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Developmental milestones record - 4 months

DFeb 03 05

Alternative names
Normal childhood growth milestones - 4 months; Childhood growth milestones - 4 months; Growth milestones for children - 4 months

Definition
This article describes the skills and growth markers relevant to 4 month-old infants.

Information

Physical and motor:


  • Weight gain slows to approximately 20 grams per day
  • Moro reflex, asymmetric tonic neck reflex, rooting reflex, and Perez reflex disappearing
  • Almost no head lag while in a sitting position
  • Able to sit straight up if propped
  • Able to raise head 90 degrees when placed on stomach
  • Able to roll from back to one side
  • Tries to reach objects with hands, but commonly overshoots
  • Plays with rattle when placed in hands, but unable to pick it up if dropped
  • Grasps rattle with both hands
  • Able to place objects in mouth

Sensory and cognitive:

  • Close vision well established
  • Eye-hand coordination beginning
  • Can make the consonant sounds:
    o N
    o K
    o P
    o G
    o B
  • Laughs out loud
  • Anticipates feeding when able to see a bottle (if bottle-fed)
  • Begins to show memory
  • Demands attention by fussing

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

Johns Hopkins patient information

Last revised: December 5, 2007
by David A. Scott, M.D.

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All ArmMed Media material is provided for information only and is neither advice nor a substitute for proper medical care. Consult a qualified healthcare professional who understands your particular history for individual concerns.
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