— 健康促進與維護 · HARD · MCQ —
在成長評估中，嬰兒出現何種發現需要立即追蹤？
Which finding in an infant requires immediate follow-up during a growth assessment?
- AHeight increase of 1 inch in three months三個月內身高增加一英吋
- BWeight gain of 1 pound in one month一個月內體重增加一磅
- CIncrease in head circumference by 0.5 cm in one month一個月內頭圍增加 0.5 公分
- DCrossing two major percentiles downward on the growth chart✓ 正解在生長曲線上向下跨越兩個主要百分位
— Explanation · 中文詳解 —
嬰兒的生長曲線（Growth chart）評估是反映營養狀況、發育潛能及健康情形的重要指標。若嬰兒在成長過程中跨越兩個主要百分位（例如從 75% 掉到 25% 以下），這在臨床上稱為「生長遲滯（Failure to thrive）」的警訊，暗示可能存在潛在的吸收不良、內分泌問題或系統性疾病，必須立即進行醫學評估以找出原因。
Crossing two major percentiles downward on a growth chart is a significant red flag indicating potential failure to thrive. This deviation suggests underlying issues such as malabsorption, endocrine disorders, or systemic disease requiring immediate medical evaluation.