[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-078":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-078","nurse-106-1-maternal-pediatric-078",106,1,78,"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？",{"A":14,"B":15,"C":16,"D":17},"觀察神經功能的狀態，以評估腦膜炎徵象","給予被動運動及按摩，以預防肢體攣縮","提供安靜與昏暗的環境，以減少視聽覺刺激","監測哭聲與頭圍，以早期發現合併症","C",null,[],"本題考點為脊髓脊髓膜膨出術後的護理措施。依此類神經管缺損術後易併發腦膜炎與水腦症的特性,需觀察神經功能以評估腦膜炎徵象(A對)、給予被動運動與按摩預防下肢攣縮(B對)、監測哭聲與頭圍以早期發現水腦等合併症(D對)。C「提供安靜昏暗環境減少視聽覺刺激」為錯誤,此措施僅適用於畏光或顱內壓高需降低刺激的特定情況,並非脊髓脊髓膜膨出術後的常規重點。術後照護核心在傷口保護、防感染與神經及頭圍監測,而非刻意營造昏暗以減少感官刺激。","脊髓脊髓膜膨出是神經管閉合不全,膨出囊含脊髓與腦膜,術前俯臥保護囊袋防破裂與感染,術後仍需俯臥或側臥避免壓迫傷口。常合併阿諾德-齊亞里畸形與水腦,故監測頭圍、囟門、哭聲與意識以偵測顱內壓升高。下肢常有動作與感覺障礙及膀胱直腸功能異常,需被動運動防攣縮並注意皮膚完整。此症與葉酸攝取不足有關,孕前補充葉酸可預防。",[24,27,29,31],{"term":25,"count":26},"水腦症",2,{"term":28,"count":10},"脊髓脊髓膜膨出",{"term":30,"count":10},"神經管缺損",{"term":32,"count":10},"頭圍監測",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-maternal-pediatric-079","張小弟，罹患腦性麻痺，有咀嚼及吞嚥困難問題，有關幫助其吞嚥的護理措施，下列敘述何者正確？",79,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-107-1-maternal-pediatric-015","下列何者是子宮頸擴張最快的時期？",15,107,{"webId":44,"stem":45,"number":46,"year":42,"session":26},"nurse-107-2-maternal-pediatric-029","有關新生兒黃疸之敘述，下列何者正確？①黃疸最先出現於額頭 ②黃疸症狀漸漸由頭往下，由身體中心向外發展至四肢 ③新生兒出生第 3 天血中膽紅素大於 14 mg\u002FdL，不需處理 ④可輕壓鼻尖觀察皮膚黃疸的情形 ⑤新生兒黃疸照光應保護眼睛與生殖器",29,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-108-2-maternal-pediatric-067","有關哮吼（croup）之敘述，下列何者正確？",67,108,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-1-maternal-pediatric-031","王女士，有糖尿病病史，到院進行產前諮詢。醫護人員會建議她在懷孕前最好接受何項檢驗，以了解其血糖控制之狀況？",31,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-1-maternal-pediatric-065","王小弟，心室中膈缺損（VSD），出現充血性心衰竭的症狀，呼吸喘，費力，請問採那個姿勢較舒適？",65,111,"2026-09-04",1788510694462]