[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-051":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-109-2-產兒科護理學-051","nurse-109-2-maternal-pediatric-051",109,2,51,"小萱出生第 3 天，左手手臂活動受限，擁抱反射不對稱，兩肩不等高，局部觸痛及腫脹。依此觀察，小萱可能有下列何種問題？",{"A":14,"B":15,"C":16,"D":17},"鎖骨骨折","橈骨骨折","尺骨骨折","肱骨骨折","A",null,[],"本題考點在於新生兒產傷性骨折的辨識。依臨床特徵,鎖骨是生產過程中最常發生骨折的骨骼,尤其肩難產或體型較大新生兒;表現為患側手臂活動減少、擁抱反射不對稱、兩肩不等高與局部觸痛腫脹,與小萱情況相符,故選A鎖骨骨折。B橈骨、C尺骨屬前臂骨,產傷罕見且不會造成兩肩不等高;D肱骨骨折雖可能影響上臂活動,但發生率遠低於鎖骨,且鎖骨骨折才典型呈現肩部不對稱,故非最佳答案。","鎖骨骨折為最常見產傷骨折,常因肩難產所致,多為青枝骨折,患側擁抱反射消失、可觸骨擦音,約2週長骨痂自癒,多僅需限制患肢。對比臂神經叢損傷(Erb麻痺)則擁抱反射不對稱但無骨腫觸痛。口訣「產傷骨折,鎖骨第一」。",[24,26,29,30],{"term":25,"count":10},"肩難產",{"term":27,"count":28},"新生兒產傷",1,{"term":14,"count":28},{"term":31,"count":28},"擁抱反射",[33,37,42,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-2-maternal-pediatric-052","下列何者不屬於新生兒篩檢的項目？",52,{"webId":38,"stem":39,"number":40,"year":41,"session":28},"nurse-110-1-maternal-pediatric-068","小凌，16 歲，罹患再生不良性貧血，住院接受抗淋巴球蛋白（ALG）及 cyclosporin 治療，下列護理措施何者較適當？",68,110,{"webId":43,"stem":44,"number":10,"year":45,"session":28},"nurse-111-1-maternal-pediatric-002","下列何者不是接受產前遺傳諮詢之高危險群孕婦？",111,{"webId":47,"stem":48,"number":49,"year":50,"session":28},"nurse-112-1-maternal-pediatric-040","李女士 40 歲，因子宮内膜癌進行全子宮和雙側輸卵管卵巢切除術，出院前的護理指導，下列何者正確？①第 1 年每 6 個月回診一次 ②不可抬過重的物品 ③告知可能的更年期症狀 ④術後半年避免性行為",40,112,{"webId":52,"stem":53,"number":54,"year":55,"session":28},"nurse-113-1-maternal-pediatric-034","小紅，12歲，罹患急性骨髓性白血病，治療後復發，目前處於疾病末期，她向父母發脾氣說：「為什麼生病的人是我，都是你們沒有把我照顧好！」，下列照護措施何者最適合？",34,113,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-114-2-maternal-pediatric-028","當父母詢問是否該讓兒童施打流行性感冒疫苗時，護理師提供疫苗相關的實證依據以協助父母做為施打意願的參考。這是展現下列那一種護理人員角色功能？",28,114,"2026-09-04",1788510717525]