[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-078":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-078","nurse-108-2-maternal-pediatric-078",108,2,78,"有關皮肌炎（dermatomyositis）兒童的護理評估，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"視診臉部會有紅斑結節性皮膚疹","視診關節部有對稱性紅斑","觸診肌肉時會感到鬆軟無力","叩診病變處裡的關節反射減低","C",null,[],"本題考點為兒童皮肌炎（dermatomyositis）的護理評估特徵辨識。依疾病表現，皮肌炎為侵犯皮膚與肌肉的自體免疫發炎，肌肉因發炎而腫脹、變硬且觸痛、近端肌肉無力，故 C「觸診肌肉時感到鬆軟無力」與臨床不符為錯誤。A 臉部（尤其眼瞼）紫紅色斑（heliotrope rash）與紅斑結節，正確；B 關節部對稱性紅斑符合分布特徵，正確；D 因肌力與神經受影響，病變處反射可減低，屬合理評估，故錯誤者選 C。","幼年型皮肌炎的皮膚標記為 heliotrope rash（上眼瞼紫紅斑）與 Gottron's papules（指關節伸側紅色丘疹），肌肉表現為對稱性近端肌無力（爬樓梯、舉手困難）合併肌肉腫脹壓痛，血清 CK、aldolase 上升。關鍵鑑別在「肌肉是發炎變硬而非鬆軟」，故 C 描述方向相反。記憶法：皮肌炎「上眼紫、指節疹、近端無力、肌硬有壓痛」。治療以類固醇為主，長期照護須注意鈣化沉積與吞嚥肌受累風險。",[24,27,29,31],{"term":25,"count":26},"皮肌炎 dermatomyositis",1,{"term":28,"count":26},"heliotrope rash",{"term":30,"count":26},"近端肌無力",{"term":32,"count":26},"Gottron 丘疹",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-maternal-pediatric-079","王小弟，8 歲，罹患細菌性腦膜炎（bacterial meningitis），下列徵象何者正確？",79,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-109-2-maternal-pediatric-015","下列何者為胎兒的先露部位和母親骨盆前後左右的關係？",15,109,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-110-1-maternal-pediatric-029","有關新生兒免疫系統的敘述，下列何者錯誤？",29,110,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-111-1-maternal-pediatric-067","有關尚未接受治療之缺鐵性貧血（iron deficiency anemia）及地中海型貧血（thalassemia）病童血液檢驗之敘述，下列何者正確？",67,111,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-112-2-maternal-pediatric-031","江女士為百貨公司化妝品銷貨員，因長期久站，懷孕前左腿即有明顯的靜脈曲張情形，產後會陰傷口腫脹疼痛而不願下床活動，產後第三天她試著下床步行，當她站立伸直左右小腿時，左小腿會感覺疼痛，觸摸也會覺得壓痛。依據上述情況，下列何項判斷及處置較適當？",31,112,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-113-2-maternal-pediatric-045","有關病童放置鼻胃管之護理照護，下列敘述何者較適當？",45,113,"2026-09-04",1788510707465]