Two-year-olds are vigorous and active adventurers. They are generally easy to please but are equally quick-tempered and selfish. You should expect partial obedience only. Be reasonable in your demands but consistent in enforcement. Respect the child's rights and wishes but maintain your own rights and those of other family members.



1. BATHTUB: Never leave him/her alone in a bathtub. Falls, drowning, and bums may easily occur at this age.

2. TOYS: Exercise caution in selection of toys. Avoid objects with splinters, are easily broken, or which have small removable parts.

3. ANIMALS: The American Academy of Pediatrics makes the following recommendations about your child's contact with animals.

a. Teach your child, under proper supervision, to make friends with pets he/she will frequently meet in the immediate neighborhood.

b. Train your child not to make the first move toward friendship, or to hold his/her face close to an animal's mouth. Let the animal make the first friendly move after he sniffs the child.

c. Do not allow your child to disturb a sleeping animal or overly excite an animal in play.

d. Never allow your child near strange, sick, injured, wild, or nervous animals

e. Don't let your child stop an animal fight. Rather, have him seek help from an adult.

 f. Caution your child not to tease, make threatening gestures, or remove food or toys from an animal. Have him/her speak first to avoid startling a pet.

 g. Instruct your child to avoid routes where dogs chase cars, bicycles, or tricycles.

 h. Unless your child is experienced, he/she should not give food to tan animal.  Do not allow a small child to lead a large dog.

 j. When purchasing pets, consider the maturity and disposition of both the child and the pet. Have your cat or dog immunized against rabies as soon as possible.

4. FLUORIDE: Remember to continue to use fluoride drops daily if your home does not have a fluoridated water supply. If your child consumes water in significant amounts from both fluoridated and non-fluoridated sources, ask us for advice on using fluoride drops.

5. AUTO TRAVEL: Current N.C. state laws require that children must ride in an approved car seat until they are at least four years old AND weigh at least 40 lbs.  Then they must remain in a booster seat until eight years old OR 80 lbs.  If your child ever climbs out of the car seat, IMMEDIATELY stop the car and buckle him/her in again.  For more information, visit http://www.buckleupnc.org/.




For additional safety tips, visit http://www.aap.org/healthtopics/safety.cfm


Last modified: Monday February 16, 2015