[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-048","nurse-107-1-maternal-pediatric-048",107,1,48,"有關早產兒的臨床表徵，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"陰囊皺摺多","腳跟無法觸及耳朵","手腕彎曲度（方形窗）呈 90 度","手肘無法越過對側的鎖骨中線","C",null,[],"本題考點是早產兒的成熟度身體評估表徵。依 Ballard 成熟度評估,早產兒神經肌肉尚未成熟,手腕方形窗(square window)屈曲角度較大,常呈接近 90 度,故 C 正確。選項 A 錯誤:早產兒陰囊皺摺『少』甚至光滑,皺摺多是足月特徵。選項 B 錯誤:早產兒肌張力低,腳跟『可以』輕易觸及耳朵;足月兒才因屈肌張力高而無法。選項 D 錯誤:早產兒圍巾徵(scarf sign)因張力低,手肘『能』越過對側鎖骨中線;足月兒則到不了。三個錯項都把足月兒的成熟表現誤植給早產兒。","成熟度評估的原則:越早產、肌張力越低、關節越鬆,肢體越能被動拉展。方形窗角度越大(接近90度)代表越不成熟,足月兒手腕可彎到 0 度。核心對比:早產兒『鬆軟、可過中線、可觸耳、陰囊光滑、乳暈平』;足月兒『屈曲張力高、過不了中線、觸不到耳、陰囊皺摺深、乳核明顯』。記憶口訣:早產『軟趴趴、拉得開』。本題四選項恰好把方形窗、圍巾徵、腳跟觸耳、陰囊皺摺四大指標一次考出,熟記『早鬆足緊』即可全解。",[24,26,28,30],{"term":25,"count":10},"Ballard成熟度評估",{"term":27,"count":10},"方形窗square window",{"term":29,"count":10},"圍巾徵scarf sign",{"term":31,"count":10},"早產兒低肌張力",[33,37,42,47,52,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-maternal-pediatric-049","有關誤食毒物對兒童身體器官功能損傷的描述，下列何者正確？",49,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-maternal-pediatric-065","高危險新生兒常易出現呼吸窘迫症候群（RDS），下列敘述何者錯誤？",65,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-108-1-maternal-pediatric-079","協助有吞嚥困難的學齡前腦性麻痺病童進食，下列護理措施何者正確？",79,108,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-109-2-maternal-pediatric-037","下列何者不屬於後天免疫缺乏症候群（AIDS）之伺機性感染？",37,109,{"webId":53,"stem":54,"number":10,"year":55,"session":10},"nurse-111-1-maternal-pediatric-001","有關醫療院所提供以家庭為中心照護之策略，下列敘述何者錯誤？",111,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-112-1-maternal-pediatric-035","承上題，超音波掃描確認胎兒心跳正常，此時最適當的照護措施為何？",35,112,"2026-09-04",1788510703726]