[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-080":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-080","nurse-108-1-maternal-pediatric-080",108,1,80,"張小妹，4 個月大，被診斷水腦（Hydrocephalus），接受腦室腹膜分流（V-P shunt）手術，有關手術後護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"記錄頭圍變化，觸診前囟門有無膨出","觀察意識狀態及顱內壓增高徵象","植入引流管處，勿碰撞或擠壓，保持傷口乾燥","觀察引流管阻塞徵象是周圍皮膚出現紅、腫、熱","D",null,[],"本題考點在腦室腹膜分流（V-P shunt）術後的併發症辨識，須選出錯誤者。引流管阻塞會使腦脊髓液無法引流、導致顱內壓上升，其徵象為前囟門膨出、嘔吐、意識改變與頭圍增加，而周圍皮膚出現紅、腫、熱是感染的徵象，並非阻塞徵象，故選項 D 敘述錯誤，即為答案。選項 A 正確，應記錄頭圍變化並觸診前囟門有無膨出以評估顱內壓。選項 B 正確，須觀察意識狀態與顱內壓增高徵象。選項 C 正確，植入引流管處應避免碰撞擠壓並保持傷口乾燥。","V-P shunt 併發症主要為阻塞與感染。阻塞→引流失效→顱內壓上升，嬰兒表現前囟膨出、頭圍增大、落日眼、高音哭聲、嘔吐、活動力下降；感染→沿管路紅腫熱、發燒、腦膜炎徵象。兩者鑑別是本題關鍵——紅腫熱屬感染而非阻塞。術後擺位避免壓迫植管側，並依醫囑逐步搖高避免引流過快。可連結概念：水腦、顱內壓增高徵象、庫欣三徵（血壓升、脈搏慢、呼吸不規則）、落日眼徵象。",[24,27,29,31],{"term":25,"count":26},"顱內壓增高徵象",2,{"term":28,"count":10},"V-P shunt",{"term":30,"count":10},"引流管阻塞與顱內壓",{"term":32,"count":10},"感染紅腫熱徵象",[34,37,42,46,51,56],{"webId":35,"stem":36,"number":10,"year":9,"session":26},"nurse-108-2-maternal-pediatric-001","依據世界衛生組織及聯合國兒童基金會推行的政策，要成為母嬰親善醫院需符合下列那一項規定？",{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-109-1-maternal-pediatric-017","承上題，第二產程用力時，胎心率出現早發性減速的原因為何？",17,109,{"webId":43,"stem":44,"number":45,"year":41,"session":26},"nurse-109-2-maternal-pediatric-031","根據臺灣優生保健法施行細則規定，除醫療行為外，人工流產應於幾週內施行？",31,{"webId":47,"stem":48,"number":49,"year":50,"session":26},"nurse-110-2-maternal-pediatric-069","小明，3 歲，罹患神經母細胞瘤，進行第一次化學治療需要裝置人工血管，有關人工血管的敘述，下列何者不適當？",69,110,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-112-1-maternal-pediatric-033","當產科急症造成瀰漫性血管內凝血（Disseminated Intravascular Coagulation, DIC）時，下列檢驗數值何者正確？①凝血酶原時間（PT）、部分凝血酶原時間（PTT）延長 ②D-dimer 數值下降 ③血小板數值下降 ④纖維蛋白原（fibrinogen）數值上升",33,112,{"webId":57,"stem":58,"number":40,"year":59,"session":10},"nurse-113-1-maternal-pediatric-017","抱起新生兒放入磅秤測量體重，新生兒四肢出現對稱性的外展和伸直，大拇指與食指呈C字形，是下列那種反射表現？",113,"2026-09-04",1788510710903]