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Last updateTue, 28 Oct 2014 9pm

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When to Call Your Pediatrician (Four to Seven Months)

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Notify your pediatrician if:
  • By 4 months:
    • Does not reach for and grasp toys
    • Does not babble
    • Does not bring objects to mouth
    • Does not push down with legs when feet are placed on a firm surface
    • Does not turn head to locate sounds
    • Does not imitate sounds you make
    • Moro reflex (when startled, throws out arms and legs, extends neck, and then quickly brings arms back together) is still present
  • By 5 months:
    • Tonic neck reflex (when head turns to one side, arm on that side will straighten, with the opposite arm bent up as if child is holding a fencing sword) is still present
    • Stiff extremities (arms and legs)
    • Floppy tone
    • Head lag present when body is pulled up to a sitting position
    • Does not roll over in one direction
    • One or both eyes consistently turn in or out
    • Persistent tearing, eye drainage, or sensitivity to light
    • Refuses to cuddle
    • Does not smile
    • Does not show affection for primary care giver
    • Does not seem to enjoy being around people
    • Does not respond to sounds
    • Is inconsolable at night
  • By 6 months:
    • Cannot sit with assistance
    • Reaches with one hand only
    • Does not laugh or make squealing sounds
  • By 7 months:
    • Does not actively reach for objects
    • Does not get objects to mouth
    • Does not follow objects with eyes at both near (1 foot) and far (6 feet) distances
    • Does not bear weight on legs
    • Does not try to attract attention

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