[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-042":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":63},"產兒科護理學","maternal-pediatric",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":10},"nurse-109-1-產兒科護理學-042","nurse-109-1-maternal-pediatric-042",109,1,42,"依據丹佛 II 嬰幼兒發展篩檢測驗（DDST-II）評估來健兒門診的王小妹，她能自己扣鈕釦、用手指夾葡萄乾、單腳站立 5 秒鐘，王小妹大約是幾歲？",{"A":14,"B":15,"C":16,"D":17},"1～1.5 歲","2～2.5 歲","3～3.5 歲","4～4.5 歲","D",null,[],"本題考點是以丹佛II發展篩檢（DDST-II）由發展里程碑回推年齡。題中孩童能自己扣鈕釦、以手指精細鉗握（夾葡萄乾）、且能單腳站立5秒。其中「單腳站立5秒」與「自行扣鈕釦」屬約4～4.5歲才穩定達成的粗動作與精細／自理里程碑，為判斷關鍵，故對應年齡為4～4.5歲（D）。手指鉗握雖較早出現，但判定發展年齡須以最晚成熟（最高階）的里程碑為準。A、B、C年齡均過小，無法完成單腳站立5秒等項目，故答案D。","DDST-II判齡原則：綜合四大領域（粗動作、精細動作—適應、語言、個人—社會），以孩子『能通過的最進階項目』推估發展年齡。參考里程碑：單腳站立約2～3秒出現於3歲多，穩定站5秒約4～5歲；扣鈕釦、自己穿衣約4歲；手指鉗握（pincer grasp）約9～12個月即具備。本題三項並列時，應由最高階（單腳站立5秒、扣鈕釦）決定年齡落在4～4.5歲。作答訣竅：勿被早期就會的鉗握誤導成小月齡，要抓『最難的那一項』。",[24,26,28,30],{"term":25,"count":10},"DDST-II發展篩檢",{"term":27,"count":10},"單腳站立5秒約4-5歲",{"term":29,"count":10},"扣鈕釦自理約4歲",{"term":31,"count":10},"以最高階里程碑判齡",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-maternal-pediatric-043","根據羅文費（Viktor Lowenfeld）的兒童繪畫發展階段論，一般兒童從幾歲開始對塗鴉的點、線、圈等加上意義或命名？",43,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-109-2-maternal-pediatric-059","林小妹 4 歲，常用手抓屁股，疑有蟯蟲感染，將進行透明膠帶試驗（scotch tape test），最合適的蟲卵採集時間為何？",59,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-maternal-pediatric-073","小強，男生，1 個月大，因泌尿道感染住院，有關此疾病敘述與照護，下列何者錯誤？",73,110,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-111-2-maternal-pediatric-031","有關妊娠合併糖尿病孕婦預後及其相關檢測的敘述，下列何者正確？",31,111,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-112-2-maternal-pediatric-075","有關病童罹患腸套疊（Intussusception）之治療和護理措施，下列敘述何者正確？",75,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-maternal-pediatric-039","10 歲的連小妹持續乾咳多日，有輕微發燒，胸部 X 光檢查發現兩側下肺葉呈現間質性浸潤，痰中的單核白血球上升，且家中的雙胞胎妹妹也曾有類似的症狀，下列何者為連小妹罹患肺炎最可能的致病因子？",39,113,3,"2026-09-04",1788510713481]