[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-049":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":63},"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-049","nurse-108-2-maternal-pediatric-049",108,2,49,"小明，8 個月大，疑似患有胃食道逆流（gastroesophageal reflux, GER）接受多項診斷檢查，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"食道鏡檢查，可以確認逆流量的多寡","上腸胃道攝影術，需喝下含顯影劑的牛奶","腹部超音波掃描，確認食道炎的位置","24 小時食道酸鹼值測定，是最準確的診斷方法","D",null,[],"本題考點在於嬰兒胃食道逆流(GER)的診斷檢查判讀。依各項檢查的目的,24小時食道pH監測能連續記錄食道下端酸鹼變化,直接量化酸性逆流的頻率與時間,被視為診斷病理性逆流最準確(gold standard)的方法,故選D。A錯:食道鏡主要用於直視食道黏膜與評估食道炎程度、取檢體,無法量化「逆流量多寡」;B對機轉描述不精確,上腸胃道攝影是喝下鋇劑或造影劑觀察解剖結構與逆流,並非確診工具但選項D更為正確且題目取最準確者;C錯:腹部超音波無法確認食道炎位置。考點在於辨識24小時食道pH監測是逆流診斷的金標準。","GER診斷工具比較:上消化道攝影看解剖(排除幽門狹窄、旋轉不良)但敏感度低;食道pH或阻抗監測量化酸\u002F非酸逆流,為金標準;內視鏡評估食道炎併發症與取檢;胃排空核醫掃描評估延遲排空與吸入。嬰兒GER多為生理性,隨賁門括約肌成熟改善;若併發生長遲滯、呼吸道症狀、食道炎則屬病理性GERD需介入。",[24,27,29,31,33],{"term":25,"count":26},"胃食道逆流GER",1,{"term":28,"count":26},"24小時食道pH監測",{"term":30,"count":26},"上消化道攝影",{"term":32,"count":26},"食道鏡",{"term":34,"count":26},"診斷金標準",[36,40,45,49,54,58],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-2-maternal-pediatric-050","兒童接受排空性膀胱尿道攝影（voiding cystouretheography）的主要目的是：",50,{"webId":41,"stem":42,"number":43,"year":44,"session":26},"nurse-109-1-maternal-pediatric-066","小瑋，6 歲，罹患膽道閉鎖，多年來等不到肝臟移植，面臨死亡，父母在與小瑋討論死亡時，下列敘述何者錯誤？",66,109,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-109-2-maternal-pediatric-080","小英 6 歲，因扁平足（flat foot）就診，有關護理指導之敘述，下列何者正確？",80,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-111-1-maternal-pediatric-038","王女士，已婚，疑似有骨盆腔炎，有關評估其臨床徵候的敘述，下列何者正確？",38,111,{"webId":55,"stem":56,"number":10,"year":57,"session":10},"nurse-112-2-maternal-pediatric-002","丁女士 30 歲，G 1 P 0 ，懷孕 20 週，至門診產檢。懷孕前身體質量指數（BMI）為 20，懷孕後體重增加 3 公斤，宮底高肚臍上一橫指，詢問「肚子會不會太小？」護理師最合適的回答為何？",112,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-113-2-maternal-pediatric-016","下列何種情況適合裝置子宮內避孕器？",16,113,"2026-09-04",1788510707242]