At 18 months of age, does your child:

If you check  “No” to any of the following questions, contact your Public Health Nurse at  250-850-2110. It’s never too soon to make sure your child is on track.   

YES
NO  
Build a tower with 3 or more blocks?
     

Do easy puzzles with help?

     
Ask for things she wants, using easy words? *
     
Follow one-step directions? (For example, “Throw me the ball,” “Bring me your shoes”)
     
Say more than 5 different words? *
     
Bend down with feet flat on the floor, to pick up toys from the ground?
     
Run with stiff legs and seem clumsy?
     
Crawl or walk up and down the stairs holding your hand?
     
Have the same use of both arms and legs? (Does not use the left hand/leg or right hand/leg more than the other)
     
Enjoy playing with other children and adults, showing love and different feelings?
     
Like to try to do things on her own? (She may seem stubborn or may throw a temper tantrum if not able to do something by herself)
     
Still have a hard time taking turns or sharing? (May hit if she doesn’t get her way)
     
Eat finger foods and feed her self now with a spoon?
     
Use a cup or plastic glass with some spilling? *
     
Point to pictures in a book (For example, when you say “Show me the baby,” she does)
     
Use familiar movements? (For example:  waving, pushing away)
     
Use well known sayings? (For example, “all gone”, “uh-oh”) *
     
Point to at least three different body parts when asked? (For example, points to her nose, when asked “Where is your nose?”)
     
Help with dressing by putting out her arms and legs? *
     
Push and pull toys or other things while walking? 
     
Point to show you something?
     
Look at you when you are talking or playing together?
     

* Starred items may not be common to children in all cultures. Please click here for a discussion of what this star might mean for Aboriginal children.

Activities to Encourage Development:

  • Answer your child in full sentences.  “Car” – “Yes, the car is going.”
  • Do easy shape puzzles and read with your child.
  • Show your child how to put things away when she is finished playing.
  • Give things that will help her want to make-believe play. (For example, a toy telephone, broom, pots & pans)
  • Get down on the floor and play with your child.  Show sharing and taking-turns by example.
  • Hug your child when she is angry or unhappy.