— 健康促進與維護 · EASY · MCQ —
護理師在兒童健檢時評估 2 歲幼兒。哪項發現顯示為正常發展？
A nurse is assessing a 2-year-old child at a well-child visit. Which finding should the nurse recognize as normal development?
- ACan ride a tricycle能騎三輪車
- BBuilds a tower of 6-7 blocks✓ 正解堆疊 6-7 個積木
- CSpeaks in sentences of 4-5 words能用 4-5 個字組成句子
- DCopies a circle能描繪圓形
— Explanation · 中文詳解 —
2 歲幼兒正處於發展心理學家艾瑞克森（Erikson）的「自主對羞愧與懷疑」（Autonomy vs. Shame and Doubt）階段，精細動作與粗動作皆有顯著進步。評估發展里程碑時，護理師需比對年齡對應之神經肌肉成熟度。堆疊積木是反映手眼協調與空間概念的關鍵指標，2 歲幼兒通常能堆疊 6-7 個積木。其他選項的能力多屬於 3 歲或更晚期之發展，若幼兒尚未達成，雖需持續追蹤，但單憑該項不能判定為 2 歲的正常指標。
Building a tower of 6 to 7 blocks is a normal fine motor milestone for a 2-year-old, reflecting developing hand-eye coordination. Skills such as riding a tricycle, speaking in longer sentences, or copying a circle are typically achieved by age 3 or older.