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 the large muscle control and abilities needed to move through and explore their environment.

Skill Progression: Supine/prone

Age: 1-2 Months

You may choose a different domain, go back, or click on a skill below for more information.

Prone (on stomach): Lifts head 45°

Situations for Observation of Skill

Observe the child during daily routines such as bath time and diapering.

Elicitation Strategy

The adult makes sure to put the infant on both his back and tummy.

Behavior Observed

On his stomach the infant lifts his head to look at the environment.

Routines-based Intervention (Embedded Instruction)

Parents are often worried about putting infants on their tummies due to concerns about sudden infant death syndrome (SIDS). Let parents know how important it is for the child’s head, neck, shoulders, and trunk development to spend time on his tummy. Encourage parents to start in the first month to give the infant tummy time. The infant will work to lift his head, building neck and shoulder stability. This is important for later positions such as sitting and crawling.

 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