[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-047":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-047","nurse-107-1-maternal-pediatric-047",107,1,47,"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？",{"A":14,"B":15,"C":16,"D":17},"產瘤（Caput succedaneum）","水腦（ Hydrocephalus ）","硬腦膜下腔血腫（Subdura hematoma）","顱內出血（Intracranial hematoma）","A",null,[],"本題考點是新生兒產傷中頭皮水腫的鑑別。依產瘤(Caput succedaneum)的定義,它是產程中頭皮受壓迫造成的皮下漿液性水腫,特徵為『可越過骨縫中線』、出生即存在且數日內自行吸收,題幹『頭皮邊緣水腫且越過骨縫中線、生命徵象穩定』完全符合,故選 A。選項 B「水腦」是腦脊髓液堆積使頭圍增大,非局部水腫。選項 C「硬腦膜下腔血腫」與 D「顱內出血」皆為顱內出血性病變,會伴神經學異常,但題幹載瞳孔與對光反射正常,可排除。關鍵在『越過骨縫』。","最核心的鑑別是產瘤 vs 頭血腫(cephalohematoma):產瘤為漿液性水腫、可跨越骨縫、出生即最明顯、數天消退;頭血腫為骨膜下出血、受骨縫侷限不可跨越、出生後逐漸變大、消退較慢且可能引發黃疸。記憶法:『產瘤跨縫、血腫困骨』。真空吸引與胎頭受壓是產瘤常見成因,屬良性、不需特別處置。本題以『越過骨縫中線』一句作為決定性線索,同時用『瞳孔與對光反射正常』排除顱內出血,考驗鑑別診斷的整合判讀。",[24,26,28,30],{"term":25,"count":10},"產瘤Caput succedaneum",{"term":27,"count":10},"水腫越過骨縫中線",{"term":29,"count":10},"與頭血腫鑑別",{"term":31,"count":10},"真空吸引產傷",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-maternal-pediatric-048","有關早產兒的臨床表徵，下列何者正確？",48,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-maternal-pediatric-064","小鳴，6 個月大，腋下、鼠蹊、頸部長出膿皰後結痂脫屑，求醫確診為膿皰病，下列處置何者不適當？",64,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-108-1-maternal-pediatric-078","張小弟，2 個月大，經由鼻胃管餵食，下列有關管灌餵食的敘述何者正確？",78,108,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-109-2-maternal-pediatric-036","有關陰道瘻管，下列敘述何者正確？",36,109,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-110-2-maternal-pediatric-080","王小妹，8 個月大，被診斷為熱性痙攣（febrile convulsion），下列敘述何者最適當？",80,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-maternal-pediatric-034","張女士，懷孕 8 週，主訴陰道點狀出血、腹部微痛，超音波檢查子宮頸口未開，可能為下列何種情形？",34,112,"2026-09-04",1788510703709]