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Growth & development

Helping your toddler grow in a healthy and positive way is one of the most important jobs a parent will do. As you have learned by now, each child grows and develops in their own way and as a parent it is up to you to provide the environment and support to help your child.

Some ways to encourage healthy growth and development in your child include:

Children who get enough sleep are happier and have less challenging behaviour. However, sometimes getting a good night's sleep is difficult. There may be temporary problems like illness or changes to routine, so getting your toddler to sleep may be a struggle.

Helping your toddler sleep

It is important that your  toddler gets enough sleep. Try these sleep tips:

  • Toddlers need lots of physical activity and time outside. You can take them to a toddler program or free play at your local community centre.

  • Set a routine. Have regular meal times, activities and nap times. Create a calming bedtime routine.

  • Make sure the bedroom isn't too hot or too cold, and that it's quiet and dark. Quiet soothing music, white noise or a nightlight may help.

  • Your child may settle better with a comfort object like a favourite stuffed animal or soft blanket.

  • If your toddler is trying to climb out of the crib, it's time to get a toddler bed.

Click here to learn more tips to help your  toddler sleep.

Once your toddler goes to sleep, he or she may still wake up at night. Follow these tips to help them learn to sleep through the night. 

If you have tried sleep tips from several resources but your toddler still isn't sleep well, talk to your Public Health Nurse. Make sure you're practicing good sleep habits too.

It's important to brush your toddler's teeth twice a day. Good habits now will prevent tooth decay later in life. By taking good care of your toddler's baby teeth, you are also taking good care of their adult teeth.

  • Brush the tooth/teeth two times per day.

  • Use a small, soft toothbrush.

  • Use a rice grain size amount of fluoride toothpaste.

  • Give all drinks from a cup (not a bottle); only give water to drink between meals.

  • Limit the amount of sugar you give in food and drink, especially sticky sweets.

Your toddler should already be seeing a dentist regularly. If you haven't gone because the cost is a concern, you may be eligible for basic dental care through the BC Healthy Kids Program

Tips to keep your toddler's teeth healthy

Of course, brushing your toddler's teeth is not always easy, but it's always worth the effort! Use our tips to get the job done.

  • Make brushing part of your daily routine.

  • Let your child choose their own small, soft toothbrush.

  • Try different toothpaste flavours until you find one your child likes.

  • Make brushing teeth fun. Sing a song, tell a story or listen to music.

  • Encourage your child by letting them practice brushing on their own; praise them for letting you brush their teeth once they have had their turn.

Try the knee technique for brushing as shown in this video.

For concerns about your child's dental health – contact your local public health dental program.

Learn more about toddler dental care.

It is very normal for parents to wonder if their child is growing and developing in a healthy way.  Many parents wonder if their child is the "right" height and weight for their age. The truth is that while there are some general guidelines, each child will grow and develop at a pace that is right for their own body.

The percentage of children in Canada who are overweight has doubled in the past 20 years, so it is more important than ever for parents to be aware of how to help children develop healthy habits for eating and physical activity.

The best way to help your toddler maintain a healthy weight and grow appropriately is to provide nutritious food and lots of opportunity for physical activity. Regular check ups with your health care provider will help track your child's growth, and identify any concerns early. They should measure your child's height, weight and head size to track your child's development.

Here are some tips to help ensure your child maintains a healthy weight:

If you have any concerns about the growth milestones your child is reaching please consult your health care provider. Other places to get questions answered, seek advice and get help include:

For more information about your toddler's growth


Playing should be your toddler's full-time job. You can help them by playing with them and following the tips below.

Your child will not need a lot of toys. Most everyday objects around your home can used in fun ways. Make sure that whatever your child is playing with will not be able to fit into his or her mouth and that it has no small parts.

Learn more about play and its impact on your toddler's development.


The most important part of your job as a parent is to build a strong and loving relationship with your child. Learn about forming a strong bond with your toddler. Supporting their social and emotional growth is important for them to be successful later in life.

Help your toddler learn to deal with their feelings by:

  • Comforting your child when they are upset.

  • Giving names to feelings and talking about emotions.

  • Using gentle hands and a kind voice.

Learn more about managing your child's feelings.

Self-care while parenting a toddler

  • Forgive yourself and your partner when you make mistakes.

  • Take care of yourself. If your needs aren't being met, you can't be expected to take care of a demanding toddler.

More information about parenting your toddler.


Having a strong daily routine is good for both you and your toddler. When families follow a routine, it helps them become stronger. Everyone knows what to expect and feels a sense of belonging.

Benefits of routines

By following a routine, your toddler is learning many important habits and life skills.

  • Incorporating brushing teeth, washing hands and getting exercise into a daily routine helps your toddler learn healthy habits.

  • A solid routine helps your toddler feel safe and secure.

  • Bedtime routines help your toddler get better sleep.

  • Routines help develop a sense of responsibility and time management skills.

 Routines can also be a big help in the mornings, which can be especially challenging in many homes. If you are rushing around to get everyone out the door in the morning and your toddler is finding it hard to get going it can be very frustrating. By doing the same thing every morning, in the same order, you are helping to get everyone out the door faster.

Learn more about creating a family routine.


Children learn new skills quickly. That's why it's important to be two steps ahead when thinking about safety. As your child is learning to crawl, you should be preparing your home to be safe for them as though they can already walk.

Get down to your child's level and look for hazards. For example, try pushing against furniture to see if it's stable enough to support your child's weight as they pull themselves up to standing. Some of the most common causes of injury you should look out for are:

Falls – Example: Is there any furniture that your child could climb on then fall off of?

Burns/scalds – Example: Is there anything that your child could climb on in the kitchen that would let them reach the stove?

Poison – Example: Are all household cleaners stored and well out of reach?

If an accident does happen, it's good to be prepared ahead of time. Learn basic first aid for common injuries on the HealthLink BC website.

Toddlers' language skills develop at an incredible rate. Most will go from babbling at 18 months to speaking in full sentences by the time they are three years old. You can play a part in helping your toddler get new language skills.

  • Read stories with your child and sing nursery rhymes.

  • Talk to your child about the things you do and see.

  • Build on what your toddler says. For example, if they say "Kitty!" you can say, "Yes, that is a big cat."

  • Describe what you are doing and seeing with your child.

  • Show an interest in what your toddler says.

Learn more about toddler language skills and what kinds of activities to do with your child at:

Learning more than one language

It's good for children to grow up learning more than one language, so if you speak another language, share it with your baby. Read more about learning more than one language:

In order for your child to develop speech and language skills, they must be able to hear properly. Your child's hearing should be assessed at early childhood check ups by your health care provider, and there are steps you can take to monitor and protect your child's hearing. Learn more: Hearing health for toddlers

Protecting your toddler's hearing

  • Avoid ear infections that can lead to hearing loss by keeping your child away from second-hand smoke, and avoiding putting them to bed with a bottle.

  • Use a light towel when cleaning your child's ears. Do not use cotton swabs or put anything small in your toddler's ear canal.

  • Keep the volume of television, music and toys at a reasonable level. If you have to raise your voice to be heard above them, they are too loud for your child's ears.

  • Provide ear muffs or headphones if your toddler must be around very loud sounds such as loud music or fireworks. Do not use earplugs as they could pose a choking hazard.

Signs of hearing problems

If your toddler shows signs of any of these indicators, you should speak to your doctor:

  • Turns their body so the same ear is always turned towards sounds.

  • Talks either very loud or very soft.

  • Has a hard time responding to being called from across the room, even when there is something interesting to respond to.

  • Has a hard time understanding what has been said, even when using simple words.

Some medical issues can also lead to hearing loss so if you notice any of the following, you should take steps to get them treated:

  • Regular ear aches

  • Discharge from the ear

  • Red skin around the ear

  • Wax blocking the ear canal on a regular basis

  • Foul odor from the ear canal

The BC Early Hearing Program is a province-wide program to check hearing in young children in BC.

Most children tend to be ready for toilet training (going to the potty) around their second birthday. Some are ready earlier and others later. Your toddler will let you know that they're ready when they do the following things:

  • Keep their diaper dry for a few hours at a time.

  • Show an interest in the toilet or potty and what it is used for.

  • Can pull down their pants and sit on a potty by themselves.

  • Can let you know through words or actions that they need to use the potty.

As your child learns to use the potty, use these tips and be patient. Every child has accidents and it's normal for them to sometimes make a mess as they're learning. By giving them praise for doing well, instead of punishment for mistakes, you're helping them learn faster.

 Learn more about toilet training.

Mental health

Your toddler's social and emotional development is definitely taking shape right now as you see their personality really emerge. This means you may see them start to assert their independence more and use words like "No!" and "Mine!" more often. This is very typical in toddlers, and now is a good time to help your child learn to express their feelings and emotions in healthy ways to nurture good mental health practices for the future.

You can help your child by:

  • Talking to them about feelings and healthy ways to express them. If your child is laughing, saying something like, "Your smile tells me you are happy" is a good way to help them understand social cues and understanding other people's emotions.

  • Providing opportunities to meet other children. They may prefer to play side by side rather than with each other, but this is a good start to understanding how to interact with other people.

  • Using play and every day routines to talk about family and friends. Knowing they are not alone in the world is important for children.

  • Providing them with ways to deal with emotions. For example, if they are mad you can ask them if they would like to tell you what is wrong or be left alone for a little while before talking about it.

Here are some tips to work with your child's temperament to make the toddler stage easier for both of you.

  • If your child has lots of energy, take them outside. Provide opportunities for them to play and explore.

  • Toddlers learn by doing. From 18 months to 3 years children learn what their bodies can do. They master many new skills. Give your toddler time with play dough, books or simple puzzles when they're calm.

  • Create a daily routine so that your child knows what to expect each day

  • Toddlers need to try things for themselves. They may be clumsy at first, but over time, they improve. They need chances to play with people, especially other children.

  • Toddlers also need reasonable rules and safe places to play and explore. Encourage and praise your toddler as she learns new things. Help your toddler when he needs it.

Learn more about understanding your child's temperament.

Even the sweetest, most loving toddler has challenging behaviour sometimes. Don't worry, a tantrum doesn't mean you did anything wrong. It just means you have a toddler.

You can't avoid challenging behaviour entirely, but you can make it happen less often.

  • Try to make sure your toddler gets regular meals, snacks, naps and physical activity.

  • Let your toddler know what will happen. For example: "We are going to the store. We will buy some bananas. We are not going to buy any candy."

  • Help your child name their emotions. For example: "You don't like nap time. You are angry that it's nap time."

  • Let your toddler make simple choices to give them a sense of control. For example: "Do you want to wear your red jacket or your blue jacket today?"

  • Create a daily routine so that your toddler knows what to expect.

  • Notice good behaviour and praise your child. For example: "Thank you for holding my hand when we crossed the street. Good job!"

  • Distract your toddler when you see that they're getting to their breaking point. For example: "Oh, wow, look at the big dog over there!"

  • Try these tips to for positive parenting through challenging behaviour.

It can be hard to stay calm when your toddler having a temper tantrum, dawdling or whining. It's important to take care of your own needs during this time. Reach out to other parents, vent to your friends and take time for yourself.

For more information, try these resources:

If you feel that you may lose control with your toddler and hurt them, put them in a safe place and call someone for help. This can be your spouse, a friend, your Public Health Nurse, or HealthLink BC at 8-1-1.

Any drastic changes in your child's mood, behaviour or thinking may indicate they are experiencing some type of mental health challenge. There is a very wide range of conditions that can affect how a person thinks, feels and acts. If you are concerned about your child's mental health, please talk to your doctor or reach out to other services for help.

These include:

  • 310 Mental Health Support – This is a crisis line for emotional support, information and resources specific to mental health.

  • Kid's Help Phone – 1-800-668-6868 to speak to a professional counsellor 24 hours a day.

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