— 健康促進與維護 · MEDIUM · MCQ —
護理師評估一位 1 歲幼兒。哪項發現應回報給醫師？
A nurse is assessing a 12-month-old child. Which finding should the nurse report to the healthcare provider?
- AThe child's birth weight has tripled.該兒童的出生體重已增加三倍。
- BThe child is unable to stand while holding onto furniture.✓ 正解該兒童無法扶著家具站立。
- CThe child can say 'mama' and 'dada' specifically.該兒童能具體說出「媽媽」和「爸爸」。
- DThe anterior fontanelle is still open and soft.前囟門仍然開放且柔軟。
— Explanation · 中文詳解 —
12個月大的幼兒發展評估是NCLEX常見考點。根據丹佛發展篩檢測驗（Denver Developmental Screening Test），12個月大的幼兒應具備粗動作發展，能夠扶著家具行走（cruising）或獨自站立。若無法扶站，顯示其下肢肌力或平衡發展遲緩，必須由醫師進一步評估。護理師的臨床責任在於及早識別發展異常，並透過跨專業團隊介入。
By 12 months of age, infants are expected to demonstrate gross motor skills such as pulling to stand or cruising along furniture. Inability to stand while holding onto furniture suggests a potential developmental delay that requires further medical evaluation.