— 健康促進與維護 · MEDIUM · MCQ —
6 個月大的嬰兒出現何種評估發現時，護理師應回報醫療人員？
Which assessment finding in a 6-month-old infant should the nurse report to the healthcare provider?
- AInability to sit without support無法無支撐地坐穩
- BFailure to babble or make consonant sounds✓ 正解無法咿呀學語或發出輔音
- CPresence of a primitive Moro reflex出現原始的莫羅反射
- DInability to roll over from back to stomach無法從仰臥翻轉至俯臥
— Explanation · 中文詳解 —
6 個月嬰兒正常發展應出現牙牙學語（babbling）並嘗試發出子音。未能發出聲音可能暗示聽力或溝通發展遲緩。A 與 D 為 6 個月嬰兒可能尚未完全熟練的動作，但發展差異較大。D（Moro 反射）通常於 4 個月消失，若 6 個月仍存在則為神經異常。
By six months of age, infants are expected to babble and produce consonant sounds; failure to do so may indicate hearing impairment or developmental delay. While the Moro reflex should have disappeared by four months, the absence of vocalization is a critical communication milestone that warrants immediate reporting to the healthcare provider.
✦ 台美臨床差異
兒童健康手冊皆有發展指標，台灣小兒科重視 6 個月健檢的聽力與語言評估。