[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-067":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-067","nurse-107-1-maternal-pediatric-067",107,1,67,"罹患中耳炎病童的臨床表徵，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"會有搖頭躁動不安，不斷拉扯耳朵的動作","長期反覆感染，可能會引起乳突炎（mastoiditis）","會有狗吠式（barking）咳嗽、哽噎、發紺等現象","一旦鼓膜破裂，分泌物流出時，疼痛隨即改善","C",null,[],"本題考點是中耳炎的臨床表徵,要找出錯誤敘述。依中耳炎的症狀,患童會因耳部疼痛而搖頭躁動、不斷拉扯患耳,長期反覆感染可能蔓延引發乳突炎,鼓膜一旦破裂使膿液流出、中耳壓力釋放後疼痛隨即緩解,故 A、B、D 皆正確。唯 C『狗吠式咳嗽、哽噎、發紺』是『哮吼(croup,喉氣管支氣管炎)』的典型表現,與中耳炎無關,故 C 錯誤,為正解。中耳炎屬中耳腔感染,不會出現狗吠式咳嗽這種上呼吸道阻塞性症狀,錯項把兩種不同疾病的表徵混淆。","中耳炎(otitis media)典型症狀:耳痛(嬰幼兒無法言語,以拉耳、搖頭、哭鬧、躁動表現)、發燒、聽力下降,鼓膜膨出;若鼓膜自發性穿孔流膿,壓力釋放後疼痛驟減。併發症包括乳突炎、聽力障礙。而『狗吠式咳嗽(barking cough)、吸氣性喘鳴、聲音沙啞、發紺』是哮吼的招牌,源於聲門下水腫致上呼吸道阻塞。本題以疾病特徵張冠李戴設錯項:看到『狗吠式咳嗽』就該連結哮吼而非中耳炎。記憶:中耳炎『拉耳搖頭喊耳痛』,哮吼『狗吠喘鳴聲音啞』。",[24,26,28,30],{"term":25,"count":10},"中耳炎臨床表徵",{"term":27,"count":10},"拉扯耳朵與乳突炎併發",{"term":29,"count":10},"狗吠式咳嗽為哮吼特徵",{"term":31,"count":10},"鼓膜破裂後疼痛緩解",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-maternal-pediatric-068","有關兒童會厭炎（epiglottitis）的敘述，下列何者錯誤？",68,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-108-1-maternal-pediatric-004","懷孕 24 週婦女接受產檢，血壓值：124\u002F80 mmHg、未有水腫，尿液試紙的白蛋白顯現痕跡（trace），下列解釋何者最適當？",4,108,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-108-2-maternal-pediatric-018","下列何者為子宮復舊不全的現象？",18,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-109-2-maternal-pediatric-056","有關早產兒腸胃系統功能，下列敘述何者不適當？",56,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-1-maternal-pediatric-020","下列那種情況容易發生產後痛（after pain）？",20,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-maternal-pediatric-054","有關早產兒視網膜病變的高危險群與症狀，下列敘述何者不適當？",54,112,"2026-09-04",1788510703890]