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Growth & Development

Bright Futures Parent Handout: 2 Year Visit

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Here are some suggestions from Bright Futures experts that may be of value to your family

Assessment of Language Development

Your Talking Child

  • Talk about and describe pictures in books and the things you see and hear together.

  • Parent-child play, where the child leads, is the best way to help toddlers learn to talk.

  • Read to your child every day.

  • Your child may love hearing the same story over and over.

  • Ask your child to point to things as you read.

  • Stop a story to let your child make an animal sound or finish a part of the story.

  • Use correct language; be a good model for your child.

  • Talk slowly and remember that it may take a while for your child to respond.

Television Viewing

Your Child and TV

  • It is better for toddlers to play than watch TV.

  • Limit TV to 1–2 hours or less each day.

  • Watch TV together and discuss what you see and think.

  • Be careful about the programs and advertising your young child sees.

  • Do other activities with your child such as reading, playing games, and singing.

  • Be active together as a family. Make sure your child is active at home, at child care, and with sitters.



  • Be sure your child's car safety seat is correctly installed in the back seat of all vehicles.

  • All children 2 years or older, or those younger than 2 years who have outgrown the rear-facing weight or height limit for their car safety seat, should use a forward- facing car safety seat with a harness for as long as possible, up to the highest weight or height allowed by their car safety seat's manufacturer.

  • Everyone should wear a seat belt in the car. Do not start the vehicle until everyone is buckled up.

  • Never leave your child alone in your home or yard, especially near cars, without a mature adult in charge.

  • When backing out of the garage or driving in the driveway, have another adult hold your child a safe distance away so he is not run over.

  • Keep your child away from moving machines, lawn mowers, streets, moving garage doors, and driveways.

  • Have your child wear a good-fitting helmet on bikes and trikes.

  • Never have a gun in the home. If you must have a gun, store it unloaded and locked with the ammunition locked separately from the gun.

Toilet Training

Toilet Training

  • Signs of being ready for toilet training

    • Dry for 2 hours

    • Knows if she is wet or dry

    • Can pull pants down and up

    • Wants to learn

    • Can tell you if she is going to have a bowel movement

  • Plan for toilet breaks often. Children use the toilet as many as 10 times each day.

  • Help your child wash her hands after toileting and diaper changes and before meals.

  • Clean potty chairs after every use.

  • Teach your child to cough or sneeze into her shoulder. Use a tissue to wipe her nose.

  • Take the child to choose underwear when she feels ready to do so.

Temperament and Behavior

How Your Child Behaves

  • Praise your child for behaving well.

  • It is normal for your child to protest being away from you or meeting new people.

  • Listen to your child and treat him with respect. Expect others to as well.

  • Play with your child each day, joining in things the child likes to do.

  • Hug and hold your child often.

  • Give your child choices between 2 good things in snacks, books, or toys.

  • Help your child express his feelings and name them.

  • Help your child play with other children, but do not expect sharing.

  • Never make fun of the child's fears or allow others to scare your child.

  • Watch how your child responds to new people or situations.

What to Expect at Your Child's 2½ Year Visit

We will talk about

  • Your talking child

  • Getting ready for preschool

  • Family activities

  • Home and car safety

  • Getting along with other children

© 2010 American Academy of Pediatrics

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News @ QPA

  • 2019 Flu Clinic Dates!

    Flu Vaccine has arrived! We will be having  flu clinics for our existing patients.   Call the office today to schedule your child's annual flu vaccine.  Below are the dates of our REMAINING Flu Clinics:
    • Tuesday, 9/24 in MARSHFIELD, 5pm-7pm
    • Saturday, 10/12 in Quincy, 9am-1pm
    • Tuesday, 10/22 in Quincy, 4pm-7pm
    • Saturday,10/26 in MARSHFIELD, 9am-1pm
    • Saturday, 10/26 in Quincy, 1pm-4pm
    • Saturday, 11/9 in MARSHFIELD, 9am-1pm
    • Saturday, 11/23 in Quincy, 9am-2pm


  • Remembering Dr. Russell Irons

    To All our Quincy Pediatrics Families, Friends, Patients and Colleagues,
    It is with great sadness that we announce the passing of Dr. Russell Irons, January 3, 1927-July 28, 2019.  Dr. Russell Irons touched the lives of so many people as a beloved physician, father, grandfather, friend, and colleague.  Dr. Irons started Quincy Pediatrics in 1971 and provided exceptional care to his patients for over forty-five years.   Dr. Irons will be remembered for his compassion, sharp intellect, contagious laugh, and love for his family, friends, colleagues, patients, and Becket/Chimney Corners family.   The love and gratitude we all feel for him cannot be expressed in words.   The legacy of Dr. Russell Irons will live on in the hearts of all who knew and loved him.