[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-107-2-產兒科護理學-026","nurse-107-2-maternal-pediatric-026",107,2,26,"下列何者為產後霍曼氏徵象（Homan’s sign）的評估方式？",{"A":14,"B":15,"C":16,"D":17},"以兩手食指水平對稱下壓乳房，從乳暈處向上、下牽拉，再向左、右牽拉，檢查乳頭是否突出","一手支托膝膕，另一手置於腳掌將其足部向背側屈曲，腓腸肌有無疼痛感","將大腿靠近腹部，足底靠近臀部，伸直後再放回床面，大腿前側有無疼痛感","雙膝彎曲，雙腳平放，兩手支托雙膝移向左側，再向右側，腰部是否疼痛","B",null,[],"本題考點在產後霍曼氏徵象（Homan's sign）的評估手法。Homan's sign 用於評估下肢深部靜脈栓塞：一手支托膝膕、另一手將病人足部向背側屈曲（dorsiflexion），若腓腸肌（小腿肚）出現疼痛即為陽性，故選 B。A 描述的是乳房與乳頭檢查手法。C 描述將大腿屈向腹部再伸直觀察前側疼痛，較近似髖部或其他徵象評估。D 描述雙膝彎曲左右移動評估腰部疼痛，屬脊椎或薦髂關節評估。本題要辨識「足背屈引發腓腸肌痛」的血栓評估動作，故選 B。","Homan's sign 陽性提示下肢深部靜脈栓塞（DVT），產後因凝血因子上升、靜脈鬱積屬高凝血狀態，DVT 風險增加。惟此徵象敏感度與特異度皆不高，臨床不能單憑陽性確診，仍須影像（都卜勒超音波）佐證，且執行時動作宜輕柔以免栓子脫落。連結概念：深部靜脈栓塞、高凝血狀態、足背屈、都卜勒超音波。",[24,26,28,31],{"term":25,"count":10},"深部靜脈栓塞",{"term":27,"count":10},"足背屈",{"term":29,"count":30},"霍曼氏徵象 Homan's sign",1,{"term":32,"count":30},"腓腸肌疼痛",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-maternal-pediatric-027","劉女士第一胎，依據魯賓（Rubin）對產後婦女行為態度之研究結果判斷，下列敘述何者表示劉女士處於接受期（taking-in phase）？",27,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-108-1-maternal-pediatric-043","林小弟，妊娠週數 37 週又 3 天，出生體重 2950 公克，採純母乳哺餵，今體重 2620 公克，減少出生體重的 10%以上，給予檢測血糖為 33 mg\u002FdL，有關低血糖可能造成的影響及處理，下列何者錯誤？",43,108,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-108-2-maternal-pediatric-057","小英，4 歲，因中耳炎需執行耳內給藥，給藥時，應將小英耳朵往那一方向拉？",57,{"webId":48,"stem":49,"number":50,"year":51,"session":30},"nurse-110-1-maternal-pediatric-015","以下那些護理評估可以知道待產婦已開始進入第二產程？①破水 ②子宮規則收縮 ③陰道排出粉紅色黏液 ④子宮頸完全擴張 ⑤會陰可見胎頭膨出，個案有不自主用力感",15,110,{"webId":53,"stem":54,"number":55,"year":56,"session":30},"nurse-111-1-maternal-pediatric-059","有關川崎氏症的護理指導，下列敘述何者不適當？",59,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-2-maternal-pediatric-013","陳女士懷孕 39 週入院待產，體溫 36.5℃、心跳 74 次／分、呼吸 24 次／分，血壓 120\u002F85 mmHg。有關待產時使用腰椎硬膜外麻醉（epidural analgesia）時，麻醉前後注意事項，下列何者錯誤？",13,112,"2026-09-04",1788510725874]