GROWTH &GROWTH &
DEVELOPMENT OFDEVELOPMENT OF
TODDLERTODDLER
PRESENTED BY
Mrs. Khushbu
Assit. Professor
SGT University
Gurugram
PHYSICAL ORPHYSICAL OR
BIOLOGICALBIOLOGICAL
GROWTHGROWTH
13-15 MONTH13-15 MONTH
WEIGHT :
Toddler gains about 1.8 to 2.7 kg in a year.
HEIGHT :
Height increases about 10 to 12.5 cm per
year.
Legs appear bowed
MOTORMOTOR
DEVELOPMENDEVELOPMEN
TT
GROSS MOTOR :walk without support at 13 months,
creep up stairs , cannot throw ball without falling
Fine motor : build a tower of 2-3 cubes
,pokes finger in holes, open boxes .
Enjoy finger feeding, remove socks,
indicate when diaper is wet
SensorySensory
developmedevelopme
ntnt
Binocular vision is fully develop, looks at
pictures intently for prolonged period of time.
Psychosocial :- sense of autonomy
Vs shame & doubt(1-3y)
psychosexual :- anal stage (1-3 y)
spiritual : intuitive Vs projective
Psychosocial,Psychosocial,
psychosexual & spiritualpsychosexual & spiritual
developmentdevelopment
Separation anxiety ,hug & kisses the
parents, very early temper tantrums
Intellectual or cognitive : sensory
motor : substage V: tertiary circular
reaction (12-18 mths)
moral : preconventional morality
stages (0-2 y)
Intellectual orIntellectual or
cognitive & moralcognitive & moral
developmentdevelopment
Cognitive : experiences only the
present
Moral : the good is what I like &
I want
Language ,Language ,
speechspeech
developmentdevelopment
Receptive language : recognizes
names of various body parts
Expressive language : says 2-6
words, names familiar pictures or
objects such as “ball” “no” .
PLAYPLAY
STIMULATIONSTIMULATION
Stuffed animals, musical toys,
picture books
16-18 month16-18 month
PHYSICAL ORPHYSICAL OR
BIOLOGICALBIOLOGICAL
DEVELOPMENTDEVELOPMENT
Temporary deciduous teeth develop.
, Physical anorexia due to decreased
growth , has sphincter control
MOTORMOTOR
DEVELOPMEDEVELOPME
NTNT
Gross motor : walk side ways and
backward, seats self in a small chair,
pull & pushes toys
Fine motor : build tower of 3-4
cubes , puts block into hole.
Eats with spoon , spills frequently,
remove simple garments
SENSORY
DEVELOPMEN
T
Identifies various shapes,
Psychosocial :- sense of autonomy
Vs shame & doubt(1-3y)
psychosexual :- anal stage (1-3 y)
spiritual : intuitive Vs projective
Psychosocial,Psychosocial,
psychosexual & spiritualpsychosexual & spiritual
developmentdevelopment
Bed time ritual begins , thumb
sucking may peak, imitate parents
behavior & domestic activities
Sensory Stage, Sub Stage VI
Preconventional Morality Stage
0-2 Y
INTELLECTUAL OR
COGNITIVE , MORAL
DEVELOPMENT
Cognitive : begins to think , shift
attention rapidly from one thing to
another
Experiments actively to achieve
goals
LANGUAGE ,LANGUAGE ,
SPEECHSPEECH
DEVELOPMENTDEVELOPMENT
Receptive language : identifies
pictures of familiar objects
when named
Expressive language : speaks 10
real words, uses words more than
gestures to express desires .
Uses phrases composed of adjectives
and nouns, about 25% of vocalization are
intelligible
PLAYPLAY
STIMULATIONSTIMULATION
Motor play : pull toys, rocking chair or horse,
running & chasing games, hammer and pegboard
Creative play : finger paints, use of clay,
bells around wrist or ankle
Quiet play : sand toys, stuffs animals &
dolls to drag, sit upon or hug.
Dramatic play : imitates parental
actions in play
19- 24 month ( 1½ - 219- 24 month ( 1½ - 2
year )year )
OROR
BIOLOGICALBIOLOGICAL
DEVELOPMEDEVELOPME
NTNT
WEIGHT : 11.8 To 12.7 kg, 1.8
to 2.7 kg gain in secong year
Height : 82.5 to 85 cm , 10-12.5
cm gain in second year
Chest circumference exceed
from head circumference .
Head circumference : 49-50 cm
Pulse 110bpm, R.R 26-28 bpm, B.P. 99/64 mmhg
Landau reflex disappear
Dentition : app. 16 temporary
teeth
Ready for beginning day time
bladder and bowel control.
MOTORMOTOR
DEVELOPMEDEVELOPME
NTNT
Gross motor : can walk with heel-toe gait, kicks
large ball without falling .
Pick up object from floor without
losing balance.
Fine motor : builds a tower of 6-7 cubes , imitatesFine motor : builds a tower of 6-7 cubes , imitates
a circular stroke , folds paper once imitatively.a circular stroke , folds paper once imitatively.
Can use straw , may request
certain foods
Verbalize toilet needs, toilet trained in
daytime , may brush teeth with help.
SENSORYSENSORY
DEVELOPMEDEVELOPME
NTNT
Visual acuity : 20/40, may
develop esotropia
Psychosocial :- sense of autonomy
Vs shame & doubt(1-3y)
psychosexual :- anal stage (1-3 y)
spiritual : intuitive Vs projective
PSYCHOSOCIAL ,PSYCHOSOCIAL ,
PSYCHOSEXUAL,PSYCHOSEXUAL,
SPIRITUALSPIRITUAL
DEVELOPMENTDEVELOPMENT
Independence from primary caregiver , pull
other person to show them something.
Bedtime ritual continue, thumb
sucking decrease
Cognitive: Preoperational Stage
(2-4y)
Moral: Preconventional Morality
Stage 1 (2-3y)
INTELLECTUAL ORINTELLECTUAL OR
COGNITIVE , MORALCOGNITIVE , MORAL
DEVELOPMENTDEVELOPMENT
Memory increase, increase sense of time,
symbolic thought begins
Moral: punished for doing it, its wrong; if
not punished, it must be right
LANGUAGE ,LANGUAGE ,
SPEECHSPEECH
DEVELOPMENTDEVELOPMENT
Receptive language : enjoys stories with
picture, understand more complex sentences
Expressive language : uses pronouns “I”, “
Me”, “Mine”, asks what’s, who’s , that?
Sentence length two to three
words .
PLAYPLAY
STIMULATIOSTIMULATIO
NN
Motor play : pulls wagons , places beads in box
and dumps them
Creative play : manipulates play materials such as clay ,
fingerprints, record players, sings songs, large puzzles,
Quiet play : enjoys hearing stories illustrated
with pictures , takes favorite toy to bed.
Dramatic play : mimics domestic activities of
parents , enjoys playing with dolls .
25-3625-36
month ( 2-month ( 2-
3 yr.)3 yr.)
Weight : gain about 5 kg
Height : grows about 6-8 cm
Dentition : full set of 20
temporary deciduous teeth.
FINE MOTORFINE MOTOR
DEVELOPMEDEVELOPME
NTNT
Gross motor : stand on one foot alone momentarily ,
walks up and down stairs ,jump from step or low chair.
Fine motor :, good hand finger coordination .
builds tower of 8 cubes , hold crayon with
fingers instead of entire hand
Uses fork, chews with mouth closed ,
Beginning night time bladder control,
unbutton large front buttons
SENSORYSENSORY
DEVELOPMEDEVELOPME
NTNT
Visual acuity 20/30
Psychosocial :- sense of autonomy
Vs shame & doubt(1-3y)
psychosexual :- anal stage (1-3 y)
spiritual : intuitive Vs projective
PSYCHOSEXUAL &PSYCHOSEXUAL &
SPIRITUALSPIRITUAL
DEVELOPMENTDEVELOPMENT
Independent behavior increase , knows
own sex, ritualistic behavior on peak.
PREOPERATIONAL STAGE
PRECONCEPTUAL PHASE (2-4Y)
INTELLECTUAL ORINTELLECTUAL OR
COGNITIVE, MORALCOGNITIVE, MORAL
DEVELOPMENTDEVELOPMENT
Concept of time improved but still
limited, begins “casual” thinking .
LANGUAGE ,LANGUAGE ,
SPEECHSPEECH
DEVELOPMENDEVELOPMEN
TT
Receptive language : identifies
five body parts when named
Expressive language : gives full
names if asked, talk constantly.
PLAYPLAY
STIMULATIOSTIMULATIO
NN
Motor play : pushes & steers
toys well ,large cars, trucks.
Creative play : use clay, fingerprints, large crayons,
sandbox toys, fold the papers & cut with scissors.
Quiet play : uses traditional security object for
comfort , use cloth, cardboard toys for water play.
Dramatic play : baby doll equipment
,toys for housekeeping, play telephone
Toddler growth and development

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