[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-046":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-046","nurse-107-1-maternal-pediatric-046",107,1,46,"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？",{"A":14,"B":15,"C":16,"D":17},"10 分","9 分","8 分","7 分","C",null,[],"本題考點是新生兒 Apgar score 五項指標評分,每項 0–2 分。依題:心跳 170 次\u002F分(>100)得 2 分;哭聲宏亮得 2 分;四肢屈曲彈性好(肌張力佳)得 2 分;吸鼻黏液時僅臉部扭曲(grimace,非咳嗽或打噴嚏)得 1 分;軀幹粉紅但手腳發紫(肢端發紺)得 1 分。合計 2+2+2+1+1 = 8 分,故選 C。選項 B「9 分」係誤把反射扭曲評為滿分 2 分;選項 A「10 分」再把肢端發紺也給滿分;選項 D「7 分」則多扣一項。差異全在反射與膚色兩項的判讀。","Apgar 五項助記口訣 APGAR:Appearance(膚色)、Pulse(心跳)、Grimace(反射)、Activity(肌張力)、Respiration(呼吸)。兩個易錯點:1)膚色『軀幹紅、四肢紫』即 acrocyanosis,是新生兒常見的正常過渡現象,只給 1 分,唯有全身粉紅才 2 分。2)反射刺激時『皺眉扭曲(grimace)』只 1 分,要有咳嗽、打噴嚏或用力哭才 2 分。臨床於出生後 1 分鐘與 5 分鐘各評一次,8–10 分屬正常。本題設計正是用這兩個半分項考驗細膩判讀。",[24,27,29,31],{"term":25,"count":26},"新生兒評估",3,{"term":28,"count":10},"Apgar score五項指標",{"term":30,"count":10},"肢端發紺acrocyanosis給1分",{"term":32,"count":10},"反射grimace給1分",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-maternal-pediatric-047","陳小妹，妊娠週數 39 週又 5 天，自然產及使用真空吸引娩出，頭部受到擠壓而嚴重變形，出生體重 3,890 公克，在執行身體評估時觸摸其頭部，發現整個頭皮邊緣有水腫且越過骨縫中線，生命徵象穩定，瞳孔大小及對光反射正常，有關陳小妹頭部的創傷問題，下列何者正確？",47,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-107-2-maternal-pediatric-063","有關罹患先天性梅毒的嬰兒皮膚丘疹及脫屑的護理措施，下列何者不適當？",63,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-108-1-maternal-pediatric-077","小奇，10 個月大，接受尿道下裂（Hypospadias）手術，有關手術後護理措施，下列何者錯誤？",77,108,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-109-2-maternal-pediatric-035","下列何者為陰道產的產後出血定義？",35,109,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-110-2-maternal-pediatric-079","陳小妹，於學校上體育課時，出現強直陣攣型痙攣（tonic-clonic seizure）發作，下列護理措施何者最不適當？",79,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-1-maternal-pediatric-033","當產科急症造成瀰漫性血管內凝血（Disseminated Intravascular Coagulation, DIC）時，下列檢驗數值何者正確？①凝血酶原時間（PT）、部分凝血酶原時間（PTT）延長 ②D-dimer 數值下降 ③血小板數值下降 ④纖維蛋白原（fibrinogen）數值上升",33,112,"2026-09-04",1788510703701]