Health review: 2-year-old check-up

This visit will probably go more smoothly because your two-year-old will be more interested in the whole business. It's easier and more enjoyable for themr to talk to the doctor or nurse who examines them.

At this visit, your provider will probably:

• Weigh and measure your baby. Click here to see our growth chart.

• Provide insights into your child's physical and emotional development.

• Answer any questions you may have about surviving the 'terrible twos'.

• Discuss toilet training, nursery school and child care.

What your provider will want to know

• Has your baby seen another healthcare provider since the last visit? If so, why? What was the outcome of that visit, and was any medication or treatment prescribed?

• How many words does your baby know? Can she use two-word phrases?

• Does she imitate you? Does she play with cars or dolls?

• Can she kick a ball? Can she walk up and down the stairs using both feet or one foot at a time?

• Is she shy around strangers, at least at first?

• Can she follow a story and name pictures in a book?

• Can she follow a two-step command?

• Is there a family history of heart attacks before the age of 50? If so, there may be some testing of your child's fat balance that needs to be done at this time.

• Is she extremely fearful and/or does she have a hard time with other children?

Talk it over

• Although most two-year-olds are not toilet-trained (no matter what your mother or mother-in-law says), you may have started the training process. Keep in mind that you shouldn't rush toilet training. Forcing the matter usually ends up frustrating everyone, and doesn't get the nappies off any sooner.

• Dental care is a big concern at this age. Ask for a referral to someone who works well with children. Ask about fluoride.

• If you're having a hard time limiting TV or if you find yourself using it as a babysitter, ask for some help. Habits are shaped now.

• If your child is extremely fearful and/or has a hard time with other children. Ask for advice.

• Major changes can stress you and affect your toddler. If you're moving, having a new baby, going back to work or dealing with a loss or serious illness, your child may be affected. Your provider may also be able to suggest resources for you and your family to help with the situation.

• There are many programmes that can help you to cope with the challenges you face with a growing child. Your provider can help you find one.

Speak up!

Your busy toddler will probably bruise her shins and bump her head. If you have any concerns about your child's injuries, tell your provider immediately. She or he can look at the bumps and bruises and tell you whether they appear to be from normal activities.

Also, let your healthcare provider know if your child:

• Isn't putting together two-word sentences or phrases.

• Doesn't point at pictures in books and name at least some of the pictured objects.

• Doesn't run or is very unsteady on her feet.

• Doesn't understand two-step commands such as 'Get your shoes and bring them to me'.

• Doesn't throw or kick a ball.

• Can't stack more than two blocks.

• Doesn't know how to scribble on paper with large crayons. Most kids can draw a crude circle at this age.

• Still has trouble swallowing solid food.

• Can't be understood or get her message across to strangers half of the time.

• Is very fearful generally, or in particular situations or with particular people.

• Is doing anything that you think is odd or unusual.

Remember that each child develops and learns at her own rhythm so try not to worry. Discuss any questions with your healthcare provider to ensure all is going well for your little one.