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| Notify your pediatrician if:
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- 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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