Solutions For Parents

Milestones of Development

Milestones of Development 1-4 Months

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Area of Development Skill Level Play Activities
Hands grasps objects with entire hand; strength insufficient to hold items Put rings and rattles in hand
Hands holds hands in an open or semi-open position                             
Body raises head and upper body on arms when in prone position Tap babies forehead and talk

Turns head to side when in face up position; near the end of this periodm head is held erect and in line with the body.

Move a rattle from side to side to watch baby move with the object                
Body upper body parts are more active: clasps hands above face, waves arms about, reaches for objects Do patty cake 
Body At first, infant rolls from front to back by turning head to one side and allowing trunk to follow; later, infant rolls onto its side.  Near the end of this period, infant can roll from front to back to side at will Play "Rock-a-bye" baby 
Hearing Reacts to (stops whimpering, startles, turns head) sounds such as a voice, rattle of a spoon, ringing of a bell. Sing songs, use rattles that make sound and watch how baby reacts.
Talking/Communication Coordinates vocalizing, looking, and body movements in face-to-face exchanges with parent or caregiver; can follow and lead in keeping communication going.

Imitate baby's sounds

Talking/Communication babbles or coos when spoken to or smiled at  Imitate baby's sounds
Dressing may enjoy bath; kicks, laughs and splashes  
Feeding/Eating Needs only a little assistance in getting nipple to mouth; beginning to help by using own hands to guide nipple  
Feeding/Eating begins fussing before anticipated feeding times; does not always cry to signal the need to eat Feed the baby
Sleeping often falls asleep for the night right after the evening feeding Read books to baby
Sleeping thumbsucking may begin during this period  
Sleeping Entertains self before falling asleep: 'talks', plays with hands, jiggles crib. Musical mobiles are a great resource for this
Toileting has one or two bowel movements per day; frequently skips a day  
Attachment stops crying when parent or caregiver comes near Talk to baby; say "Hello"
Attachment recognizes and reaches out to familiar objects and faces; reacts by waving arms and squealing with excitement Smile and imitate baby's sounds
Emotional smiles in response to a friendly face or voices Smile and imitate baby's sounds
Emotional enjoys familiar routines, such as being bathed and having diaper changed Baby's like schedules
Emotional delights in play that involves gentle tickling, laughing, and jiggling Bounce the baby gently
Emotional Reacts differently to adult voices, may frown or look anxious if voices are loud, angry, or unfamiliar.  
Imitation uses eyes to imitate, maintain, or terminate and avoid interactions  
Social enjoys being held and cuddles in times other than feeding and bedtime Rock your baby and read to her/him.
Social appears happy when awake and alone (for short periods of time) Should learn solitary play
Social likes being talked to Always talk to your baby
Temperament spends much less time crying  
Temperament can entertain self by playing with fingers, hands, and toes  
Ask Dr. Susan