6 months


The golden age of infancy. Usually not yet crawling, generally happy, love to interact, attached to parents. He can recognize his own name.

Milestones

Vision: Vision Development. Following you around the room with his eyes. Put baby in a high chair or upright seat during awake time (as opposed to crib). 3-5 mos: distinguish mother vs stranger face. 3-5 mos: can now for a 3D view of the world
Language/Communication: babbles, bababa (consonant sounds), imitates sounds. Beginning to recognize own name.
Fine Motor: reaches for toys, radial raking grasp, holds rattle, palmar grasp, transfers objects, plays with hands. Hand dominance prior to 18 mo may indicate weakness in contralateral hand.
Gross Motor: Rolls back to front; When prone, holds head high or may move into crawling position; sits with or without support, stands with hands held. Standing and bouncing. Red flag: poor head control at age 5 mos. Red flag: at 7 mos, W-sitting and bunny hopping, may indicate adductor spasticity or hypotonia.
Social: Object permanence 6-8 months (play peeka boo).  Initiates social contact by smiling, laughing, squealing. Hugging (5 mos).  Displeasure when parent moves away.  recongnizes strangers. Stranger anxiety 6-9 months.
Red flags: Developmental problems or lack of attention may cause an infant who lies on his back, avoids eye contact,  and smiles and vocalizes infrequently.

Physical Exam

Nutrition:

Anticipatory Guidance

Safety:

Screening and Immunizations
Screening Labs: Vision-Screening (abnormal eye alignment? Refer optho)
Immunizations
: Rota3, Prevnar3, Hib3, Pediarix3 (HepB3, DTaP3, IPV3)
Next visit in 3 months at age 9 months

Advice: