Which developmental milestone would the nurse anticipate for a 15 month old child quizlet?

Typical 4-month-old infants are expected to develop certain physical and mental skills. These skills are called milestones.

All children develop a little differently. If you are concerned about your child's development, talk to your child's health care provider.

PHYSICAL AND MOTOR SKILLS

The typical 4-month-old baby should:

  • Slow in weight gain to about 20 grams (almost two thirds of an ounce) per day
  • Weigh 2 times more than their birth weight
  • Have almost no head droop while in a sitting position
  • Be able to sit straight if propped up
  • Raise head 90 degrees when placed on stomach
  • Be able to roll from front to back
  • Hold and let go of an object
  • Play with a rattle when it's placed in their hands, but won't be able to pick it up if dropped
  • Be able to grasp a rattle with both hands
  • Be able to place objects in the mouth
  • Sleep 9 to 10 hours at night with 2 naps during the day (total of 14 to 16 hours per day)

SENSORY AND COGNITIVE SKILLS

A 4-month-old baby is expected to:

  • Have well-established close vision
  • Increase eye contact with parents and others
  • Have beginning hand-eye coordination
  • Be able to coo
  • Be able to laugh out loud
  • Anticipate feeding when able to see a bottle (if bottle-fed)
  • Begin to show memory
  • Demand attention by fussing
  • Recognize parent's voice or touch

PLAY

You can encourage development through play:

  • Place the baby in front of a mirror.
  • Provide bright-colored toys to hold.
  • Repeat sounds the infant makes.
  • Help the infant roll over.
  • Use an infant swing at the park if the baby has head control.
  • Play on the stomach (tummy time).

Normal childhood growth milestones - 4 months; Childhood growth milestones - 4 months; Growth milestones for children - 4 months; Well child - 4 months

American Academy of Pediatrics website. Recommendations for preventive pediatric health care. www.aap.org/en-us/Documents/periodicity_schedule.pdf. Updated March 2020. Accessed January 14, 2021.

Marcdante KJ, Kliegman RM. Normal development. In: Marcdante KJ, Kliegman RM, eds. Nelson Essentials of Pediatrics. 8th ed. Philadelphia, PA: Elsevier; 2019:chap 7.

Onigbanjo MT, Feigelman S. The first year. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 22.

Updated by: Neil K. Kaneshiro, MD, MHA, Clinical Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

Developmental milestones birth to 6 months

 As babies grow, so do their skills. While not specific to your child, this education sheet can help you know what skills your baby is likely to develop at what age.

Babies develop at their own rate, learning some skills much quicker than others. Progress also starts and stops. As some skills are learned, your baby might go back to an earlier stage in some other areas for a time. If you have any questions or concerns about your baby's development, talk with your doctor or nurse practitioner.

Gross motor skills

— skills that use large muscles (legs, arms, trunk, and neck):

  • 1 month: head bobs when held upright, kicks feet when on back
  • 2 months: lifts head briefly when placed on tummy
  • 3 months: lifts head 2 to 3 inches off surface and pushes up with forearms when placed on tummy
  • 4 months: straightens legs when feet touch a flat surface; when on tummy, lifts head and chest off surface while looking forward
  • 5 months: rolls from tummy to back (always supervise to avoid falls); pulls self forward to sitting position when you hold baby's hands
  • 6 months: sits briefly without support; rolls from back to tummy

Remember: Infants should only be on their tummies when they are awake. If your baby falls asleep, turn him or her onto the back for safe sleeping.

Fine motor skills

— skills that use small muscles (hands and fingers):

  • 1 month: hands are in fists most of the time
  • 2 months: holds a rattle when placed in their hand
  • 3 months: reaches toward dangling objects and people's faces
  • 4 months: holds and shakes rattle, plays with and watches their own fingers
  • 5 months: reaches for a toy with two hands; uses whole hand to grasp a toy
  • 6 months: passes a toy from one hand to another: bangs toy on table

Self-help skills

— skills that help children become more independent:

  • 1 month: coordinated suck from breast or bottle nipple
  • 2 months: opens mouth when seeing breast or bottle nipple
  • 3 months: anticipates feedings, shows interest or excitement when seeing breast or bottle nipple
  • 4 months: brings toy to mouth
  • 5 months: places both hands on breast or bottle when nursing
  • 6 months: holds own bottle or cup during feedings

Cognitive skills

— mental skills (thinking, learning, problem solving):

  • 1 month: looks at mobiles and people's faces; becomes quiet when picked up; cuddles when held
  • 2 months: eyes follow moving person or object; stays awake for longer periods; beginning to smile
  • 3 months: looks at own hands; feels objects with hands and mouth; turns eyes or head towards sounds; enjoys playful interaction; smiles at familiar people
  • 4 months: focuses eyes towards sounds; looks at toy held in hands; smiles at self in mirror; laughs
  • 5 months: finds a toy that is partially hidden under a cloth; makes sounds to get social attention; notices strangers
  • 6 months: reaches for a toy out of reach; likes to be with people

Speech skills

See the education sheet, "Speech and language development: Birth to 12 months".

Questions?

This sheet is not specific to your baby, but provides general information. If you have any concerns about your baby's development, ask your doctor, nurse practitioner, or therapist.

Children's Hospitals and Clinics of Minnesota
Patient/Family Education
2525 Chicago Avenue South
Minneapolis, MN 55404

Reviewed Rehab 6/2015 © Copyright

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This page is not specific to your child, but provides general information on the topic above. If you have any questions, please call your clinic. For more reading material about this and other health topics, please call or visit Children's Minnesota Family Resource Center library, or visit www.childrensmn.org/educationmaterials.

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What are some fine motor milestones seen at 15 months old toddler?

Hand movements like scribbling, turning pages in a book, using a spoon, drinking from a cup or building a tower of blocks are much easier for your child now. At this age, your child might also: take off some of their clothes. seat themselves in a small chair, or try to get into your chair.

Which psychosocial developmental skill would the nurse anticipate in a 4 year old child quizlet?

Which psychosocial developmental skill is the nurse likely to notice in the child? The nurse will notice that the 4-year-old child is curious about his or her surroundings and wants to make new friends. School-aged children begin to define their self-concept and develop self-esteem, an overall self-evaluation.

Which developmental milestone would the nurse expect when assessing a preschooler quizlet?

Which of the following developmental milestone should the nurse expect the preschooler to do? The nurse should expect a 3-year-old preschooler to have the fine motor ability to stack 10 blocks. They should have the ability to draw a circle but not print letters or tie shoelaces until the age of 5.

What developmental milestone does the nurse expect to see in a 4 year old child?

From 4 to 5 years old, your child's gross motor skills (using their arms and legs to move and play) and their fine motor skills (working on crafts and puzzles) are still developing. Play time becomes increasingly imaginative and is an important part of children's growth.