還有更多這樣的題目挑戰 ›

檢視幼兒的發展監測時間軸，並判斷適當的篩檢與轉介處置。

Trend

選擇作答後，查看答案。

Time	Data
12-month visit	The child waves, points to request a toy, says 'mama' and 'dada,' and pulls to stand. Growth follows the expected curve.兒童會揮手、指出想要的玩具、說「媽媽」和「爸爸」，並扶著站起來。生長曲線符合預期。
15-month visit	The caregiver reports no new words and less frequent pointing. A milestone checklist is reviewed, and close follow-up is planned.照顧者表示沒有新的詞彙，且指出動作減少。已檢視里程碑檢核表，並計畫密切追蹤。
18-month visit	The child uses no words beyond 'mama' and 'dada,' does not point to show interesting objects, and no longer waves. The caregiver asks whether to keep waiting.兒童除了「媽媽」和「爸爸」外沒有說其他詞彙，不會指出有趣的物品，也不再揮手。照顧者詢問是否要繼續等待。

Q1. How should the nurse interpret the developmental trend?護理師應如何解讀此發展趨勢？

Normal variation because physical growth is on curve正常變異，因為身體生長在曲線上 A confirmed autism diagnosis based on caregiver report根據照顧者報告確診自閉症 Missed and lost milestones that require prompt standardized screening and evaluation遺漏且喪失的里程碑，需要立即進行標準化篩檢與評估

Q2. Which next step is most appropriate?下列哪一項下一步最為適當？

Reassure the caregiver and repeat surveillance at age 3 years安撫照顧者，並在 3 歲時重複監測 Communicate the concern, complete validated developmental and autism screening, and facilitate early-intervention referral傳達擔憂，完成實證發展與自閉症篩檢，並協助早期介入轉介 Use the milestone checklist as the final diagnostic test將里程碑檢核表作為最終診斷工具

Q3. Which response best supports the caregiver?哪一種回應最能支持照顧者？

Children all develop differently, so concern is unnecessary兒童發展各有不同，因此無需擔憂 Do not discuss this until a specialist makes a diagnosis在專科醫師做出診斷前不要討論此事 Focus only on height and weight because those findings are objective只關注身高和體重，因為那些是客觀發現 Your observations across visits are important; we will act on them now and explain each follow-up step您在各次門診的觀察很重要；我們現在就會採取行動，並解釋每個追蹤步驟

查看答案

相同主題的下一題A nurse is conducting an annual well-adolescent visit for a 15-year-old client per AAP Bri…本題收錄於此題庫[전통+신유형] NCLEX LEVEL UP 패키지KRW 79,000

僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。