18-month communication milestones 👶🗣️ By this age we typically expect toddlers to understand and use about 10–20 words. That can include spoken words, signs, or word approximations. We also look for: ✨ Following a familiar 1-step direction without a gesture ✨ Identifying familiar people and everyday items ✨ Growing interest in imitating sounds and words ✨ Early attempts to put two words together may be starting If your child isn’t showing these signs, bring it up at the next well visit. Early
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