24 Months to 30 Months

Eating and Drinking

Breastfeeding

  • If your child is still breastfeeding, please feel free to continue for as long as you want!
  • Continue the daily vitamin D supplement for your child.

Nutrition

  • Provide a well-rounded diet with all the food groups.
  • Make sure the diet meets the age-based requirements of nutrients each day.
  • Encourage high iron-containing foods in the diet to prevent iron deficiency.

Vitamin D

  • Your child now needs 600 IU of vitamin D per day.
    • The vitamin D can come from vitamin D-enriched milk (cow, goat, almond, soy, pea, etc).
    • If your child is drinking whole milk, consider switching to 2%
  • 16 ounces per day of whole cow’s milk provides the required vitamin D your child needs.
    • If your child won’t take all 16 ounces of milk per day from the sippy cup, don’t reintroduce the bottle.
    • Instead, just give a vitamin D supplement that evening before bed.
  • Limit milk to 20 ounces per day. Drinking more than 20 ounces per day will negatively affect your child’s appetite, which can cause nutritional deficiencies.
  • The milk should be given in a sippy cup.
  • The milk should be given throughout the day with meals and snacks, just like big kids and adults drink it.
  • Your child does not need juice, unless it's being used to treat constipation.
    • If you do give your child juice, serve all-natural 100% fruit juice

Water

  • Offer your child water freely throughout the day.
  • Don’t worry if they don’t want to drink, this simply means they aren’t thirsty.
    • Please note that the amount of water needed daily may vary by individual and may need to be adjusted depending on levels of activity and environmental conditions like heat and humidity.

Mealtime

  • We recommend 3 meals and 1-2 snacks per day.
  • Avoid letting your child “graze” on food throughout the day.
    • This will negatively affect the appetite and can worry parents that their child “doesn’t eat enough” at mealtimes.
  • Eat meals together as a family when possible.
  • Avoid distractions during mealtimes, which many parents use to get their child to eat more.
    • We want your child to pay attention to their own hunger level, rather than eating out of distraction.
  • Common distractions to avoid: TV, screens (phone/iPad), pets, music.
    • The most common distraction is often the caregivers themselves.
      • Imagine how distracting it would be to have Mom on one side and Dad on the other, both trying to convince you to eat more!
      • Instead, we recommend caregivers eat their own meals and converse with each other, allowing your child to pay attention to their own hunger level, and eat accordingly.
  • If your child cleans their plate, offer more!
    • Provided there are no distractions, you can trust your child to eat when hungry, and stop when full.
  • Avoid small, hard foods that can cause choking—nuts, popcorn, hot dogs, grapes, and hard, raw veggies.

Strategies For Picky Eaters

  • Most caregivers will experience concerns about picky eating between 12 and 36 months of life.
  • See our article on picky eating for more information.

Development

Gross Motor Skills

  • By 2 years of age, your child should be walking well, running, and able to jump with two feet
  • By 2 1/2 years of age your child should be running well without falling
  • Your child should be able to climb stairs while holding onto the railing
  • Your child is likely able to climb on and off furniture or other objects
  • Your child can also stand on tiptoe, kick a ball and pull toys behind them or carry toys while walking
  • Your child can take off some clothes independently

Fine Motor Skills

  • Your child should be able to feed themselves with a spoon and fork, but it is still very normal for them to use their hands at times
    • Continue to allow your child to feed themselves at mealtimes, even if it means a bigger mess.
  • Your child can scribble. you may start to see them use one hand more often than the other
  • Your child can stack blocks or other small toys

Language Skills

  • At 2 years old, your child should be talking in short sentences of at least 2 words
  • Your child should say at least 50 words
  • Language should be 50% understandable to strangers
  • Your child will be able to point to objects or pictures when named out loud, and recognize names of familiar people/objects/body parts
  • Talk to your child all the time.
    • They should hear as many words as possible from the people she cares about.
      • This is best accomplished through interactive play with caregivers.
  • Reading books is always encouraged, but most toddlers will lose interest quickly, and that’s ok too!
    • You don't need to stick to the words, try pointing to the pictures and asking them what they see!
  • Avoid “baby talk.”
    • Instead, pronounce words correctly, to teach your child to make sounds correctly.

Social/Emotional Skills

  • Around 2 years of age, your child will begin to imitate the behavior of other children and adults, and will be eager to play alongside of other children.
  • Children at this age strive for independence yet often feel anxious and clingy in new situations and may fear separation from caregivers. This typically improves when approaching 30 months
  • As your child gets closer to 2 1/2
    • Your child will engage in pretend play (feed a baby doll)
    • Your child will try to engage you in play "look at me!"
    • Your child will follow simple routines/ instructions "it's clean up time," "it's time to put on shoes"
  • Your child may become more opinionated ("NO!")
    • offer firm but gentle boundaries (try not to go back on what you say)
    • give choices when possible. It is best to limit options to two choices.  

Other Guidance

Sleep

Dental Care

  • Apply a grain-of-rice-sized amount of fluoride-based toothpaste to a soft toothbrush.
    • Press the toothpaste into the bristles to prevent your child from sucking the toothpaste right off of the brush.
  • Most toothpaste specifically labeled for “babies” does not contain fluoride. 
    • Please make sure you buy toothpaste that does contain fluoride, even if labeled for “children.”
  • Brush teeth once in the morning and once before bed. 
  • It is normal for your child to resist having their teeth brushed. The following strategies may be helpful:
    • Allow your child to brush their teeth first then follow up by brushing their teeth for them. 
    • Make up a silly song about brushing teeth. 
    • Some children resist brushing less if brushing teeth while their siblings or parents are doing so as well.
    • If these methods fail, don’t be afraid to bring in another caregiver to restrain your child while you brush their teeth.
      • Sometimes it needs to be a two-person operation!
  • Pacifier use is typically not recommended at this age 
  • Thumb-sucking may still be okay at this age 
  • Your child should be seeing the dentist regularly at this age

Common Illnesses and Injuries

  • Colds may become slightly less frequent than they were during the first 2 years of life, but they are still common
    • Each cold can last for up to 3 weeks.
  • Vomiting and diarrheal illnesses are common as well. 
  • Fever will accompany many of these illnesses. 
  • Falls and head injuries are the rule, not the exception.
  • Teething may continue to bother your child on and off until they get their second set of molars

Safety

  • Keep your child’s car safety seat rear-facing until your child is 2 years of age or until they reach the highest weight or height allowed by the car safety seat’s manufacturer.
  • Please review our guide on childproofing for ways to keep your baby safe in your home.
  • Please review our guide on water safety for young children. 

Screen time

Potty Training

  • Many parents start to think about potty training around this time.
  • When To Potty Train?
    • There is no exact age that is best for potty training.
    • Potty training readiness varies greatly amongst children.
    • Some children start showing signs of being ready between 18 and 24 months whereas others show signs closer to 36 months of age.
  • Is your child ready?
    • Here are signs that your child may be ready.
      • Your child is dry for at least 2 hours during the day.
      • You can tell when your child is about to urinate or have a bowel movement.
      • Your child can follow simple directions.
      • Your child can pull clothes down and up.
      • Your child does not like wet diapers and wants to be changed.
      • Your child asks to use the potty.
  • Waiting until your child is truly ready will make the experience much faster and more pleasant for everyone involved!
  • If you think your child may be ready to potty-train, check out these helpful resources from the American Academy of Pediatrics