[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-042":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-042","nurse-108-2-maternal-pediatric-042",108,2,42,"護理師幫幼兒觸診頸部時，觸摸到淋巴結，下列對於觸摸到淋巴結特徵的描述，何者屬於異常現象？",{"A":14,"B":15,"C":16,"D":17},"直徑小於 1 cm","界限不清楚","指下可移動","不會壓痛","B",null,[],"本題考點在於淋巴結觸診的正常與異常判別。依淋巴結理學檢查的判讀原則,良性(正常)淋巴結特徵為體積小(直徑\u003C1 cm)、界限清楚、可移動(不與周圍組織沾黏)、質地柔軟且無壓痛。異常淋巴結則傾向腫大、界限不清、固定沾黏、質硬或有壓痛。故屬異常現象者為B「界限不清楚」,提示發炎或惡性浸潤。A直徑小於1 cm、C指下可移動、D不會壓痛皆屬正常淋巴結表現。考點在於辨識「界限不清、固定」是需警覺的病理徵象。","淋巴結評估五要素:大小、界限、活動度、質地、壓痛。急性感染多為腫大、壓痛、可移動(反應性增生);惡性(轉移或淋巴瘤)常為無痛、質硬、固定、界限不清。幼兒頸部與腹股溝觸及小而可動、無壓痛的淋巴結多屬正常反應性。界限不清代表可能突破被膜浸潤周圍組織,是本題的關鍵鑑別點。",[24,27,29,31,33],{"term":25,"count":26},"淋巴結觸診",1,{"term":28,"count":26},"界限不清",{"term":30,"count":26},"淋巴結活動度",{"term":32,"count":26},"反應性增生",{"term":34,"count":26},"惡性淋巴結",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-2-maternal-pediatric-043","依據常見的嬰幼兒發展現象，一般嬰幼兒乳齒的生長順序，下列何者正確？①上排中央門牙 ②下排中央門牙 ③犬齒 ④第一臼齒 ⑤第二臼齒",43,{"webId":41,"stem":42,"number":43,"year":44,"session":26},"nurse-109-1-maternal-pediatric-059","小英，5 個月，採心尖脈測量心跳，有關心尖脈位置之敘述，下列何者正確？",59,109,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-109-2-maternal-pediatric-073","王小弟腹瀉三天，每天高達 10 次，體重從 10 公斤降至 9.2 公斤，尿量也減少。請問王小弟的脫水程度為何？",73,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-111-1-maternal-pediatric-031","王女士，Rh(-)，初產下一位 Rh(+)的女嬰，母女均安。為了預防下次懷孕時產生胎兒大量溶血，給予母體注射 Rh 0 免疫球蛋白之時機，下列何者最適當？",31,111,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-112-1-maternal-pediatric-075","小強，14 歲，因慢性腎衰竭進行腹膜透析治療中，有關護理指導的敘述，下列何者較不適當？",75,112,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-113-2-maternal-pediatric-009","葉女士，懷孕 39 週，因破水入院待產。護理師進行腹部觸診時，在宮底處觸摸到一個較軟，且比較不圓的胎兒部位；在恥骨聯合附近觸摸到一個較硬，似圓形的胎兒部位，接著在肚臍以下的部位聽取到清楚的胎心音。陰道內診時，摸到圓滑且硬的胎兒部位。判斷其胎產式為何？",9,113,"2026-09-04",1788510707181]