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健康促進與維護 · MEDIUM · MCQ

護理師在健兒門診評估一位 8 個月大的嬰兒。下列哪項粗大動作是此年齡預期應達成的?

A nurse is assessing an 8-month-old infant during a well-child visit. Which gross motor skill is expected for this age?

  • AWalking while holding onto furniture (cruising).
    扶著家具行走(巡航)。
  • BWalking independently.
    獨立行走。
  • CRolling from back to front.
    從背部翻轉至腹部。
  • DSitting steadily without support.✓ 正解
    無需支撐即可穩固坐姿。
Explanation · 中文詳解

8 個月大是發展「獨立坐姿」的關鍵期。大多數嬰兒在此時已能不需要扶手而坐穩 (D),並開始嘗試匍匐前進或爬行。選項 A (扶走) 通常出現在 10-12 個月;選項 C (翻身) 是 4-6 個月的技能,8 個月早已達成;選項 B (獨立行走) 平均在 12-15 個月。護理師應了解發展的順序性(由頭到腳、由近及遠),若 8 個月大仍需支撐才能坐,則可能存在發展遲緩,需進一步評估神經肌肉發育。這對早期干預至關重要。

Eight months of age is a key period for the development of independent sitting. Most infants by this age can sit unsupported (D) and are beginning to attempt creeping or crawling. Option A (cruising) usually appears at 10-12 months; option C (rolling) is a skill of 4-6 months and is well established by 8 months; option B (independent walking) occurs on average at 12-15 months. The nurse should be familiar with the sequential nature of development (cephalocaudal and proximal-to-distal). If an 8-month-old still requires support to sit, there may be developmental delay requiring further evaluation of neuromuscular development. This assessment is critical for early intervention.

✦ 台美臨床差異

美國護理實務強調「Denver II」發展篩檢工具;台灣護理師則依據「國民健康署兒童健康手冊」進行評估。兩地對於「坐」的月齡標準基本一致,但衛教家長不要過早使用學步車的重點相同。

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