— 健康促進與維護 · MEDIUM · MCQ —
護理師在青少年健康檢查時，最重要的是進行哪項評估？
Which assessment is most important for a nurse to perform for an adolescent during a wellness checkup?
- AScoliosis screening✓ 正解脊椎側彎篩檢
- BFecal occult blood test糞便潛血試驗
- CDeep tendon reflexes深部肌腱反射
- DFull neurologic physical exam完整的神經學理學檢查
— Explanation · 中文詳解 —
青少年時期（Adolescence）正值快速生長發育期，骨骼生長速度快，是脊椎側彎（Scoliosis）的好發階段。學校與門診健康檢查應將脊椎側彎篩檢列為常規項目，以便及早發現並進行矯正或物理治療，避免側彎角度隨發育加劇而影響心肺功能。其他選項如深部肌腱反射或神經檢查，在無症狀時並非例行檢查項目；糞便潛血檢查則是針對中老年人預防大腸癌的篩檢。
Adolescents undergo rapid growth spurts that significantly increase the risk of developing idiopathic scoliosis, making spinal screening a critical component of wellness checkups. Early detection allows for timely intervention to prevent progression that could impact cardiopulmonary function. Other options, such as fecal occult blood testing or full neurologic exams, are not routine screenings for asymptomatic adolescents.