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Developmental Red Flags 2 to 3 Years

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

His movements seem shaky or stiff
His arms or hands seem very weak
He is still holding a crayon with a full fist
He is not able to hold scissors and snip on paper
He is not able to draw straight lines or circles
She cannot stack up several blocks

Eating & 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

Between the ages of 2 to 2 ½

Does not follow verbal instructions without needing gestures –
Does not add gestures to help get their meaning across when they have not been understood
Does not understand more complex sentences (When….then)
Frequently “echoes” words
Does not use at least 100 words
Is not saying some 2 and 3- word combinations
Language development seems “stuck”

Between the ages of 2 ½ to 3 years

Vocabulary does not seem to be growing
Not interested in talking with or playing with adults or other children
Don’t show any pretend play skills (e.g. feeding a doll)
Not putting words into 2-3 word sentences
Not matching colours or pictures
Cannot give their name when asked
Does not understand the concept of big / little
Does not use “no” to reject something or protest
Not using words to get an adult’s attention

Social and Emotional Development (Identity)

She is not interested in pretend play
She has extreme difficulty separating from you
He is not starting or responding to simple interactions with other children
She is showing abnormal aggression
He shows extreme fears that interfere with daily activities
She is extremely “rigid” about routines

Understanding and Thinking Skills Development

She is not interested in pretend play
He is not able to do basic categorization (e.g. “find all the toys”, “find all the clothes”)
He doesn’t understand the function of common objects ( e.g. find something you cut with)
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 needs constant attention to stay at an activity or finish something