— 健康促進與維護 · MEDIUM · MCQ —
護理師評估一位 4 歲兒童。應預期達成什麼發展里程碑？
A nurse is assessing a 4-year-old child. Which developmental milestone should the nurse expect?
- ACan ride a bicycle without training wheels能不借助輔助輪騎自行車
- BCan tie shoelaces independently能獨立綁鞋帶
- CCan print letters clearly能清楚書寫字母
- DCan cut with scissors✓ 正解能使用剪刀
— Explanation · 中文詳解 —
4歲幼兒在粗大動作與細動作上有顯著進步。根據發展里程碑，4歲幼兒通常已具備使用安全剪刀剪紙的能力，這是手眼協調的一大進程。其他選項如騎兩輪腳踏車通常需到 6-7 歲，綁鞋帶則需要更精細的雙手操作能力，通常在 5-6 歲達成；至於清晰書寫字母，這涉及認知與精細動作的結合，通常進入小學階段才能完全成熟。評估發展時，護理師應針對該年齡層的預期目標進行觀察。
By age 4, children typically demonstrate improved fine motor skills, including the ability to use scissors effectively, which reflects significant hand-eye coordination development. More complex tasks such as riding a bicycle without training wheels or tying shoelaces usually require the advanced dexterity and balance found in older preschoolers or school-aged children. Clear printing of letters is also a milestone generally achieved during the school-age years.