## North Carolina Early Learning and Development Progressions: Birth to Five

#### Domain: NC Foundations for Early Learning: Health and Physical Development (HPD)

#### Subdomain: Motor Development

#### Goal: Children develop small muscle control and hand-eye coordination to manipulate objects and work with tools.

#### Skill Progression: Arm movements

#### Age: 2-4 Months

Click here to go to all skills for ages 2-4 Months.

### Supine: Brings hands to midline

Situations for Observation of Skill

Observe the infant on her back.

Elicitation Strategy

Observe the infant lying on her back. After a minute or two, hold an interesting object above the child.

Behavior Observed

The infant’s hands meet at midline with fingers of each hand touching each other.

Routines-based Intervention (Embedded Instruction)

Explain to early childhood educators and parents how time on back and stomach helps the infant’s development. Play on the back encourages children to bring hands to midline. “Tummy time” is important for building head control and upper body strength.

North Carolina Department of Public Instruction, 2015

©2015 by the North Carolina Department of Public Instruction. This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. To view a copy of this license, visit https://creativecommons.org/licenses/by-nc-sa/4.0/.