[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-062":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":26},"nurse-110-1-產兒科護理學-062","nurse-110-1-maternal-pediatric-062",110,1,62,"有關兒童罹患會厭炎（Epiglottitis）的典型症狀，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"流口水","吞嚥困難","發聲困難","口腔潰瘍","D",null,[],"本題考點是兒童急性會厭炎的典型症狀辨識。考點在於選出最不屬典型表現者。依會厭炎的臨床特徵，因會厭急速腫脹阻礙吞嚥與發聲，典型出現流口水、吞嚥困難與發聲困難，而口腔潰瘍並非會厭炎的表現，故選 D。A 流口水因無法吞嚥唾液，屬典型。B 吞嚥困難因會厭腫脹疼痛，屬典型。C 發聲困難因聲門上結構受影響，屬典型。口腔潰瘍多見於疱疹性齦口炎或手足口病，與會厭炎無關。故最不適當者為 D。","急性會厭炎典型可記為「4D」：drooling 流口水、dysphagia 吞嚥困難、dysphonia 發聲困難與 distress 呼吸窘迫，病童常呈前傾張口、三腳架姿勢並拒絕平躺。因病程進展快、隨時可能完全阻塞氣道，臨床禁止壓舌板檢查咽喉並須備妥插管設備。口腔潰瘍屬其他感染（疱疹性齦口炎、腸病毒手足口病）的表現，可作對比記憶。掌握「4D 加禁刺激咽喉」即可同時應付本病的症狀題與護理題。",[24,27,29,31],{"term":25,"count":26},"急性會厭炎",3,{"term":15,"count":28},2,{"term":30,"count":10},"4D症狀",{"term":14,"count":10},[33,37,41,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-maternal-pediatric-063","王小弟，2 歲，因肺部的下葉上節有痰液蓄積，護理師為其執行姿位引流，下列姿勢何者最適當？",63,{"webId":38,"stem":39,"number":40,"year":9,"session":28},"nurse-110-2-maternal-pediatric-079","陳小妹，於學校上體育課時，出現強直陣攣型痙攣（tonic-clonic seizure）發作，下列護理措施何者最不適當？",79,{"webId":42,"stem":43,"number":44,"year":45,"session":28},"nurse-111-2-maternal-pediatric-013","王女士，G 1 P 0 ，懷孕 24 週，常規的產前檢查正常。詢問護理師：「我有時會覺得肚子繃緊，但不覺得痛。繃緊感有時候幾秒鐘就過去，通常不超過 1 分鐘，沒有其他不舒服，這樣是正常嗎？」下列的回答，何者最適當？",13,111,{"webId":47,"stem":48,"number":49,"year":50,"session":28},"nurse-112-2-maternal-pediatric-051","林小弟，妊娠 31 週，出生一週大，目前體重 1,868 公克，有關林小弟的營養照護，下列敘述何者最正確？",51,112,{"webId":52,"stem":53,"number":54,"year":55,"session":26},"nurse-113-3-maternal-pediatric-025","毛女士接受人工受精治療後懷孕併多胞胎妊娠，將接受減胎術，毛女士表示很擔心嬰靈會對自己有不好的影響，下列護理師之回應何者最適當？",25,113,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-115-1-maternal-pediatric-019","有關新生兒出生時維生素 K 缺乏的原因，下列何者錯誤？",19,115,"2026-09-04",1788510722159]