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護理師在嬰兒室評估新生兒。哪些發現應紀錄為 2 天大嬰兒的預期發展里程碑?(選所有適合的)

A nurse is assessing a newborn in the nursery. Which findings should the nurse document as expected developmental milestones for a 2-day-old infant? (Select all that apply.)

  • APresence of the Moro reflex✓ 正解
    存在莫羅反射
  • BAbility to lift head briefly when prone
    俯臥時能短暫抬頭
  • CPassage of meconium stool✓ 正解
    排出胎便
  • DCoordinated sucking and swallowing reflex✓ 正解
    協調的吸吮與吞嚥反射
  • EAbility to roll from stomach to back
    能從腹部翻轉至背部
Explanation · 中文詳解

評估新生兒發展里程碑需區分原始反射(Primitive reflexes)與生理功能。2 天大的嬰兒處於新生兒期,神經系統發育尚未成熟,主要表現為反射動作以利生存,如吸吮、吞嚥與摩洛反射(Moro reflex)。胎便排出代表腸道通暢,為正常的生理過程。抬頭(Head lag control)與翻身(Rolling over)屬於較晚期的大動作發展(Gross motor development),若在 2 天大時出現則可能暗示張力異常或病理情況。

Newborns exhibit primitive reflexes such as the Moro reflex and coordinated sucking and swallowing, which are essential for survival. Passing meconium within the first 48 hours is also a normal physiological milestone. Head lifting and rolling over are gross motor skills that develop much later in infancy.

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