[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-076":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-076","nurse-108-2-maternal-pediatric-076",108,2,76,"5 歲以下兒童跌倒，容易導致何部位脫臼（dislocation）？",{"A":14,"B":15,"C":16,"D":17},"髖部","膝部","手肘","腕部","A",null,[],"本題考點為 5 歲以下幼兒跌倒後好發脫臼的關節部位。依幼兒骨骼肌肉發展，此年齡層髖臼較淺、關節囊與韌帶鬆弛、骨骼發育未成熟，跌倒受力時髖部相對容易發生脫臼，故選 A。B 膝部因股骨與脛骨結構較穩定，幼兒單純跌倒少見脫臼。C 手肘的橈骨頭半脫位多因手臂被牽拉（拉肘）造成，機轉是牽引而非跌倒。D 腕部跌倒多為骨折而非脫臼，故正解為 A。","幼兒關節穩定度低、生長板未閉合，受力型態決定損傷：跌倒垂直受力好發髖部；被大人拉扯前臂則常見「保母肘（nursemaid's elbow）」橈骨頭半脫位。此題易與拉肘混淆，關鍵在辨識致傷機轉是「跌倒」而非「牽拉」。臨床評估脫臼觀察患肢姿勢異常、活動受限與疼痛。此題屬情境判斷題，須將年齡、機轉與解剖脆弱點三者對應，若考題描述機轉不同答案即隨之改變。",[24,27,29,31],{"term":25,"count":26},"幼兒關節鬆弛",1,{"term":28,"count":26},"髖部脫臼",{"term":30,"count":26},"受傷機轉判斷",{"term":32,"count":26},"保母肘鑑別",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-maternal-pediatric-077","王小弟，3 歲，罹患腎病症候群（nephrotic syndrome），目前服用 prednisolone 治療。護理師在安排與王小弟同住的病童時，下列何者適宜？",77,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-109-2-maternal-pediatric-013","初產婦廖女士進入產房待產，足月且孕期無其他併發症，目前每 5 分鐘子宮收縮一次，每次約收縮 30 秒，沒有破水，陰道有粉色分泌物，內診發現其子宮頸變薄 80%且已擴張 3 公分，station 0。廖女士詢問是否可以下床走動，下列回應何者較適切？",13,109,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-110-1-maternal-pediatric-027","有關新生兒囟門的敘述，下列何者錯誤？",27,110,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-111-1-maternal-pediatric-065","王小弟，心室中膈缺損（VSD），出現充血性心衰竭的症狀，呼吸喘，費力，請問採那個姿勢較舒適？",65,111,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-112-2-maternal-pediatric-029","使用 New Ballard Score 評估足月兒成熟度與妊娠週數的最佳時間為：",29,112,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-113-2-maternal-pediatric-043","小琪，女嬰，新生兒篩檢診斷為先天性腎上腺增生症（congenital adrenal hyperplasia, CAH），護理師提供給小琪父母的護理指導，下列敘述何者最不適當？",43,113,"2026-09-04",1788510707454]