— 健康促進與維護 · EASY · MCQ —
護理師在嬰兒健康檢查時評估一位 4 個月大的嬰兒。預期該嬰兒會出現哪項發展里程碑？
A nurse is assessing a 4-month-old infant during a well-baby visit. Which developmental milestone should the nurse expect?
- ARolling from front to back✓ 正解從背部翻滾至腹部
- BWalking with assistance扶助行走
- CPincer grasp拇食指捏取
- DSitting without support獨立坐立
— Explanation · 中文詳解 —
4 個月大的嬰兒發展重點為頸部肌肉支撐力增強，能由俯臥翻轉至仰臥。坐姿通常在 6-8 個月發展；捏取動作（pincer grasp）屬於 9-10 個月的精細動作；扶走則通常在 10-12 個月才會出現。
Rolling from front to back is a gross motor milestone typically achieved by 4 months of age as neck and trunk control strengthen. Other milestones like sitting without support, pincer grasp, and assisted walking develop later, usually between 6 and 12 months.
✦ 台美臨床差異
台美均使用 Denver II 或類似量表評估，但美國護理師對發展遲緩的早期轉介系統（Early Intervention）更為積極。