Milestones of Development 4 Months

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This is how you as a parent can make your child smarter.

 

Area of Development Skill Level Play Activity
Eyes Follows moving object with eyes up Place objects on high shelves and move baby closer and further from the objects
Eyes Follows with eyes 180 degrees Swing baby gently from side-to-side against shoulder
Eyes Looks from one object to another Bring two objects at a time to baby; alternate the objects while baby watches
Eyes Moves head and eyes in order to follow object Turn baby side-to-side in front of a mirror
Hands Brings feet together at midline, kicks Use crib mobile at foot of bed
Hands Brings feet together at midline, kicks Place mobile across foot of baby's crib for kicking
Hands Brings hands to midline & plays with fingers Bring baby's hands together at midline; play "Pat-a-Cake"
Hands Brings hands to midline and plays with fingers Bring hands together at midline, play
“pat a cake”
Hands Grasps object if it touches hand Use yarn ball and rubber bone
Hands Grasps object if it touches hand Give baby yarn ball, rubber bone, or rattle
Hands Grasps objects when dropped within reach Dangle large red and orange yarn balls near baby
Hands Holds fists open Tickle, massage fingers
Hands Holds fists open Tickle, shake baby's fingers
Hands Reaches for object when dropped within reach Use large red and orange yarn balls
Hands Reaches forward  with two hands together Put string of lights out in front of baby
Body Arches back and elevates buttocks Place palm of hand against baby's back for support
Body Bears some weight on legs Play "Here we go jumping" on a firm surface with baby
Body Elevates head 90 degrees Play  with baby in high and low, up and down positions
Body Extends spine when sitting Tickle, rub baby's spine
Body Falls sideways; arms bend; spine extends; body & toes arch Slide baby forward and back; position baby from back to side
Body Flexes arms  and leans forward in the sitting position Give baby a large ball or soft animal that fits between  baby's legs
Body Holds head 90 degrees prone on abdomen Play up and down games
Body Kicks vigorously when lying on stomach or back Play "swimming" games with baby over knees
Body Kicks when supine or prone Play “swimming” motion games
Body Labyrinthine righting stronger Hold baby by trunk only
Body Makes swimming kicks in prone Practice “swimming” motions
Body Midline syndrome is gone Offer toys to track 180 degrees
Body Moro reflex gone Practice making loud noises
Body Placing reaction (upper and lower) Practice sucking and holding an object at
Body Placing reaction in upper limbs Practice sucking and holding an object at
Body Prone bilateral upward extension of legs; back arches Sit baby on lap facing front
Body Pulls to sit when hands held Sit baby with back to wall for support
Body Pushes whole chest off bed Give baby back rubs and nuzzles
Body Pushes whole chest off surface Rub baby's back, nuzzle and breathe on baby's back, legs & feet
Body Rolls and flips side to side Use tambourine, noisy rattle, bells, whistles, and noise-makers to encourage baby to roll and flip
Body Rolls from stomach to back independently Talk to baby; tell baby how smart he is to roll over
Body Rotates head freely; arms move freely Use sound toys to track objects 180 degrees
Body Sits  with head steady and reaches for toy Give baby mouthing and reaching toys at the same time
Body Sits with firm support Grasp baby with two hands across the chest
Body Sits with head lagging slightly forward Place baby in front of wall and shine flashlight side-to-side
Body Sits with legs wide apart and bent 45 degrees Put toys between baby's legs when held in sitting position
Body Sits with shoulders rounded and chin out slightly Massage baby's shoulders, neck and chin
Body Slight head lags with gross sitting Hold baby on lap facing front
Body Slumps forward, not sideways, in sitting position Give baby gentle taps and pokes on forehead and shoulders
Body Starting landau  
Body Turns head, sucks and reaches at the same time Give baby knuckle to suck and rattle or yarn ball to hold at the same time
Body Turns neck, but does not need to extend arm Hang toys from rungs of chairs placed on either side of baby
Body Waves arms Teach baby “arms up high”
Body Waves arms and forearms Teach baby "Arms Up High" "So Big"
Hands Waves arms and feet at same time Play games while sitting; e.g. “so big”
Hands Waves arms and feet at same time Play "Pat-a-Cake" and jumping up and down at the same time with baby
Head Free rotation of head, arms move freely Give rings to hold while encouraging baby
Head Head holds position in supine On back watch for baby’s head in midline position
Head Holds head 90 deg. Prone on abdomen Place suspended toys off floor slightly while baby is prone
Head Moves head 90 degrees when prone Play music box for
Head Neck righting Give baby toys on strings to look at
Head Only slight lag when pulled to sitting Play “row, row”
Head Sits and leans when held at the waist Play "Row-Row" with baby on lap facing person
Head Slight head lag with gross sitting Sit baby on lap with cuddly toy 
Head Uses free rotation of head, arms move freely Give baby bracelet or rubber rings  while encouraging baby to look "round-and-round"
Head Wobbles when body swayed in sitting position Hold baby at trunk level
Locomotion Digs heels into surface in order to roll Play "Over and over you go" with baby
Locomotion In standing rises on toes, curls toes under Hold baby, play “Hop, hop”
Locomotion Kicks and flexes thighs and legs as a whole Use squeaky toys placed on thighs to get baby to kick
Locomotion Kicks prone or supine Prone – flex legs up to squeeze squeaky toy
Locomotion Kicks prone or supine Supine – play games e.g. “Bicycle”
Locomotion Lies on back and kicks high in the air Play games, e.g., "bicycle" while baby is on back
Locomotion Placing reaction in upper limbs Watch how baby responds with upper body
Locomotion Pulls to sit when hands held Pull baby to sit slowly with hands hel
Locomotion Pushes whole chest off bed Rock baby gently by placing arms under chest & legs, sing
Locomotion Rises on toes, curls toes under on standing Hold baby and play "Hop, hop"
Locomotion Rolls both ways Play “over and over you go”
Locomotion Rolls both ways Holding balloons when supine encourage roll
Locomotion Rolls both ways sometimes Hold balloons over baby while he is on his back
Locomotion Swimming in prone Support prone in tub, watch swimming movements
Locomotion Uses swimming movement when lying on stomach Support baby prone in tub, watch swimming movements
Posture Arms flexed and forward when sitting Offer baby ball between legs
Posture Back not uniformly rounded when sitting Massage shoulders
Posture Extends spine when sitting Tickle, rub spine
Posture Flexed and abducted Put toys between legs
Posture Flips side to side Use sound toys to encourage flip
Posture Limbs stretch out in full extension (prone) Put strings of light out in front of baby
Posture Prone bilateral upward extension of legs, back arches Blink lights at baby
Posture Tends to slump forward, not sideways, when sitting Massage, hold by trunk
Sitting Falls sideways; arms flexed, spine extends, arch of body Change baby’s position
Sitting Pulls to sit when hands held Sit baby with back to wall for support
Receptive Responds to noise and voice by turning Make big "noises" then small ones for baby
Receptive Searches with eyes and ears for speaker Call baby's name then come closer
Speech Babbles for several minutes Let baby be alone for a minute
Speech Babbles when alone (comfort chain “ba-ba-ba- etc.) Tape baby’s babbles and play back
Speech Begins to smile and talk at  the same time Listen and smile, and say "good baby"
Speech Begins to vocalize socially Listen and say “good baby”
Speech Changes crying sounds depending on body state Change baby's position if crying gets stronger; change sounds and sights near baby
Speech Changes sound vocabulary  depending on body state Make words out of the sounds baby makes when he cries
Speech Comfort sighs Sigh with baby as she is comfortable
Speech Cries more rhythmically with mouth opening and closing Talk to baby from a distance, then wait a few seconds to see if baby can calm herself
Speech Cry changes with bodily state Change position to stop crying
Speech Cry changes with emotional state Let baby try to calm herself down
Speech Engages in self-initiated sound play Let baby talk to herself
Speech Laughs out loud Introduce humorous things; mild surprise,
Speech Looks about for speaker Call baby’s name then come closer
Speech Repeats sound chains 4-5 syllables (ba-ba-ba) Repeat chains of sound to baby to encourage
Speech Responds to noise and voice by turning Make big “noises” then small ones
Speech Sound vocabulary changes with body state Let baby try to calm herself down with word
Speech Uses "p", "b", "m" sounds to babble and coo Make words out of sounds baby makes
Speech Vocalizes comfort sighs Sigh with baby when she is comfortable
Auditory Listens for sounds by turning head Play music box for baby
Feeding Feeds with hands up near the bottle Place  baby's hands on bottle frequently
Feeding Sucks with tongue pressed against nipple

Give bottle to baby, starting at the center of the mouth

 
Auditory Attends to human voice Talk to baby in a tone of voice that is moderated and loving
Auditory Attends to human voice Say affectionate loving words, use loving tone of voice
Auditory Awakens to and quieted by sound of familiar voice Rock and talk to baby when getting baby up from nap; use a Puffalump or soft toy to hold baby and toy at the same time
Auditory Begins to recognize strange vs. Familiar sounds Change sounds for baby from familiar ones to strange but calm ones
Auditory Fixates on sound with eyes Talk to baby with variety of loving inflections
Auditory Looks for sounds in the midline position of the body Offer noisy and musical toys from the middle of the body, when baby is on his back
Auditory Possible recognition of strange vs. Familiar sounds Use strange noises and familiar noises
Auditory Recognizes mother’s or father’s voice Call baby then come into room
Auditory Searches for sound with eyes Use sound toys 3, 4, & 5 foot intervals
Auditory Searches for sound with eyes Places toys that make sounds at different distances from 1 or 2 feet out to 4 or 5 feet from baby
Auditory Turns head to sound Play taped music, xylophone for baby
Tactile Clutches at clothes, wriggles, when body is touched by objects that make noises or sounds Tie bells and strings to baby's ankles, wrists
Tactile Feels temperature and air vibrations and sensations Change baby's diapers on an hourly basis unless asleep
Tactile Is aware of own body motions Tie bells and strings to ankles, wrists
Tactile Localizes sensations such as a pin prick Use scratchy and smooth touches when playing with baby
Tactile Localizes sensations such as cold Change baby often
Tactile Mouths objects constantly Offer cold, clean toys to mouth
Tactile Moves body at sight of toy if dangled Offer toys at different heights
Visual Actively inspects environment Change environment and objects often for baby
Visual Fixates on sound with eyes Experiment with sounds around baby to fixate
Visual Inspects environment actively Change environment & objects often for baby inspection
Visual Looks at hands together Offer objects at baby's midline
Visual Makes a complete horizontal regard Give baby objects arranged in semi-circle when baby is lying on his stomach
Visual Shifts regard from object to hand and back to object Make baby’s hands move high and low
Visual Uses 180 degree scanning Blow bubbles across baby’s vision
Feeding Approximates lips to rim of cu Rub baby’s tongue, lips, cheeks, chin
Interaction Socializes with strangers Pass baby from hand to hand, letting others talk to bab
Social Attends to human voice Let baby follow directions on her own
Social Emergence of personality traits (mood, irritability, rhythm) Notice baby’s dislikes, routine
Social May smile on social approach Smile and address baby on approach
Social Pays heed to human voice Let baby follow directions on her own
Social Recognizes mother and other familiar attendants Let baby show you her “ways”
Social Shows beginning of personality traits (mood, irritability, rhythmicy) Notice baby's dislikes, routine
Social Shows traits and preferences Offer baby choices
Social Smiles on social approach  
Social Smiles on social approach, but may sober at sight of stranger Smile and address baby on approach, let baby calm herself down
     
     
Ask Dr. Susan