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Motor (Gross and Fine) Development for First Quarter (0-3 Months)
Gross Motor:
Forearm support in prone, head unsustain at 45 deg.
Midline head and hands in supine, hip flexed to 90 deg.
In support sitting, lifts head in midline, extension of cervical spine
Head aligned with body in dependent sitting
Fine Motor:
Hands open consistently
Brings hands to mouth
Holds a toy when placed in hand for 1 minute
Baby grabs at clothes
Batting at objects
Perceptual-Cognitive Development for First Quarter (0-3 Months)
Visual:
Improving color, depth, and size perception
Acuity 20/100
Coordinates vocalizing, looking, and body movements during interaction with caregiver
Cognition:
Piaget’s sensorimotor substage 2 (primary circular reaction)
Fixates on location of anticipated stimulus
Object permanence and causality
Social-Emotional Development for First Quarter (0-3 Months)
Playing with fingers, hands, and toes
Attachment more focused on primary caregiver at 2 months
Emotion:
Contentment
Interest
Distress
Appearance of primary emotions of joy, sadness, disgust, and possibly anger
Social smiling at 2 months
Language:
Body language and crying
Cooing, squealing, and laughing
Imitates vowel sounds
Recognition of universal sounds
Motor (Gross, Oral, and Fine) Development for Second Quarter (4-6 Months)
Gross Motor:
Rolls from prone to supine
Pushes up with straight arms in prone
Brief sitting with UE support
Head sustained at 45 and 90 deg.
Oral Motor:
More active sucking and use of lips to hold nipple
Liquid loss from lip corners
Solids with up/down jaw movements
Fine Motor:
Grabs toy, holds it, shakes it or brings it to mouth for at least 1 minute
Picks up toy with one hand, holds it in their palm
Reaches or grabs toy with both hands
Reaches for small objects the size of a Cheerio
Attempts to grab small objects using raking motion with all fingers except the thumb
Perceptual-Cognitive Development for Second Quarter (4-6 Months)
Piaget’s sensorimotor sub-stage 3 (secondary circular reactions)
Selective attention developing, infant habituate to stimulus
Development of Intermodal Perception:
Preference for synchronized visual and auditory information
Focus visually on pacifier mouthed but no seen
Social-Emotional Development for Second Quarter (4-6 Months)
Distinguishes between strangers and familiar individuals but responsive to strangers
Prefer primary care giver
Emotion:
Primary emotion of surprise appears and possibly fear
Language:
Babbling begins at 6 months
Sound recognition begins to be limited to parent’s language
Motor (Gross, Oral, and Fine) Development for Third Quarter (7-9 Months)
Gross Motor:
Rolling supine to prone with segmentation
Gets to a sitting position independently
Sits without support - sustained at 8 months
Crawling
Oral Motor:
No liquid loss, long sequences coordinated sucking-swallow-breathing during feedings
Anticipate spoon, moves lips toward spoon
Free use of tongue
Up and down chewing movements
Teething and sucking thumb
Fine Motor:
Grabs object with one hand
Holds toy with tips of fingers rather than in palm of hand
Successfully grabs small object (Cheerio) using raking motion
Grabs small object with thumb and index finer with support of a surface (radial digital grasp)
Able to successfully grab a string
Able to place toy on surface without dropping it
Perceptual-Cognitive Development for Third Quarter (7-9 Months)
Touch sensation can be localized
Transition into Paiget’s sensorimotor sub-stage 4
Coordination of vision and sense of touch or hand-eye coordination
Behavior is intentional, combing of schema
Enjoys playing peek-a-boo, so-big, and patty-cake
Social-Emotional Development for Third Quarter (7-9 Months)
Emotion:
May demonstrate stranger anxiety
Joy, surprise, sadness, disgust, anger, and fear
Language:
Distinguish boundaries between words in verbal speech
First indication of understanding of words at 8 months
Use gestures to communicate needs and wants at 8 months
Motor (Gross, Oral, and Fine) Development for Fourth Quarter (10-12 Months)
Gross Motor:
Pulls to stand
Cruising along furniture
Reaching outside BOS while quadruped
Creeping
Abdominal-thoracic breathing pattern developing, most active when crying
Oral Motor:
Begin to wean from bottle
Use controlled, sustained bite on soft cookie
Chewing with mixture of up/down and diagonal patterns
Introduction of finger food
Fine Motor:
Developing bimanual dexterity
Demonstrate early hand preference - if this occurs early (roughly 6 months = most likely child with CP)
Grab small object with isolated control of thumb and index finger (pincer grasp)
Throw a ball with forward arm motion
Assist with turning pages
Perceptual-Cognitive Development for Fourth Quarter (10-12 Months)
According to some sources, infant has achieved 20/20 acuity
Infants slow to habituate to stimulus (“long-lookers”) have poorer memories than infants who habituate more quickly (“short-lookers”)
Follows one-step instructions “wave bye-bye”
Social-Emotional Development for Fourth Quarter (10-12 Months)
Emotion:
Stranger anxiety intensifies
Language:
Receptive language should include 50 words including the word “no”
Consistently using gestures to communicate
May use first words
Beginning to use jargon