[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-045":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-107-1-產兒科護理學-045","nurse-107-1-maternal-pediatric-045",107,1,45,"兒童的復發性腹痛（recurrent abdominal pain）會具有下列何項特徵？①腹痛會出現在肚臍周圍 ②是一種轉移性的腹痛 ③解出鬆軟的大便 ④腹痛時間是不規律的 ⑤會伴隨體溫升高",{"A":14,"B":15,"C":16,"D":17},"①③④","①④⑤","②③⑤","②④⑤","A",null,[],"本題考點是兒童復發性腹痛(recurrent abdominal pain)的臨床特徵辨識。此症屬功能性腹痛,依其典型表現:①疼痛多位於肚臍周圍、④發作時間不規律,且常伴解出鬆軟大便(③),三項相符,故選 A(①③④)。②「轉移性腹痛」是急性闌尾炎的特徵(由臍周轉移至右下腹),不符功能性腹痛。⑤「伴隨體溫升高」提示感染或器質性病變,而復發性腹痛通常無發燒等警示徵象。含②或⑤的選項(B、C、D)因納入器質性病變特徵而排除。此症診斷正建立在『無警示徵象』的基礎上。","復發性腹痛的經典定義為 Apley 準則:3 個月內至少 3 次腹痛且影響活動,好發學齡兒,多為功能性。辨識關鍵在『無紅旗徵象』:疼痛遠離肚臍、夜間痛醒、發燒、體重減輕、血便、生長遲滯等,任一出現就要懷疑器質性疾病並進一步檢查。本題以②(轉移痛=闌尾炎)與⑤(發燒=感染)當誘答,測驗能否分辨功能性與器質性。臨床連結:此症與心理社會壓力、腸道功能失調相關,肚臍越近中心、越可能是功能性。",[24,26,28,30],{"term":25,"count":10},"復發性腹痛Apley準則",{"term":27,"count":10},"臍周疼痛",{"term":29,"count":10},"功能性腹痛無警示徵象",{"term":31,"count":10},"轉移痛為闌尾炎特徵",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-maternal-pediatric-046","林小弟，出生時，哭聲宏亮大聲，心跳速率：170 次\u002F分，軀幹顏色粉紅手腳微發紫，四肢屈曲彈性好，吸取鼻腔黏液時，臉部扭曲，其 Apgar score 的評估數值何者正確？",46,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-maternal-pediatric-062","兒童在瀕死過程中，出現呼吸逐漸由深變淺時，下列護理措施何者正確？",62,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-108-1-maternal-pediatric-076","副甲狀腺功能低下（Hypoparathyroidism）的兒童會出現的臨床表徵，下列何者正確？",76,108,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-109-2-maternal-pediatric-034","王女士接受試管嬰兒治療，今日抽血驗孕報告為未懷孕，王女士表示自己懷孕症狀明顯，一定是檢驗錯誤，下列護理措施何者最適當？",34,109,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-110-2-maternal-pediatric-078","小玉，3 歲，因原有腦室-腹膜分流管（V-P shunt）感染，已移除並接受腦室外引流（external ventricular drainage）手術，有關術後護理措施，下列敘述何者正確？",78,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-maternal-pediatric-032","有關胎盤碎片殘留所致產後出血的敘述，下列何者正確？",32,112,"2026-09-04",1788510703697]