[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-078":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-109-2-產兒科護理學-078","nurse-109-2-maternal-pediatric-078",109,2,78,"有關發展性髖關節發育不良病童，使用帕米利克背帶（Pavlik harness）的護理措施，下列敘述何者不適當？",{"A":14,"B":15,"C":16,"D":17},"使用目的是維持髖關節屈曲及外展","2 歲以上的病童，只需穿戴此背帶直到骨盆發育穩定就會痊癒","建議父母在背帶正確位置做記號，以方便調整回正確位置","維持背帶下皮膚的清潔及完整性","B",null,[],"本題考點為 Pavlik 背帶治療發展性髖關節發育不良的適用時機，題目要找不適當者。依 Pavlik 背帶的適應症，其主要用於六個月以下嬰兒，藉維持髖關節屈曲與外展促進髖臼與股骨頭正常對位；對兩歲以上病童背帶已無效，須改採手法復位、石膏或手術，故 B 敘述不適當，為答案。A 正確，背帶目的即維持髖關節屈曲外展。C 正確，於背帶正確位置做記號有助父母調整回位。D 正確，維持背帶下皮膚清潔完整可預防壓傷與破損。","發展性髖關節發育不良（DDH）愈早治療效果愈好。年齡分層：出生至六個月用 Pavlik 背帶；六個月至十八個月多需閉合復位加人字型石膏；兩歲以上骨骼變形固定，常需開放性復位或截骨手術。故背帶並非年齡愈大仍可自癒，時效是關鍵。",[24,27,30,32],{"term":25,"count":26},"發展性髖關節發育不良",3,{"term":28,"count":29},"Pavlik 背帶適應症",1,{"term":31,"count":29},"髖關節屈曲外展",{"term":33,"count":29},"治療年齡分層",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-maternal-pediatric-079","當懷疑個案出現腦膜炎時，醫師常會執行柯林氏徵象（Kernig’s sign）之身體評估，此評估正確做法為何？",79,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-110-2-maternal-pediatric-015","下列何種胎位之生產時間通常較短？",15,110,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-111-1-maternal-pediatric-029","有關新生兒護理之敘述，下列何者正確？①出生後給與抗生素眼藥膏預防淋病性結膜炎 ②以吸球清除分泌物時應先抽吸鼻腔 ③以 75%酒精消毒臍斷面 ④頭圍量法為額頭經雙耳中端到枕骨粗隆",29,111,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-112-1-maternal-pediatric-067","小美，17 歲女性，為 A 型血友病帶因者，到院做遺傳諮詢，下列敘述何者最適當？",67,112,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-113-2-maternal-pediatric-011","原本對生產計畫侃侃而談的待產婦女突然對護理師說：「我想解大便，我如果去廁所會不會把孩子生在馬桶裡？」，下列護理師的回應何者較適宜？",11,113,{"webId":60,"stem":61,"number":62,"year":63,"session":26},"nurse-114-3-maternal-pediatric-005","盧女士，G 2 P 1 ，目前懷孕 16 週，常常跟大寶說未來可以跟小寶一起溜滑梯，那會很有趣。此為魯賓（Rubin）理論的那一項母性任務？",5,114,"2026-09-04",1788510717762]