Anticipatory Guidance 4 Month Checkup


  • Maintain consistent family routine

Development and Behavior

  • Promote language using simple words
  • Provide age-appropriate toys, remove small toys/pins/plastic pieces
  • Read books and talk about pictures/story using simple words


  • Hold to bottle-feed, no bottle propping
  • Introduce cereal when ready
  • No bottle in bed
  • No microwave to heat milk
  • Store breast milk in freezer
  • Store prepared formula (for daily use only) in refrigerator

Routine Care

  • Clean mouth/teeth with soft cloth twice a day
  • Tummy time; head control
  • Teething


  • Crib safety with slats ≤2-3/8”
  • Do not leave alone in bath water
  • Home safety for fire/carbon monoxide poisoning
  • Keep hand on infant when on bed or changing on table/couch
  • No shaking baby (Shaken Baby Syndrome)
  • Provide safe/quality day care, if needed
  • Sleep in crib on back with no loose covers or soft bedding
  • Use rear-facing car seat in back seat of car until child is at least 2 years old, or reaches the height and weight limit set by the car seat maker
  • Water heater at <120º


Last updated July 23, 2015