[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-108-2-產兒科護理學-028","nurse-108-2-maternal-pediatric-028",108,2,28,"護理師執行產後新生兒立即性護理時，發現劉小弟頭頂部有一局部軟組織腫脹，觸診組織鬆軟且外緣界線不清楚，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"是胎頭腫塊（產瘤），為骨膜與顱骨間的血液聚集","是胎頭腫塊，為頭皮上軟組織水腫","是頭血腫，會逐漸越過縫合線","是頭血腫，通常於出生後 24～48 小時消失","B",null,[],"本題考點是新生兒產瘤（caput succedaneum）與頭血腫（cephalohematoma）的鑑別。題述頭頂部局部軟組織腫脹、觸診鬆軟、外緣界線不清，且可跨越顱縫，符合產瘤特徵——即先露部頭皮受產道壓迫造成的『頭皮軟組織水腫』，故選 B。A 錯在把產瘤誤述為「骨膜與顱骨間的血液聚集」，那是頭血腫的定義。C、D 錯在指為頭血腫，但頭血腫是骨膜下出血、受骨縫侷限而『不會跨越縫合線』、界線清楚、質地較硬且吸收較慢（數週至數月），與本題『界線不清、可跨縫、鬆軟』的描述相反。","鑑別對照——產瘤（caput succedaneum）：位於骨膜『上』的頭皮水腫，可跨越縫合線、界線不清、質軟、有壓陷感，出生後數天內消退。頭血腫（cephalohematoma）：骨膜『下』出血，受骨縫界限故不跨縫合線、界線清楚、初期漸增大、吸收慢（數週至月），可能加重黃疸。記憶：『產瘤跨縫、早消、軟綿綿；頭血腫不跨縫、慢消、界線清』。第三類帽狀腱膜下出血範圍更廣、失血風險高需警覺。",[24,27,29,31],{"term":25,"count":26},"產瘤 caput succedaneum",1,{"term":28,"count":26},"頭血腫 cephalohematoma",{"term":30,"count":26},"跨越顱縫",{"term":32,"count":26},"骨膜下出血",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-maternal-pediatric-029","有關 HELLP syndrome 的症狀與致病機轉之敘述，下列何者正確？",29,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-109-1-maternal-pediatric-045","李小妹，8 歲，因敗血病住進加護病房，很在意父母親是否準時到病房探視，不斷詢問護理師探病時間。李小妹的行為屬於下列何種情況？",45,109,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-maternal-pediatric-059","林小妹 4 歲，常用手抓屁股，疑有蟯蟲感染，將進行透明膠帶試驗（scotch tape test），最合適的蟲卵採集時間為何？",59,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-1-maternal-pediatric-017","陳女士，待產 12 小時後生下一位健康新生兒。有關護理師執行的第四產程的護理措施，下列何者不適宜？",17,111,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-112-1-maternal-pediatric-061","小華，9 個月，診斷為雙側中耳炎（Otitis Media），有關中耳炎之臨床表徵，下列敘述何者錯誤？",61,112,{"webId":58,"stem":59,"number":41,"year":60,"session":26},"nurse-113-1-maternal-pediatric-045","膽道閉鎖（biliary atresia）是嬰兒先天性疾病之一，下列敘述何者錯誤？",113,"2026-09-04",1788510707085]