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19–24 mo

19–24 months

Words and willpower grow together. Many toddlers start joining two words, and 'I do it!' becomes common. The checkup around the second birthday is a good time to review development.

Updated 2026-10

Key checklist for this stage

  • In Korea, make sure your child has had the 4th national infant health checkup (18–24 months) and the 1st dental checkup (18–29 months).
  • Check for missed vaccines in Korea's immunization registry (Japanese encephalitis, hepatitis A and other post-first-birthday shots, plus yearly flu).
  • Build a regular rhythm of three meals and one or two snacks a day.
  • Brush twice a day with fluoride toothpaste (a rice-grain smear under age 3).
  • Keep using a rear-facing car seat as long as your child is within the seat's height and weight limits.
  • If speech isn't growing, or your child loses words or skills, ask for help without waiting for the next checkup.

Development — body, hands, words, feelings

Gross motor: walks well and starts to run, climbs stairs holding a hand, tries to kick a ball. Falls are frequent, but balance keeps improving.

Fine motor: stacks several blocks, tries to spoon-feed alone, scribbles with crayons, may turn book pages one at a time.

Language: vocabulary grows quickly, and around the second birthday many toddlers combine two words, like 'more milk' or 'mommy go'. They point to show what they can't yet say. The pace of speech varies a lot between children.

Social: 'parallel play' — playing next to, not with, other children — is common. Toddlers love to imitate adults and become possessive of their things. In new situations they still come back to a parent to feel safe.

SEE A DOCTOR IFIf at 24 months there are no two-word phrases, little pointing, eye contact or response to their name, or your child loses words or skills they had, see a pediatrician for a developmental assessment.

Eating — joining family meals

Most toddlers can now eat what the family eats. Keep it low in salt, and cut tough or hard foods into small pieces. Offer grains, vegetables, fruit, protein (meat, fish, eggs, beans) and dairy, and let your child decide how much to eat.

About 2 cups (roughly 400–500 mL) of milk a day is plenty. Too much milk can crowd out food and lead to iron deficiency. Move from bottles to cups, and keep juice and sweet drinks to a minimum.

Picky eating and refusing meals are very common now. A new food may need to be offered many times before it's accepted. Sitting down together at set times works better than forcing food or feeding in front of a screen.

TIPQuarter grapes and cherry tomatoes lengthwise, and still avoid nuts, rice cakes and hard candy — they are major choking hazards.

Sleep

Children aged 1–2 are recommended to sleep 11–14 hours a day including naps. Most drop to one nap a day.

Bedtime resistance and night waking may come back. Keep the same bedtime routine every night — bath, brushing, a book — and turn screens off before bed.

Checkups, vaccines and teeth

In Korea, the 4th infant health checkup is at 18–24 months and the 1st dental checkup at 18–29 months. Height, weight and head circumference are measured and a developmental screening (K-DST) is done, so jot down any questions about speech or behavior beforehand.

Post-first-birthday vaccines (DTaP 4th dose, Japanese encephalitis, hepatitis A and others) overlap or have set intervals. Check your child's record on Korea's immunization registry website or app. A flu shot every autumn is recommended from 6 months of age.

Frequent sweets or falling asleep with a bottle raise the risk of cavities. If you see a white band or brown spots on the back of the upper front teeth, visit a dentist.

Tantrums and 'No!'

Toddlers want to do much more than their words and self-control allow, so tantrums become frequent. This is a normal part of development, not a parenting failure.

Stop dangerous things briefly and clearly, and name your child's feelings ('You're upset because you want to keep playing'). Offering two choices and telling them what comes next help. Pediatric societies agree that hitting or yelling doesn't work and causes harm.

TIPDuring a tantrum, stay close and keep them safe rather than explaining; talk briefly once they've calmed down.

Safety

  • Now that toddlers run and climb, keep furniture away from windows and anchor it to the wall.
  • Store medicines, detergents, e-cigarettes and button batteries locked or up high. If swallowed, call emergency services (119 in Korea).
  • In the bath or near water, stay within arm's reach no matter how shallow it is.
  • Always hold hands in parking lots and alleys, and check no child is behind a car before moving it.

Vaccines & checkups in this stage

Hepatitis A · Dose 112–23 mo Hepatitis A · Dose 218–41 mo Japanese encephalitis, inactivated vaccine · Dose 112–23 mo Japanese encephalitis, inactivated vaccine · Dose 212–24 mo Japanese encephalitis, inactivated vaccine · Dose 3Age 2 Japanese encephalitis, live attenuated vaccine · Dose 112–23 mo Japanese encephalitis, live attenuated vaccine · Dose 2Age 2 Influenza · Every year6 mo – age 13
  • General checkup 4 — Age 18–24 months
  • Dental checkup 1 — Age 18–29 months

Korea's Childhood Vaccine Schedule →   Infant and Child Health Checkups →

FAQ

My child is two and says only a few words. Is that late?

Speech timing varies widely, but if your child isn't combining two words at 24 months, or also understands little, rarely points or makes little eye contact, get it checked. The developmental screening at the checkup can help, and a hearing test and speech evaluation may follow if needed.

How much milk should a toddler drink?

About 2 cups (roughly 400–500 mL) a day is enough. More can reduce appetite for food and raise the risk of iron deficiency. Offer milk in a cup and stop bedtime bottles.

Should I ignore tantrums?

If it's safe, staying calmly nearby and waiting helps. Acknowledge the feelings, but you don't have to give in to every demand. Once your child is calm, sum it up in a few words.

When should we start potty training?

There's no set age. Start when you see readiness signs — telling you the diaper is wet, interest in the toilet, following simple instructions. Many children start after age two.

Sources

  • Korea Disease Control and Prevention Agency (KDCA) immunization registry
  • National Health Insurance Service infant health checkups (Korea)
  • Korean Pediatric Society
  • AAP HealthyChildren.org
  • CDC Learn the Signs. Act Early.
  • American Academy of Sleep Medicine (AASM) sleep duration recommendations

Medical information is for reference only. This is general information and does not replace diagnosis or treatment. Always talk to your child's doctor. In an emergency in Korea, call 119.

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