[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-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":10},"nurse-109-2-產兒科護理學-079","nurse-109-2-maternal-pediatric-079",109,2,79,"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？",{"A":14,"B":15,"C":16,"D":17},"以反射鎚柄由足跟沿上經足外緣至大趾，出現腳趾呈扇形張開","讓兒童平躺，將其頭向上抬時，兒童會不自主的彎曲膝蓋及髖部","讓兒童以兩腳之腳尖踮起走路，測試走路穩定狀態","使平躺將小腿托高，使髖及膝關節屈曲成直角，再伸展小腿會產生阻力或疼痛","D",null,[],"本題考點為腦膜炎理學檢查中柯林氏徵象（Kernig's sign）的正確操作。依 Kernig's sign 的做法，讓病人平躺、將髖與膝關節屈曲成直角，再試圖伸展小腿時，因腦膜受刺激致膕旁肌緊張，出現阻力或疼痛而無法完全伸直即為陽性，選 D。A 以反射鎚沿足底外緣劃至大趾、腳趾扇形張開描述的是巴賓斯基徵象。B 抬頭時病人不自主屈膝屈髖描述的是布魯金斯基徵象（Brudzinski's sign）。C 以腳尖踮走測穩定屬步態或小腦功能評估，與腦膜刺激徵無關。","腦膜刺激徵三大代表：頸部僵硬、Kernig's sign、Brudzinski's sign，皆因發炎的腦膜牽扯神經根引發保護性肌肉痙攣。對比記憶：Kernig 由下肢（屈髖伸膝痛）、Brudzinski 由頸部（屈頸引發屈膝髖）。Babinski 則屬錐體束徵象，臨床意義不同。",[24,26,29,31],{"term":25,"count":10},"腦膜刺激徵",{"term":27,"count":28},"Kernig's sign",1,{"term":30,"count":28},"Brudzinski's sign",{"term":32,"count":28},"Babinski 徵象",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-maternal-pediatric-080","小英 6 歲，因扁平足（flat foot）就診，有關護理指導之敘述，下列何者正確？",80,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-110-2-maternal-pediatric-016","李女士 G 1 P 0 ，子宮收縮每 2 分鐘一次，子宮頸口開 9 公分，變薄程度為 90%，先露部位高度為 0，產婦說：「我很痛，我要用力了」，此時的優先護理措施為何？",16,110,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-111-1-maternal-pediatric-030","子癇前症孕婦以硫酸鎂（MgSO 4 ）治療期間的護理評估重點，下列何者最重要？",30,111,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-112-1-maternal-pediatric-068","小華，3 歲，在一週前發燒後身上突然出現多處紫斑，經醫師診斷為特發性血小板（Idiopathic Thrombocytopenic Purpura, ITP），下列敘述何者錯誤？",68,112,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-113-2-maternal-pediatric-012","下列何者為阻礙產後婦女子宮復舊的因素？①產程延長 ②正常羊水量之單胞胎 ③漲滿的膀胱 ④純母乳親餵",12,113,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-114-3-maternal-pediatric-006","有關無壓力試驗（NST），下列敘述何者正確？①觀察胎兒心跳型態的變化 ②至少要記錄 60 分鐘 ③建議第三孕期檢測 ④胎心率加速表示有缺氧情形",6,114,3,"2026-09-04",1788510717774]