[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-079":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-079","nurse-108-2-maternal-pediatric-079",108,2,79,"王小弟，8 歲，罹患細菌性腦膜炎（bacterial meningitis），下列徵象何者正確？",{"A":14,"B":15,"C":16,"D":17},"巴氏徵象（Barlow's sign）陰性","布魯金斯基氏徵象（Brudzinski's sign）陽性","克爾尼格氏徵象（Kernig's sign）陰性","反彈性疼痛（Rebounding pain）陽性","B",null,[],"本題考點為細菌性腦膜炎（bacterial meningitis）的腦膜刺激徵象判讀。依神經評估，腦膜受刺激時屈頸會引發雙髖與膝反射性屈曲，即布魯金斯基氏徵象（Brudzinski's sign）陽性，故 B 正確。A 錯：Barlow's sign 是評估新生兒發展性髖關節脫位的手法，與腦膜炎無關。C 錯：克爾尼格氏徵象（Kernig's sign）在腦膜炎應為「陽性」（伸膝受阻並疼痛），題目寫陰性錯誤。D 錯：反彈性疼痛是腹膜炎的徵象，非腦膜炎，故正解為 B。","腦膜刺激三大典型徵象：頸部僵硬（nuchal rigidity）、Kernig's sign（屈髖後伸膝受限疼痛）、Brudzinski's sign（屈頸引發下肢屈曲），皆因發炎的腦脊髓膜受牽扯致痛。記憶法：Kernig「抬腿伸膝痛」、Brudzinski「低頭腳跟著彎」。嬰兒徵象較不典型，可見囪門膨出、高音哭聲與活力差。反彈痛（rebound tenderness）屬腹膜刺激徵、Barlow／Ortolani 屬髖關節檢查，是常見誤植的干擾選項。確診靠腰椎穿刺腦脊髓液分析。",[24,27,29,31],{"term":25,"count":26},"細菌性腦膜炎",3,{"term":28,"count":10},"Brudzinski 徵象",{"term":30,"count":10},"Kernig 徵象",{"term":32,"count":10},"腦膜刺激徵",[34,38,43,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-maternal-pediatric-080","有關腰椎穿刺之敘述，下列何者錯誤？",80,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-109-2-maternal-pediatric-016","有關胎心率的監測，下列敘述何者錯誤？",16,109,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-110-1-maternal-pediatric-030","有關女陰癌之敘述，下列何者正確？",30,110,1,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-111-1-maternal-pediatric-068","有關血友病關節血腫的臨床表徵，最常發生於何部位？",68,111,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-112-2-maternal-pediatric-032","王女士使用 ritodrine（Yutopar）安胎，下列照護何者正確？",32,112,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-113-2-maternal-pediatric-046","王小美，5 歲，罹患巨結腸症（megacolon），進行腸道無神經節部位切除，有關術後之護理措施與指導，下列敘述何者錯誤？",46,113,"2026-09-04",1788510707469]