— 健康促進與維護 · MEDIUM · MCQ —
護理師評估一位 4 歲幼兒。哪項觀察應通報醫師為潛在發展遲緩？
A nurse is assessing a 4-year-old in a clinic. Which observation should the nurse report to the provider as a potential developmental delay?
- AInability to jump with both feet.✓ 正解無法雙腳同時跳躍
- BDifficulty using scissors properly.使用剪刀困難
- CPlaying cooperatively with peers.與同儕合作遊戲
- DSpeaking in complete sentences.使用完整句子說話
— Explanation · 中文詳解 —
4 歲幼兒的粗動作發展指標應包含雙腳跳躍（Jumping with both feet）。若無法執行，可能涉及大肌肉協調性問題。其他選項：使用剪刀（精細動作）4 歲尚在進步中；說完整句子與合作遊戲是 4 歲正常表現，若表現不佳需評估，但粗動作障礙更為明顯。
Jumping with both feet is an expected gross motor milestone for a 4-year-old child; inability to perform this action suggests a potential developmental delay. Other options, such as refining fine motor skills with scissors or engaging in cooperative play, are consistent with normal development for this age group.
✦ 台美臨床差異
兩地兒科醫師對於 4 歲發展量表皆重視粗動作指標，此為早期療育篩檢之關鍵項目。