At 4 months of age, does your child:

If you check  “No” to any of the following questions, contact your Public Health Nurse at  250-850-2110.  It’s never too soon to make sure your child is on track.   

YES
NO  

Look from one thing to another?  (For example, looks at
you when you talk and then looks at a toy when you move it.)

     
Respond to you by making sounds and moving arms and legs?
     
Finish each feeding within 45 minutes?
     
Bring both hands to his chest when lying on his back and looking straight ahead?
     
Hold his head steady when held in a sitting position?
     
Reach for toys you offer him?
     
Hold and shake a rattle?
     
Look at the toy that he is holding and bring it to his mouth?
     
Hold his hands open most of the time, not fisted?
     
Make cooing sounds? (ooh, aah)
     
Respond with pleasure to your touch, care and play?
     
Smile and laugh often to show pleasure?
     
Have pupils that react to light and are equal in size?
     
Turn his head to hear a voice or to look at a toy?
     
Lift his head, pushing up on arms and hands when on his tummy? *
     
Try to roll from his front to his back?
     
Try to stand on his legs?
     
Use both arms and legs equally? (For example, can reach with either arm and can kick with either leg)
     
Look forward to feeding? (For example, reach out and place hands on bottle or breast)
     

* Starred items may not be common to children in all cultures. Please click here for a discussion of what this star might mean for Aboriginal children.

Activities to Encourage Development:

  • Encourage your baby to look at you or a toy and get him to follow its movements slowly.
  • Place a toy in your baby’s hands and help him to look at it, shake it, and bring it to his mouth.
  • Play with and enjoy your baby.
  • Talk about things your baby sees, hears, and feels.
  • Allow him time on the floor to move and play with you beside him.
  • Enjoy quiet time together rocking and cuddling.