[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-107-1-產兒科護理學-027","nurse-107-1-maternal-pediatric-027",107,1,27,"有關新貝拉德（New Ballard Score）新生兒神經肌肉成熟度的評估方法，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"評估姿勢時，將新生兒採平躺，觀察哭泣時四肢伸展程度","評估方形窗，將新生兒手腕朝前臂外側屈曲，觀察手腕與前臂之角度","評估手臂反彈力，將新生兒雙手肘彎曲 5 秒後，再讓兩手臂伸展放鬆，觀察反彈後肘部角度","評估圍巾現象，將新生兒手臂儘量拉向對側肩膀到有阻力，觀察手肘與乳頭中線位置關係","C",null,[],"本題考點在 New Ballard Score 神經肌肉成熟度的評估手法。依新巴拉德評分，手臂反彈力測試為將新生兒雙肘完全彎曲約 5 秒後拉直放鬆，觀察其自動彈回屈曲的角度，成熟兒回彈快且角度小，故 C 描述正確。A 錯在姿勢評估應於安靜、平躺休息時觀察四肢屈曲程度，而非『哭泣時四肢伸展』。B 錯在方形窗是將手掌向前臂屈曲、測量手腕與前臂夾角，角度愈小愈成熟，選項描述有誤。D 錯在圍巾徵象是把手臂橫拉過胸前朝對側肩膀，觀察手肘能否越過身體中線，成熟兒不易過中線，選項以『乳頭中線』含混而不正確。","New Ballard Score 分兩大部分：神經肌肉成熟度（姿勢、方形窗、手臂反彈、膕窩角、圍巾徵象、腳跟至耳）與身體成熟度（皮膚、胎毛、足底紋、乳房、眼耳、生殖器），合計推估妊娠週數。核心原則：愈成熟的新生兒屈肌張力愈高——姿勢愈屈曲、方形窗角度愈小、手臂反彈愈快、圍巾徵象手肘愈不過中線。記憶：屈肌張力＝成熟度指標。此題考的是各測試『動作定義』的精準度，屬需記憶細節的題目。可連結概念：New Ballard Score、屈肌張力與成熟度、方形窗、圍巾徵象。",[24,27,29,31],{"term":25,"count":26},"New Ballard Score",4,{"term":28,"count":10},"手臂反彈力",{"term":30,"count":10},"屈肌張力",{"term":32,"count":10},"神經肌肉成熟度",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-maternal-pediatric-028","新生兒先天性代謝異常疾病中，下列何者不是屬於體染色體隱性遺傳疾病？",28,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-107-2-maternal-pediatric-044","琳琳，9 個月大，因細支氣管合併肺炎再度住院，醫囑需要胸腔物理治療，有關協助家屬進行出院準備，下列護理指導何者正確？",44,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-108-1-maternal-pediatric-058","有關兒童呼吸與脈搏之測量與評估，下列何者正確？",58,108,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-109-2-maternal-pediatric-016","有關胎心率的監測，下列敘述何者錯誤？",16,109,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-110-2-maternal-pediatric-060","幼兒感染腸病毒後的 5 天內，需要密切注意腸病毒的嚴重合併症狀，下列選項何者除外？",60,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-1-maternal-pediatric-014","有關胎心率變異性減速的敘述，下列何者正確？",14,112,"2026-09-04",1788510703515]