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Overview   

Developmental milestones record - 4 months



Alternative names:
childhood growth milestones - 4 months; growth milestones for children - 4 months; normal childhood growth milestones - 4 months

Information:

Definition:
Skills and physiologic growth markers regarded as having particular importance to 4 month-old infants.

Growth and development of a 4-month-old:
Physical and motor:
  • weight gain between 2 lb. 8 oz. and 3 lb. 8 oz.
  • height gain of 4 inches
  • a 2 inch increase of head circumference
  • Moro reflex, tonic 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:
    • n
    • k
    • p
    • g
    • 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



Adam

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