Can hold head up and begins to push up when lying on tummy
Makes smoother movements with arms and legs
Possible Challenges from Treatment
Less chance for tummy time and activity because of procedures and treatments
Tubes and hospital equipment can keep baby from moving normally
Children may not learn physical skills as fast as normal, especially rolling over, controlling head and upper body, and learning hand/eye coordination
Ways to Help
If your treatment center has one, go to infant playtime to help baby learn physical skills.
Use a floor mat for tummy time and movement.
Put toys just out of reach to encourage rolling over.
Give toys with texture to get baby interested in grabbing and moving objects.
Use crib mobiles to keep baby alert and interested.
Language and Communication
Normal Development
Expresses emotions and needs through crying
Produces different cries for different reasons
Keeps brief eye contact during feeding
Watches the speaker’s mouth or eyes
Shows contentment or amusement by smiling and cooing
Calms down or smiles in response to a familiar voice
Moves or reacts to loud sounds or voices
Possible Challenges from Treatment
Less chance to relate to parents and caregivers because baby feels sick and tired.
Might be slow to develop language
Ways to Help
Interact with your baby when he or she is awake and alert.
Smile
Sing
Read
Talk about what is happening in the room
Social and Emotional
Normal Development
Begins to smile at people
Can briefly calm herself (may bring hands to mouth and suck on hand)
Tries to look at parent
Possible Challenges from Treatment
Less interest in play
Fewer chances to relate and bond to parents and caregivers due to feeling sick and tired.
Feels stress from hospital lights, sounds, and people, changes in routines, and painful procedures
More fussy, irritable, and sensitive than normal
Might have sleep problems
Ways to Help
Give baby attention during awake, alert times.
If baby is stressed, turn down lights, swaddle baby, and play quiet music or use a “white noise” machine.
Have a regular routine, if possible.
Thinking and Learning
Normal Development
Pays attention to faces
Begins to follow things with eyes and recognize people at a distance
Begins to act bored (cries, fussy) if activity doesn’t change
Possible Challenges from Treatment
Hearing or vision may be impacted, making it more difficult for newborns to follow sounds and sights
Might be slow to develop early visual discrimination and thinking skills
Ways to Help
Hold your baby while talking to them
Act excited and smile when your baby makes sounds
Allow your baby to look at themselves in a baby safe mirror
Show your baby high-contrast (black-white-and red) pictures and talk about them
Shake rattles above your baby’s head and slowly move the rattle from side to side, while smiling brightly and cheering on any attempts to follow the rattle