— 健康促進與維護 · EASY · MCQ —
4個月大的嬰兒出現何種評估結果,顯示需要進一步調查其發展里程碑?
Which assessment finding in a 4-month-old infant indicates the need for further investigation regarding developmental milestones?
- ALack of stranger anxiety缺乏對陌生人的焦慮
- BNot yet rolling over尚不會翻身
- CInability to hold the head steady✓ 正解無法穩固支撐頭部
- DFailure to smile at people不對人微笑
— Explanation · 中文詳解 —
嬰兒的發展里程碑(Developmental Milestones)具有一定的順序性。4 個月大的嬰兒在俯臥時應能支撐頭部並維持穩定(Head Control)。若此時頭部仍無法穩定控制,代表頸部肌肉張力或神經發育可能存在問題,屬於臨床上的「紅旗警訊(Red Flag)」,必須進行進一步的神經學或小兒科評估,排除發育遲緩或肌張力低下等狀況。
By four months of age, infants should have achieved head control; inability to hold the head steady is a red flag for potential neuromuscular or developmental issues requiring further evaluation. Other findings, such as lack of stranger anxiety or delayed rolling, are within normal limits for this age group.