0-3 Months

SOCIAL/EMOTIONAL

COGNITIVE

PLAY

LANGUAGE COMPREHENSION

LANGUAGE PRODUCTION

SELF-AWARENESS

  • Draws attention to self when in distress
  • Differentiates cries
  • Looks at own hands
  • Plays with hands in midline

SELF CONTROL

  • Ceases crying when comforted
  • Relaxes body when held
  • Quiets self with sucking
  • Begins regulation (e.g. wake/sleep cycle)
  • Falls asleep when overstimulated

INTERPERSONAL RELATIONSHIPS

  • Regards face
  • Enjoys people without distinguishing strangers from familiar people
  • Responds to voice when talked to
  • Establishes eye contact
  • Reacts to disappearence of face
  • Distinguishes parent
  • Smiles responsively

SOCIAL PLAY

  • Shows pleasure when touched and held

ADAPTIVE BEHAVIOR

  • Recognizes bottle or breast by raising head and opening mouth

PROBLEM SOLVING

  • Attends briefly to ongoing sound or activity
  • Orients to people and objects
  • Habituates to repeated stimuli
  • Performs defensive movements (e.g. attempts to remove cloth from face)

CAUSALITY

  • Cries as a signal
  • Smiles contingently
  • Repeats movements which are self pleasing
  • Seeks sound/vision relationship
  • Bats at objects, first accidntally and then with intent

CLASSIFICATION

  • Forms behavioral patterns (e.g. prefers a certain sleeping position)
  • Begins to establish basic routines

OBJECT PERMANANCE

  • Fixates on objects
  • Continues to look at object or face after it has moved out of view

MEMORY

  • Alternates glance between two visual stimuli
  • Begins to associate environmental cues (e.g. expects to be fed when held in feeding position)
  • Recognizes parent

IMITATION

  • Repeats non-specific vocalizations
  • Smiles responsively

SPATIAL

  • Shows interest in the position, movement, shape, and form of objects
  • Follows visually up, down and sideways

SENSORY

  • Responds to a textured object
  • Explores hands

AUDITORY PROCESSING

  • Reacts positively to pleasurable sounds
  • Displays awareness of parent's voice
  • Listens up to 30 seconds in responce to voice
  • Attends to contrasting sound
  • Differentiates angry and pleasant voices

VOCALIZATION

  • Produces nasalized cry
  • Produces nasalized vocal sounds

IMITATION

  • Smiles in response to adult smile
  • Imitates vocalizations some of the time

INTENTION/DISCOURSE

  • Adjusts head position when put in nursing position
  • Anticipates feeding upon seeing bottle/breast
  • Becomes excited when parent approaches
  • Smiles Responsively
  • Laughs aloud in response to playful approach
  • Produces vocalizations in response to others' smiles, vocalizations and/or verballizations

0-3 Months

ORAL-MOTOR/FEEDING

GROSS MOTOR

FINE MOTOR

VISION/HEARING

HEALTH/PHYSICAL GROWTH

PRIMARY FOOD TYPE

  • Manages liquids

NEWBORN

  • Displays sensitive gag reflex
  • Displays rooting reflex

1 MONTH

  • Uses suck-swallow pattern with some liquid loss
  • Sequences two or more sequences from nipple prior to breath or swallow
  • Moves tongue forward and backward with nipple
  • Protrudes tongue slightly between lips, with nipple some of the time
  • Displays minimal lip activity in suckling
  • Parts lips when nipple is removed some of the time
  • Displays wide jaw excursions in suckling

2-3 MONTHS

  • Stabilizes nipple for sucking with sucking pads
  • Anticipates nipple with tongue move?' men
  • Opens mouth when lips are stimulated
  • Begins to encircle nipple with lip corners
  • Suckles with active lip movement
  • Places more pressure on nipple with upper lip
  • Integrates rooting reflex

NEWBORN

  • Lifts and rotates head in prone position
  • Exhibits total flexion body position in prone
  • Rotates head to side in supine position
  • Moves arms and kicks legs randomly (heels do not hit surface)
  • Flops head forward with back rounded when held in sitting
  • Takes some weight while provided with trunk support when held in standing

1 MONTH

  • Turns head side to side when in prone
  • Randomly kicks legs (heels hit surface)
  • Attempts to lift head with weight forward when held in sitting position
  • Takes progressively more weight whe nheld in standing position with trunk support

2 MONTH

  • Accepts weight on hands and forearms in prone position
  • Lifts head to clear nose in prone position
  • Postures elbows behind shoulders while weight is on arms when in prone position
  • Demonstrates a decrease in total extensions patterning in supine position
  • Attempts to assist in pull to sit with head bobbing present
  • Ceases to accept weight when held in standing

NEWBORN

  • Lacks retention of objects placed in hand
  • Exhibits random arm movements

1 MONTH

  • Exhibits a variety of open hand postures associated with random movements
  • Begins to retain object when placed in hand
  • Swipes at objects when body position provides shoulder stability some of the time

2 MONTH

  • Opens hands more frequently
  • Lacks voluntary grasp
  • Regards hands with uncontrolled swiping
  • Releases objects reflexively
  • Exhibits mouth to hand pattern (usually in prone position)
  • Begins to hold hands together on chest

VISION

NEWBORN

  • Attends to objects in peripheral rather than central field
  • Fixates and refixates on stimulus
  • Looks at objects for up to five seconds
  • Fixates best at seven to twelve inches
  • Tracks to midline
  • Stops sucking to look at something
  • Scans complex pattern with edges
  • Attends only to light/reflective objects
  • Regards moving object
  • Distinguishes light from dark

1 MONTH

  • Fixes gaze on brightness of window
  • Looks at objects for up to one minute
  • Tracks horizontally 90 degrees
  • Tracks vertically 30 degrees
  • Tracks circularly
  • Regards face
  • Prefers black/white, horizontal/vertical lines and patterns

2 MONTH

  • Regards hand
  • Attends to objects up to six feet away
  • Fixates as close as five inches
  • Tracks horizontally 180 degrees
  • Glances from one noisy object to another
  • Inspects environment
  • Visually prefers people to objects
  • Recognizes family members visually
  • Smiles Responsively
  • Watches speaker's eyes, mouth
  • Prefers red/white, circular patterns

HEARING

  • Startles in response to loud sound
  • Widens eyes or blinks eyes upon hearing a loud sound
  • Arouses from sleep upon hearing a loud sound
  • Alerts to sound
  • Calms to voice, appears to listen
  • Attends to contrasting sounds and voices

NEWBORN

Weight:
    Girls - 5-1/4 - 8-1/2 lbs
    Boys - 5-1/2 - 9-1/4 lbs
Length:
    Girls - 17-3/4 - 20-3/4 in
    Boys -18-1/4 - 21-1/2 in
Head circumference:
    Girls - 32.1 - 35.9 cm
    Boys - 32.6 - 37.2 cm
Nutrition:
  • Has stomach capacity of 1-3 ounces
  • Takes 6-8 breast/formula feeds per day at intervals of no more than 2-1/2 hours
  • Takes breast milk or iron fortified formula until four to six months; whole, skim, 2% or 1% milk is not recommended
Health:
  • Sleeps approximately 16-1/2 hours per 24 hour period, including seven to eight short naps
  • Gains 5-7 ounces per week (1.5 lbs permonth) during first six months
  • Grows one inch per month during first six months
  • Increases head circumference by 1.5 cm per month during first six months
  • Starts immunizations with Hep B

1 MONTH

Weight
    Girls - 6-1/2 - 10-3/4 lbs
    Boys - 7 -11-3/4 lbs
Length:
    Girls -19-1/4 - 22-1/2 in
    Boys -19-3/4 - 23 in
Head circumference
    Girls - 34.2 - 38.3 cm
    Boys - 34.9 - 39.6 cm
Nutrition:
  • Has stomach capacity of 3-5 ounces
  • Takes 5-6 breast/formula feedings per day at intervals of no more than 3 hours (takes 2-4 ounces per feeding)
Health:
  • Sleeps 15 hours per 24 hour period including five to six short naps

2 MONTHS

Health:
  • Begins immunization series per recommended guidelines
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Family Enrichment Program
ECHO Joint Agreement
Park Forest, IL