Developmental Red Flags 18 to 24 Months

Gross Motor Development 

Child is not meeting developmental milestones
Child walks on his/her toes all the time
Child is excessively clumsy
Something appears wrong with child’s legs and/or feet
Child complains of persistent pain or fatigue
Child’s skills are regressing

Fine Motor Development

Child cannot imitate you drawing a vertical line ( l )
Child is still putting lots of toys in his mouth
Child is not able to put a simple, large puzzle piece into a wooden puzzle
Child is not able to put a simple shape into a shape sorter
Child cannot feed herself with a spoon
Child cannot stack 2-3 blocks on top of one another

Eating and Drinking Development (drinking from a cup, chewing & swallowing, picky eating)

Arching or stiffening of the body during feeding
Coughing or choking during feeding
Being very irritable/fussy during or after feeding
Taking a really long time to feed (more than 30-45 minutes)
Frequent spitting up
Getting sick often with pneumonia or chest infections
Gurgly, hoarse, or breathy voice
Less than normal weight gain or growth
Lots of leakage of food or liquid from the mouth
Coughing, gagging, or throwing up during or after meals
Stuffing mouth with food
Holding food inside pockets in mouth for long periods
Difficulty accepting new textures of food
Avoidance behaviours to specific foods and textures (gagging, vomiting, blocking the spoon with hands or closed lips, crying, pushing food away, etc)
Abnormal bowel movements that last longer than a few days (diarrhea, constipation, loose stool)
Skin reactions to foods (dry patches, hives, rashes) Note: If your child seems to be having a severe allergic reaction to a food (difficulty breathing, turning red, developing hives or rash on the face/chest), you should seek medical help immediately.

Communication Development

Does not understand verbal instructions without needing gestures
Does not copy (imitate) words frequently
Does not sit for 5 minutes of book reading
Does not add gestures if their words are not understood by others
Does not say at least 20 – 50 words
Does not say a few 2 – word or 3 – word combinations

Social and Emotional Development (Identity)

Doesn’t imitate other people
Constantly moves from one activity to another and is not able to stay at an activity for brief periods
Requires constant attention to stay at an activity
Doesn’t show any interest in other children
Doesn’t “show” things to other people
Extremely “rigid” about routines, becoming extremely upset when they are changed
Too passive, and doesn’t want to try things other children her age are doing
Has extreme difficulty waiting for items he wants

Understanding and Thinking Skills Development

He doesn’t understand the function of common objects (e.g. “find something you can eat”, instead of “find a cookie”)
She doesn’t imitate other people
He continues to mouth toys, or is only interested in feeling or watching toys instead of playing with them
She constantly moves from one activity to another and is not able to stay at an activity for brief periods
He requires constant attention to stay at an activity