During your baby’s first four months, did you have doubts that she really understood much that was happening around her? This parental reaction is not surprising. After all, although you knew when she was comfortable and uncomfortable, she probably showed few signs of actually thinking. But studies show that from the minute your baby is born, she is learning about the world around her, even though it may not be apparent to you or others. Now, as her memory and attention span increase, you’ll start to see evidence that she’s not only absorbing information but also applying it to her day-to-day activities.
During this period, one of the most important concepts she’ll refine is the principle of cause and effect. She’ll probably stumble on this notion by accident somewhere between four and five months. Perhaps while kicking her mattress, she’ll notice the crib shaking. Or maybe she’ll realize that her rattle makes a noise when she hits or waves it. Once she understands that she can cause these interesting reactions, she’ll continue to experiment with other ways to make things happen.
Your baby will quickly discover that some things, such as bells and keys, make interesting sounds when moved or shaken. When she bangs certain things on the table or drops them on the floor, she’ll start a chain of responses from her audience, including funny faces, groans, and other reactions that may lead to the reappearance—or disappearance—of the object. Before long, she’ll begin dropping things intentionally to see you pick them up. As annoying as this may be at times, it’s one important way for her to learn about cause and effect and her personal ability to influence her environment.
It’s important that you give your child the objects she needs for these experiments and encourage her to test her “theories.” But make sure that everything you give her to play with is unbreakable, lightweight, and large enough that she can’t possibly swallow it. If you run out of the usual toys or she loses interest in them, plastic or wooden spoons, unbreakable cups, and jar or bowl lids and boxes are endlessly entertaining and inexpensive.
Another major discovery that your baby will make toward the end of this period is that objects continue to exist when they’re out of her sight—a principle called object permanence. During her first few months, she assumed that the world consisted only of things that she could see. When you left her room, she assumed you vanished; when you returned, you were a whole new person to her. In much the same way, when you hid a toy under a cloth or a box, she thought it was gone for good and wouldn’t bother looking for it. But sometime after four months, she’ll begin to realize that the world is more permanent than she thought. You’re the same person who greets her every morning. Her teddy bear on the floor is the same one that was in bed with her the night before. The block that you hid under the can did not actually vanish after all. By playing hiding games like peekaboo and observing the comings and goings of people and things around her, your baby will continue to learn about object permanence for many months to come.

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Cognitive Development: 4 to 7 Months
January 21st, 2010 | Comments (0)Posted in Pediatrics | No Comments »
Developmental Milestones: 4 to 7 Months
January 1st, 2010 | Comments (0)What are some of the developmental milestones my child should reach by seven months of age?
From age four to seven months, the most important changes take place within your child. This is the period when he’ll learn to coordinate his emerging perceptive abilities (the use of senses like vision, touch, and hearing) and his increasing motor abilities to develop skills like grasping, rolling over, sitting up, and possibly even crawling.
Here are some other milestones to look for.
Movement Milestones
Rolls both ways (front to back, back to front)
Sits with, and then without, support of her hands
Supports her whole weight on her legs
Reaches with one hand
Transfers object from hand to hand
Uses raking grasp (not pincer)
Visual Milestones
Develops full color vision
Distance vision matures
Ability to track moving objects improves
Language Milestones
Responds to own name
Begins to respond to “no”
Distinguishes emotions by tone of voice
Responds to sound by making sounds
Uses voice to express joy and displeasure
Babbles chains of consonants
Cognitive Milestones
Finds partially hidden object
Explores with hands and mouth
Struggles to get objects that are out of reach
Social and Emotional Milestones
Enjoys social play
Interested in mirror images
Responds to other people’s expressions of emotion and appears joyful often
Developmental Health Watch
Because each baby develops in his own particular manner, it’s impossible to tell exactly when or how your child will perfect a given skill. The developmental milestones listed in this book will give you a general idea of the changes you can expect, but don’t be alarmed if your own baby’s development takes a slightly different course. Alert your pediatrician, however, if your baby displays any of the following signs of possible developmental delay for this age range.
Seems very stiff, with tight muscles
Seems very floppy, like a rag doll
Head still flops back when body is pulled up to a sitting position
Reaches with one hand only
Refuses to cuddle
Shows no affection for the person who cares for him
Doesn’t seem to enjoy being around people
One or both eyes consistently turn in or out
Persistent tearing, eye drainage, or sensitivity to light
Does not respond to sounds around him
Has difficulty getting objects to his mouth
Does not turn his head to locate sounds by four months
Doesn’t roll over in either direction (front to back or back to front) by five months
Seems inconsolable at night after five months
Doesn’t smile spontaneously by five months
Cannot sit with help by six months
Does not laugh or make squealing sounds by six months
Does not actively reach for objects by six to seven months
Doesn’t follow objects with both eyes at near (1 foot) [30 cm] and far (6 feet) [180 cm] ranges by seven months
Does not bear some weight on legs by seven months
Does not try to attract attention through actions by seven months
Does not babble by eight months
Shows no interest in games of peekaboo by eight months
If you wish to have a developmental evaluation for your baby call and make an appointment with Dr. Bar
949 706 1212
359 San Miguel Dr #200 Newport Beach
California 92660
www.DrBar.org
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Children Doctor Newport Beach: Dr. Bar’s Blog on baby development : 6 to 9 month baby development
April 10th, 2009 | Comments (0)what to expect at 6 months:
9 months:
12 month old baby:
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If you have any questions or concerns you are welcome to schedule a consult with Dr. Bar to evaluate your baby at her New office in Fashion Island. At the Neuro-Developmental Institute at 359 San Miguel Suite 200 our team would welcome your visit and can provide you with a detailed and specialized evaluation and recommendations to ensure optimal brain stimulation and growth for your baby.
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