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Developmental milestones record - 4 months - Overview

Alternative Names

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

Definition of Developmental milestones record - 4 months:

Typical 4-month-old infants are expected to develop certain physical and mental skills. These skills are called milestones.

Information:

All children develop a little differently. If you are concerned about your child's development, talk to your child's health care provider.

PHYSICAL AND MOTOR SKILLS

The typical 4-month-old baby should:

  • Slow in weight gain to about 20 grams per day
  • Double the birth weight
  • Have almost no head droop while in a sitting position
  • Be able to sit straight if propped up
  • Raise head 90 degrees when placed on stomach
  • Be able to roll from front to back
  • Try to reach objects with hands (may overshoot)
  • Hold and let go of an object
  • 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
  • Sleep 9 to 10 hours at night with two naps (total of 14 - 16 hours per day)

SENSORY AND COGNITIVE SKILLS

A 4-month-old baby is expected to:

  • Have well-established close vision
  • Increase eye contact with parents and others
  • Have beginning hand-eye 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
  • Play on the stomach (tummy time)
  • Reviewed last on: 11/2/2010
  • Jennifer K. Mannheim, ARNP, Medical Staff, Department of Psychiatry and Behavioral Health, Seattle Children’s Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Feigelman S. The first year. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elevier; 2007:chap 8.

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