4 Month Check

From page 70 of your Personal Health Record (PHR or 'Blue Book')

https://www.health.nsw.gov.au/kidsfamilies/MCFhealth/Publications/blue-book.pdf

Topics for discussion may include any issues arising from:

• my development (Learn the Signs. Act Early)
• additional parent / carer concerns
• child health check

Health and Safety

• 4 month immunisations
• sleep
• growth

Milestones:  

I am 4 months old  

My development – Learn the Signs. Act Early.  (what most babies do at this age)  

Social/Emotional Milestones  

• Smiles on their own to get your attention  
• Giggles (not yet a full laugh) when you try to make them laugh Looks at you, moves, or makes sounds to get or keep your attention  
• Makes sounds like “oooo”, “aahh” (cooing)  

Language/Communication Milestones  

• Makes sounds back when you talk to them  
• Turns head towards the sound of your voice  

Cognitive Milestones (learning, thinking, problem-solving)  

• If hungry, opens mouth when they see breast or bottle  
• Looks at their hands with interest  

Movement/Physical Development Milestones  

• Holds head steady without support when you are holding them  
• Holds a toy when you put it in their hand  
• Uses their arm to swing at toys Brings hands to mouth  
• Pushes up onto elbows/forearms when on tummy 

You know your baby best. Don’t wait. If your baby is not meeting one or more milestones, has lost skills they once had, or you have other concerns, act early. Talk with your Child and Family Health nurse or GP, share your concerns, and ask about developmental screening.