Parent Questions · Newborn · 15–28 Days

Your baby at one month: seeing, hearing and tummy time

At three to four weeks your baby sees your face at feeding distance, knows your voice, and is working hard on neck strength. Tummy time starts now, a few supervised minutes at a time, and a baby who protests is being a normal baby. This guide covers what to expect, the head-to-one-side habit, startles, and how to play with a newborn.

Reviewed by Dr. Bilal Ahmad Sethi, Consultant Paediatrician · 6 common questions answered

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Pick the worry that fits your baby and open it for a clear answer, with what is usually normal, when to see a doctor, and when to go straight to hospital.

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What can my 3-week-old baby see and hear?

A baby at this age sees best at close face-to-face distance, may briefly follow a face or strong contrast and often turns or settles to a familiar voice. Responses are brief and inconsistent because alert periods are short.

🟢 Usually normal

At 15–28 days a baby may briefly look at a face or light, calm to a familiar voice, startle at sound, move all four limbs and lift or turn the head briefly during supervised tummy time.

🟡 See a doctor if

The baby never responds to sound or bright light, consistently moves one side less, always turns the head one way, seems unusually stiff or floppy, has feeding difficulty, or tummy time remains impossible despite gentle attempts.

🔴 Go to hospital now if

There are repeated rhythmic jerks that do not stop when the limb is held, eye deviation with unresponsiveness, a seizure, sudden loss of responsiveness, breathing difficulty, blue colour, fever or a bulging fontanelle.

✅ What you can do: Talk softly during feeds and nappy changes, hold the face about 20–30 cm away and use simple high-contrast patterns. Avoid bright screens and loud stimulation.

⭐ Zango Clinic’s view: At 15–28 days, brief attention is expected; development is supported by calm human interaction, not toys or screens.

When should I start tummy time?

Supervised tummy time can start from birth when the baby is awake and medically stable. It strengthens the neck and shoulders and reduces constant pressure on the back of the head; it is never a sleeping position.

🟢 Usually normal

At 15–28 days a baby may briefly look at a face or light, calm to a familiar voice, startle at sound, move all four limbs and lift or turn the head briefly during supervised tummy time.

🟡 See a doctor if

The baby never responds to sound or bright light, consistently moves one side less, always turns the head one way, seems unusually stiff or floppy, has feeding difficulty, or tummy time remains impossible despite gentle attempts.

🔴 Go to hospital now if

There are repeated rhythmic jerks that do not stop when the limb is held, eye deviation with unresponsiveness, a seizure, sudden loss of responsiveness, breathing difficulty, blue colour, fever or a bulging fontanelle.

✅ What you can do: Begin for 3–5 minutes two or three times daily on a firm surface or the caregiver’s chest, always watched by an awake adult. Gradually increase as tolerated.

⭐ Zango Clinic’s view: At 15–28 days, short frequent tummy-time sessions are appropriate; back remains the position for every sleep.

My baby cries during tummy time. Should I stop?

Many newborns initially dislike tummy time because lifting the head is hard. Brief fussing is common; persistent distress, breathing difficulty or marked asymmetry is not.

🟢 Usually normal

At 15–28 days a baby may briefly look at a face or light, calm to a familiar voice, startle at sound, move all four limbs and lift or turn the head briefly during supervised tummy time.

🟡 See a doctor if

The baby never responds to sound or bright light, consistently moves one side less, always turns the head one way, seems unusually stiff or floppy, has feeding difficulty, or tummy time remains impossible despite gentle attempts.

🔴 Go to hospital now if

There are repeated rhythmic jerks that do not stop when the limb is held, eye deviation with unresponsiveness, a seizure, sudden loss of responsiveness, breathing difficulty, blue colour, fever or a bulging fontanelle.

✅ What you can do: Try after a nappy change or nap, use the caregiver’s chest or a rolled towel under the chest while fully supervised, get face-to-face and stop before the baby becomes exhausted.

⭐ Zango Clinic’s view: At 15–28 days, tolerance builds gradually; several short pleasant attempts are better than one forced session.

My baby always turns the head to one side. Is this a problem?

A preference can reflect position in the womb or early neck tightness. Constant turning, difficulty facing the other way or a developing flat spot may indicate torticollis and should be assessed early.

🟢 Usually normal

At 15–28 days a baby may briefly look at a face or light, calm to a familiar voice, startle at sound, move all four limbs and lift or turn the head briefly during supervised tummy time.

🟡 See a doctor if

The baby never responds to sound or bright light, consistently moves one side less, always turns the head one way, seems unusually stiff or floppy, has feeding difficulty, or tummy time remains impossible despite gentle attempts.

🔴 Go to hospital now if

There are repeated rhythmic jerks that do not stop when the limb is held, eye deviation with unresponsiveness, a seizure, sudden loss of responsiveness, breathing difficulty, blue colour, fever or a bulging fontanelle.

✅ What you can do: Alternate the baby’s orientation in the cot, approach from the non-preferred side, vary holding and feeding positions and use supervised tummy time. Never use sleep positioners.

⭐ Zango Clinic’s view: At 15–28 days, a mild preference may improve with positioning, but fixed asymmetry benefits from early clinical and physiotherapy review.

My baby startles or shakes the hands. Is this normal?

The Moro startle and brief jittery movements can be normal and are often triggered by noise, movement, hunger or crying. Jitteriness usually stops when the limb is gently held; seizures may continue and include eye or breathing changes.

🟢 Usually normal

At 15–28 days a baby may briefly look at a face or light, calm to a familiar voice, startle at sound, move all four limbs and lift or turn the head briefly during supervised tummy time.

🟡 See a doctor if

The baby never responds to sound or bright light, consistently moves one side less, always turns the head one way, seems unusually stiff or floppy, has feeding difficulty, or tummy time remains impossible despite gentle attempts.

🔴 Go to hospital now if

There are repeated rhythmic jerks that do not stop when the limb is held, eye deviation with unresponsiveness, a seizure, sudden loss of responsiveness, breathing difficulty, blue colour, fever or a bulging fontanelle.

✅ What you can do: Record a video if safe, feed if hungry and keep the baby comfortably warm. Seek prompt review for repeated episodes, asymmetry or movements occurring when calm.

⭐ Zango Clinic’s view: At 15–28 days, many startles are normal reflexes, but repetitive movements with altered awareness should be treated as possible seizures.

How should I play and talk with my newborn?

Newborn play is simple: eye contact, talking, singing, skin-to-skin contact, gentle touch and short supervised floor time. The baby may only engage for a minute or two before needing rest.

🟢 Usually normal

At 15–28 days a baby may briefly look at a face or light, calm to a familiar voice, startle at sound, move all four limbs and lift or turn the head briefly during supervised tummy time.

🟡 See a doctor if

The baby never responds to sound or bright light, consistently moves one side less, always turns the head one way, seems unusually stiff or floppy, has feeding difficulty, or tummy time remains impossible despite gentle attempts.

🔴 Go to hospital now if

There are repeated rhythmic jerks that do not stop when the limb is held, eye deviation with unresponsiveness, a seizure, sudden loss of responsiveness, breathing difficulty, blue colour, fever or a bulging fontanelle.

✅ What you can do: Follow quiet-alert cues, copy facial expressions, change sides during holding and stop when the baby looks away, yawns or becomes fussy. Keep screens off around the baby.

⭐ Zango Clinic’s view: At 15–28 days, responsive interaction is enough; development is built through safe relationships, not overstimulation or expensive equipment.

When to see Dr. Sethi

These answers help you know what to watch for at home. When something does not feel right, or a red-flag sign appears, a quick consultation is the safest next step. Book a clinic visit or ask on WhatsApp.

More newborn topics

Still worried? Talk to Dr. Sethi.

These answers help you know what to watch for. When something does not feel right, a quick consultation is the safest next step.