[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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":26},"nurse-106-1-產兒科護理學-028","nurse-106-1-maternal-pediatric-028",106,1,28,"產後第 1 天，江女士詢問寶寶的胎頭腫塊（Caput），下列何種解釋最適宜？",{"A":14,"B":15,"C":16,"D":17},"這是接生時使用器械產生的，可以去問醫生","這腫塊出生後數天會自行消失，不用擔心","這腫塊柔軟、局部，界限清楚，新生兒常發生","這腫塊可能有顱內出血、黃疸等合併症","B",null,[],"本題考點為產瘤(caput succedaneum,即胎頭腫塊)的特性與衛教解釋。依定義,產瘤是胎頭先露部位皮下組織因產程受壓造成的水腫,會跨越骨縫、界限不清,通常於出生後數天自行吸收消失,故最適宜的解釋選B。選項A將腫塊逕歸因於器械並推給醫師,未正確說明性質;選項C所述柔軟、局部、界限清楚且不跨骨縫,是頭血腫(cephalhematoma)的特徵而非產瘤;選項D稱可能合併顱內出血、黃疸等,是誇大產瘤風險、易造成家屬恐慌的錯誤說明,故皆不適宜。","產瘤與頭血腫的鑑別是必考對比:產瘤為皮下水腫、可跨骨縫、出生時即存在、數天內消退、不易致黃疸;頭血腫為骨膜下出血、不跨骨縫(受骨縫限制)、出生後數小時才漸明顯、消退需數週、因血液吸收可能加重黃疸。抓「跨不跨骨縫、消退快慢」兩點即可分辨。",[24,27,29,31],{"term":25,"count":26},"產瘤caput succedaneum",2,{"term":28,"count":10},"頭血腫cephalhematoma",{"term":30,"count":10},"跨越骨縫",{"term":32,"count":10},"新生兒衛教",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-maternal-pediatric-029","有關江女士的表現，下列何者為潛在適應不良的徵兆？",29,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-106-2-maternal-pediatric-045","廷廷，4 歲，自前年冬天開始時常出現流鼻血現象，有關流鼻血時的護理指導，下列何者不適合？",45,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-107-1-maternal-pediatric-059","小玲，7 個月大，因大口吃蒟蒻而噎到，有關其急救處置，下列敘述何者正確？",59,107,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-108-2-maternal-pediatric-017","有關基礎體溫的敘述，下列何者正確？",17,108,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-109-2-maternal-pediatric-061","有關病童使用氧氣帳（O 2 tent）之照護，下列何者較適當？",61,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-1-maternal-pediatric-015","有關剖腹產的手術前護理措施，下列何者最適當？",15,111,"2026-09-04",1788510693842]