[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-079":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-109-1-產兒科護理學-079","nurse-109-1-maternal-pediatric-079",109,1,79,"有關先天性巨結腸症（congenital megacolon）之臨床表徵，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"新生兒胎便延遲排出","嘔吐物不含膽汁","嬰幼兒慢性便秘","嬰幼兒生長遲滯","B",null,[],"本題考點在於先天性巨結腸症（Hirschsprung disease）的臨床表徵。依其病理，遠端結腸缺乏神經節細胞造成功能性腸阻塞，典型表現為新生兒胎便延遲排出（超過二十四至四十八小時）、腹脹、嬰幼兒慢性便秘與生長遲滯；因阻塞位於遠端，腸內容物回堵，嘔吐物常含膽汁（呈綠色）。B 稱「嘔吐物不含膽汁」與遠端阻塞的病理相違、為錯誤敘述，即答案。A 胎便延遲排出、C 慢性便秘、D 生長遲滯皆為典型表現。故除 B 應為「含膽汁」外，其餘皆正確。","判讀原則：阻塞位置越靠遠端（過了十二指腸乳頭以下），嘔吐物越容易含膽汁（膽汁染色、綠色）。巨結腸症因無神經節段無法蠕動，形成功能性遠端阻塞，故嘔吐含膽汁、胎便延遲、腹脹。診斷靠鋇劑攝影見移行段與直腸切片證實神經節細胞缺乏，治療為切除無神經節腸段。與肥厚性幽門狹窄（近端阻塞、噴射狀非膽汁性嘔吐）對比記憶。",[24,26,28,30],{"term":25,"count":10},"先天性巨結腸症\u002FHirschsprung",{"term":27,"count":10},"神經節細胞缺乏功能性阻塞",{"term":29,"count":10},"胎便延遲排出",{"term":31,"count":10},"遠端阻塞嘔吐含膽汁",[33,37,42,47,52,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-maternal-pediatric-080","有關腦性麻痺（cerebral palsy）的敘述，下列何者正確？",80,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-110-1-maternal-pediatric-016","入院待產婦裝置體外電子胎兒監測器後，下列何者為第一優先的監測項目？",16,110,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-110-2-maternal-pediatric-030","張女士，妊娠 8 週，因陰道斷續性少量出血到門診檢查。主訴有嚴重的噁心和嘔吐，醫師初步評估子宮大小超過懷孕週數，hCG 值偏高，超音波掃描未看到胎兒影像。張女士最可能的情況是：",30,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-111-2-maternal-pediatric-068","有關肌肉注射鐵劑時的注意事項，下列敘述何者錯誤？",68,111,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-112-3-maternal-pediatric-032","小玲，2 歲 6 個月，因泌尿道感染住院，有關減輕小玲住院壓力的護理措施，下列敘述何者錯誤？",32,112,3,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-1-maternal-pediatric-026","兒童急救的生命之鏈（pediatric chain of survival）有五個環環相扣的重要程序，第一步驟為何？",26,114,"2026-09-04",1788510713901]