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

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………………….