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Developmental milestones record - 4 months
Definition
Infants 4 months old are expected to develop certain physical and mental skills. These skills are called milestones.
Alternative Names
Normal childhood growth milestones - 4 months; Childhood growth milestones - 4 months; Growth milestones for children - 4 months
Information
PHYSICAL AND MOTOR SKILLS
The typical 4-month-old should:
- Show a slowing of weight gain to approximately 20 grams per day
- Demonstrate the fading of the infant reflexes (Moro reflex, asymmetric tonic neck reflex, rooting reflex, and Perez reflex)
- Have almost no head lag while in a sitting position
- Be able to sit up straight if propped
- Raise head 90 degrees when placed on stomach
- Be able to roll from front to back
- Try to reach objects with hands (may commonly overshoot)
- Play with rattle when it's placed in the hands, but won't be able to pick it up if dropped
- Be able to grasp rattle with both hands
- Be able to place objects in mouth
SENSORY AND COGNITIVE SKILLS
A 4-month-old is expected to:
- Have well-established close vision
- Have beginning eye-hand coordination
- Be able to babble and coo
- Be able to laugh out loud
- Anticipate feeding when able to see a bottle (if bottle-fed)
- Begin to show memory
- Demand attention by fussing
- Recognize parent voice or touch
PLAY
You can encourage development through play:
- Place the baby in front of a mirror
- Provide bright-colored toys to hold
- Repeat sounds the infant makes
- Help the infant roll over
- Use a swing or stroller
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