Gross and Fine Motor
• Rolls from tummy to back and back to tummy
• Sits with, and then without support with support of hands
• Props self up on arms when on stomach
• Can support whole body weight on legs
• Reaches for objects with hands
• Head in midline, turns from side to side
• Fully extended hips and trunk while on tummy
• Rakes at small objects (reaches for object with fingers bent)
• Ulnar palmar grasp
• Hand-mouth coordination
• Bilateral reach grasp
• Grasp and thumb in partial opposition
• Visual attention to scribbling
• Transfers objects from hand to hand (5–6 months)
• Wrist rotation (5–6 months)
• Radial palmar grasp (5–6 months)
• Beginning pincer (5–6 months)
• Reaching across midline
Language/Oral Motor
• Turns to sounds and voices
• Responds to own name
• Distinguishes emotions by tone of voice
• Begins to respond to “no”
• Responds to sounds by making sounds and may imitate sounds
• Uses voice to express joy and displeasure
• Babbles chains and consonants
• Suckles in anticipation
• Munch chew pattern (5–6 months)
• Tongue jaw and move as one unit
• Poor coordination of suck, swallow, breathing
• Rooting decreases by 5 months
• Phasic bit reflex decreases by 5 months
• Gag reflex
Personal and Social
• Finds partially hidden objects
• Explores things with hands and by putting items in mouth
• Works to get objects that are out of reach
• Enjoys social play
• Notices small things, such as pieces of cereal in front of them
• Responds to other people’s expressions of emotion
• Squeals and makes other high-pitched sounds when happy
• Smiles when looking at self in mirror
• Shows frustration when trying new skills such as turning over
Visual
• Explores environment, reaches for objects (3–5 months)
• Has improved distance vision
• Has improved ability to track moving objects