Northwest Spokane Pediatrics
What should I expect from my 4-month-old?
- Baby cries (with tears) to communicate pain, fear, discomfort, or loneliness
- Babbles or coos
- Loves to be touched and held close
- Responds to a shaking rattle or bell
- Returns a smile 6. begins to enjoy peak-a-boo games
It is normal for babies to cry. At this age you can't spoil a baby. Meeting your baby's needs quickly is still a good way to help him build trust.
- Explores objects with mouth
- Plays with fingers, hands, toes
- Reacts to sound of voice, rattle, bell
- Turns head toward bright colors and lights
- Recognizes bottle or breast
- Sleeps about 6 hours before waking during the night
- Averages 14-17 hours of sleep daily
- Lifts head and chest when lying on stomach
- Follows a moving object or person with eyes
- Grasps rattle or finger
- Wiggles and kicks with arms and legs
- Starting to roll over (stomach to back)
- Sits with support
- Rolls from side to side.
- Holds up chest when lying on tummy.
- Supports head when held in sitting position.
- Sits with support for longer periods.
- Enjoys using the legs in kicking motions.
Your baby should still be taking breast milk or infant formula. Most babies now take about 6 ounces every 4 to 5 hours.
If you give your baby breast milk, it is a good idea to sometimes feed your baby with pumped milk that you put in a bottle. This will help with baby learning to drink from different sources. They have better strength and can nurse from both the breast and bottle now. A small nipple opening is advised to keep the bottles' sucking requirements similar to that of the breast.
Some babies are now ready to start cereal. A baby is ready for cereal when he is able to hold his head up enough to eat from a spoon. Use a spoon to feed your baby. When you start cereal, start with rice cereal mixed with breast milk or formula. You may want to start with a thin mix of cereal and then thicken it gradually.
Many babies are sleeping through the night by 4 months of age and will also nap 4 to 6 hours during the daytime. Remember to place your baby in bed on her back.
Your baby may begin teething. While getting teeth, your baby may drool and chew a lot. A teething ring is very useful.
Avoid Choking and Suffocation
- Remove hanging mobiles or toys before the baby can reach them.
- Keep cords, ropes, or strings away from your baby, especially near the crib. Ropes and strings around the baby's neck can choke him.
- Keep plastic bags and balloons out of reach.
- Never eat, drink, or carry anything hot near the baby or while you are holding the baby.
- Turn down your water heater to 120°F (50°C).
- Don't smoke in the house or near the baby.
- Use only unbreakable toys without sharp edges or small parts that can come loose.
- DTaP #2
- HiB #2
- IPV #2
- PCV #2
- Infant cannot hold head erect and steady when held at an adult's shoulder.
- Infant cannot maintain head centered and bring hands together when on their back.
- Infant cannot hold onto a toy placed in either hand.
- Infant's leg(s) are stiff and feet are plantar flexed (toes pointed) in most positions.
- One or two hands are tightly fisted and/or the leg on the same side of the body is stiff.