[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-077":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-106-1-產兒科護理學-077","nurse-106-1-maternal-pediatric-077",106,1,77,"小華，7 歲，搭乘母親的摩托車上學途中，被轎車撞傷，頭部嚴重撞傷，轉入兒科加護病房，現昏迷指數 3 分，給予疼痛刺激時，手臂和腳均呈僵直和內轉的姿勢，有關這些症狀及受傷部位的描述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"呈現去皮質僵直姿勢，延腦功能異常","呈現去皮質僵直姿勢，腦幹功能異常","呈現去大腦性僵直姿勢，小腦功能異常","呈現去大腦性僵直姿勢，中腦功能異常","D",null,[],"本題考點為異常姿勢與腦部受損部位的對應。依神經學評估,對疼痛刺激出現四肢僵直、伸直內轉的姿勢為去大腦僵直(decerebrate),反映中腦或腦幹上端受損,故D正確。去皮質僵直(decorticate)則為上肢屈曲內收、下肢伸直,病灶在大腦皮質或皮質脊髓徑,故A、B將本題伸直姿勢誤判為去皮質、且部位標為延腦或腦幹皆錯。C雖判為去大腦性僵直,但將部位歸於小腦亦錯,去大腦僵直的損傷在中腦而非小腦。昏迷指數3分合併去大腦姿勢代表腦幹受壓,預後不佳。","記憶法:去皮質姿勢手臂彎向核心(屈曲內收,像抱向心臟core),病灶在皮質層面較高、預後相對較好;去大腦姿勢手臂僵直伸展,病灶更深在中腦腦幹、預後更差。姿勢愈往伸直發展代表損傷向下延伸而惡化。GCS最低3分表示對聲、痛與睜眼皆無反應,合併去大腦姿勢提示嚴重腦幹功能障礙,需警覺腦疝與顱內壓升高。",[24,26,28,30],{"term":25,"count":10},"去大腦僵直",{"term":27,"count":10},"去皮質僵直",{"term":29,"count":10},"中腦腦幹",{"term":31,"count":10},"昏迷指數",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-106-1-maternal-pediatric-078","小敏，出生 6 天，罹患脊髓脊髓膜膨出，有關其手術後的護理措施，下列敘述何者錯誤？",78,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-107-1-maternal-pediatric-014","下列何者為宮縮時胎心率加速之臨床意義？",14,107,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-107-2-maternal-pediatric-028","有關新生兒出生 2～6 小時過渡期常出現的生理現象，下列何者異常？",28,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-108-2-maternal-pediatric-066","小冬，5 歲半，是一位初診斷後長期需要類固醇治療的腎病症候群的病童，今年秋天母親提出預防接種的問題，下列何種疫苗適用於小冬？",66,108,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-1-maternal-pediatric-030","有關女陰癌之敘述，下列何者正確？",30,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-1-maternal-pediatric-064","小華，診斷主動脈狹窄（Coarctation of Aorta）入院，有關其身體評估之敘述，下列何者最適當？",64,111,"2026-09-04",1788510694458]