[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-045","nurse-108-2-maternal-pediatric-045",108,2,45,"小明，1 歲，罹患主動脈狹窄症（coarctation of the aorta）而入院，下列何者不是其症狀？",{"A":14,"B":15,"C":16,"D":17},"上肢血壓比下肢高","肺血管阻力升高而有發紺現象","常主訴頭痛、暈眩","股動脈搏動較弱，甚至摸不到","B",null,[],"本題考點在於主動脈狹窄(coarctation of the aorta)的臨床表現與分流性質。依此病的解剖病生理,狹窄位於主動脈弓遠端,狹窄前(上肢、頭頸)血流灌壓高、狹窄後(下肢)灌流不足,故出現上肢血壓高於下肢、股動脈搏動微弱甚至摸不到、上半身高血壓引起頭痛暈眩,A、C、D皆為正確症狀。錯誤者為B:主動脈狹窄屬非發紺型(acyanotic)先天性心臟病,並無肺血管阻力升高造成發紺的機轉,發紺是右到左分流病變(如法洛氏四重畸形)的表現。考點在於辨識主動脈狹窄「上高下低、不發紺」的特徵。","先天性心臟病可分非發紺型(左到右分流或阻塞:VSD、ASD、PDA、主動脈狹窄)與發紺型(右到左分流:法洛氏四重畸形、大血管轉位)。主動脈狹窄的核心體徵是「上下肢血壓\u002F脈搏差」,理學上比較肱動脈與股動脈搏動即可懷疑。長期上半身高血壓可致肋間動脈側枝循環,胸部X光見肋骨下緣切跡(rib notching)。",[24,27,29,31,34],{"term":25,"count":26},"主動脈狹窄",3,{"term":28,"count":10},"上下肢血壓差",{"term":30,"count":10},"股動脈搏動減弱",{"term":32,"count":33},"非發紺型心臟病",1,{"term":35,"count":33},"肋骨切跡",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-108-2-maternal-pediatric-046","雯雯是法洛氏四重畸形（Tetralogy of Fallot’s）的病嬰，當其出現發紺嚴重時，護理師為其採膝胸臥式姿勢，可使症狀改善的原理為何？",46,{"webId":42,"stem":43,"number":44,"year":45,"session":33},"nurse-109-1-maternal-pediatric-062","小群目前 3 個月大，因膽道閉鎖未治療造成肝臟硬化、脾腫大、肝昏迷，有關提供小群的家屬家庭支持，下列敘述何者不適當？",62,109,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-109-2-maternal-pediatric-076","陳小弟 11 歲，因闌尾炎進行盲腸切除術。有關手術後護理措施，下列敘述何者正確？",76,{"webId":51,"stem":52,"number":53,"year":54,"session":33},"nurse-111-1-maternal-pediatric-034","有關子宮內膜癌之敘述，下列何者錯誤？",34,111,{"webId":56,"stem":57,"number":58,"year":59,"session":33},"nurse-112-1-maternal-pediatric-078","有關雷氏症候群（Reye’s syndrome）的臨床表徵，下列敘述何者錯誤？",78,112,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-113-2-maternal-pediatric-012","下列何者為阻礙產後婦女子宮復舊的因素？①產程延長 ②正常羊水量之單胞胎 ③漲滿的膀胱 ④純母乳親餵",12,113,"2026-09-04",1788510707211]