[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-064":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":60},"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-108-1-產兒科護理學-064","nurse-108-1-maternal-pediatric-064",108,1,64,"有關新生兒生產過程造成的鎖骨骨折，下列護理措施何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"協助穿脫衣服時，採患側先穿後脫的原則","建議採趴睡姿勢，以利患部癒合","避免測量圍巾徵象，將手肘越過對側鎖骨中線","抱起時支持後背及臀部，避免自手臂處抱起","B",null,[],"本題考點在新生兒鎖骨骨折的護理，須選出錯誤者。骨折癒合期應盡量減少患部受壓與活動，趴睡會壓迫鎖骨與患側、增加疼痛且不利癒合，故選項 B 建議趴睡為錯誤做法，即為答案。選項 A 正確，穿脫衣服採「患側先穿、後脫」原則，可減少患肢過度移動與牽扯。選項 C 正確，應避免測量圍巾徵象（將手肘越過對側鎖骨中線），以免牽動患部。選項 D 正確，抱起時支持後背與臀部、避免自手臂處抱起，可防止患肢受力。","鎖骨骨折是新生兒最常見的產傷性骨折，好發於巨嬰或肩難產，臨床見患側擁抱反射（Moro）不對稱、觸診有骨擦音或硬塊。護理原則「減少患肢牽動」——穿衣患側先、脫衣患側後（健側能配合、患側減少動作）。多數僅需保守固定，數週可自癒並形成骨痂。可連結概念：肩難產、Moro 反射不對稱、Erb 麻痺（臂神經叢損傷）鑑別。與臂神經叢損傷不同，鎖骨骨折的患肢仍能活動、預後良好。",[24,27,29,31],{"term":25,"count":26},"新生兒鎖骨骨折",2,{"term":28,"count":10},"患側先穿後脫",{"term":30,"count":10},"圍巾徵象",{"term":32,"count":10},"產傷",[34,38,42,46,51,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-1-maternal-pediatric-065","有關囊性纖維變性（Cystic Fibrosis）之敘述，下列何者錯誤？",65,{"webId":39,"stem":40,"number":10,"year":41,"session":10},"nurse-109-1-maternal-pediatric-001","有關「母嬰親善醫院」認證評鑑的標準，下列何者正確？",109,{"webId":43,"stem":44,"number":45,"year":41,"session":26},"nurse-109-2-maternal-pediatric-015","下列何者為胎兒的先露部位和母親骨盆前後左右的關係？",15,{"webId":47,"stem":48,"number":49,"year":50,"session":26},"nurse-110-2-maternal-pediatric-053","早產兒的體溫調節功能不成熟，下列護理措施何者不適當？",53,110,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-112-1-maternal-pediatric-017","有關胎心音監測的敘述，下列何者正確？",17,112,{"webId":57,"stem":58,"number":10,"year":59,"session":10},"nurse-113-1-maternal-pediatric-001","有關孕產婦死亡率之敘述，下列何者正確？",113,"2026-09-04",1788510710758]