4-7 Months Milestones

Gross and Fine Motor
  • Rolls from tummy to back and back to tummy
  • Sits with, and then without 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 objects 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 and jaw move as one unit
  • Poor coordination of suck, swallow, and breathing
  • Rooting decreases by 5 months
  • Phasic bite 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 make other high-pitched sounds when happy
  • Smiles when looking at self in mirror
  • Shows frustration when trying new skills such as turning over
  • Explores environment, reaches for objects (3–5 months)
  • Has improved distance vision
  • Has improved ability to track moving objects
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