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24 Months

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Twenty to twenty four months

At around this time, three big changes happen in your child’s spoken words. First, she experiences “vocabulary explosion” in which her portfolio of single words she says rapidly increases. Second, she learns to combine two words together to form a phrase or short sentences that have meaning. And third, she realizes that spoken words are a great way of creating social contact with family members and friends and her interest in conversations expands. Now her use of spoken words becomes purposeful and interactive. Her use of body language improves using more cluster of gestures to better express her feelings and wants.

Most of the words that she learned to use at around this time are naming words, referring to objects, people, and animals. She suddenly realizes that there are many words that she can use to talk about many things she sees or touches. You will notice that she will try to label or give a name to all things and objects. Talking is now an enjoyment for her and there will be times that it is difficult to stop her talking.

It is common at around twenty one months old she will “overextend” the use of some words. She will frequently use words to refer to a larger category of objects. An example is the word “mama,” which could mean you or at other times another the grandmother.

Her communication becomes more frequent which include expression of her feelings rather than mostly crying. She might say, “Mary mad” accompanied at times with some body language. She can start conversation by using a name and call her mother, “Mommy.” Telling her experience to others is done by mixture of words, babbling, gestures, body language, and pantomine. At this age, she might start to ask question like, “Where Daddy?” Her mother might say, “We’ll see grandma soon,” and she might respond with, “Granma house?” She can become persevering in asking questions and can eloquently engage any one in a conversation.

Her understanding of new words continue to expand rapidly that she can name almost all of the everyday objects in their kitchen, living room, and her bedroom. She can comprehend short sentences with two important concepts. Action words like “sleep” “eat” and pronouns like “her” and “him” are part of her vocabulary.


Twenty Four Months old

A 2-year-old toddler knows the meaning of many words. She could understand long sentences as well as complicated ones. She has realized now that names fall into categories and action words relate to certain instances. With the skill to fit words into categories, she can deduce more and more easily the meaning of the new words she heard.

She understands "knee" and "ankle" and "foot." Concept of size like "smaller" and "bigger" is now in her mental filing cabinet. Some smart two years old can point and count one, two, three objects.

Her biggest achievement at this age is understanding the concept like "We are going to the grocery" without any clues like mom putting on her sweater and shoes. When asked questions like "where is the juice" she can point or go where it is.

She can now say a two or three words phrase. A few advanced twenty-four months old can say four to five word sentences.

Her vocabulary acquisition is fast. She can add as many as ten words a day. She can now use pronoun correctly. Prepositions like "in" and "on" can be heard frequently during this age. Some can name a color correctly. Many can count by memory but not understanding the concept of quantity.

She can now express her desire such as, "Me do it." One of her favorite question is "What's that?" She also wants her question to be answered, "yes" or "no."

If she is engross on what she is doing, she will ignore your comments, but later on might acknowledge your question.

Summary: 24 months old - 50 Word vocabulary, two-step command, two word sentence; Attemps to fold paper, horizontal four cube train, imitates stroke with pencil.

Newborn 2 Months 3 Months 4 Months 5 Months 6 Months 9 Months

12 Months   15 Months   18 Months   24 Months   27-30 Months 36 Months

4 Years Old

Leo Leonidas, MD, FAAP   Assistant Clinical Professor In Pediatrics, Tufts University, Boston; Attending Pediatrician, Eastern Maine Medical Center, Bangor

Please Send Your Comments/Suggestion to: lleonidas@pcpediatrics.org


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