[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-074":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-110-2-產兒科護理學-074","nurse-110-2-maternal-pediatric-074",110,2,74,"王小弟，6 週大，每次餵奶後出現噴射式嘔吐，被診斷為幽門狹窄（pyloric stenosis），下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"嘔吐物含膽汁，呈黃褐色","嘔吐多發生在餵食完後","上腹部出現由右至左慢慢移動的胃蠕動波","大便含有血液與黏膜","B",null,[],"本題考點是嬰兒肥厚性幽門狹窄的臨床特徵。考點在於幽門肌肉肥厚使胃內容物無法通過，於餵食後出現噴射狀嘔吐。選項B「嘔吐多發生在餵食完後」正確，符合胃出口阻塞的表現，故為答案。A「嘔吐物含膽汁、呈黃褐色」錯誤，阻塞位置在幽門(膽管開口之前),嘔吐物為未消化的奶且不含膽汁；C「胃蠕動波由右至左」錯誤，觀察到的是由左上腹向右移動的可見胃蠕動波；D「大便含血液與黏膜」錯誤，幽門狹窄非腸道發炎或套疊，一般無血便黏液便。故唯B正確描述其嘔吐時機與特徵。","肥厚性幽門狹窄好發約2–8週男嬰;特徵記憶:進行性噴射狀非膽汁性嘔吐、吐後仍飢餓、右上腹可觸及橄欖狀腫塊、可見左至右胃蠕動波。反覆嘔吐胃酸致低血氯、低血鉀性代謝性鹼中毒與脫水。診斷以超音波;治療為幽門肌肉切開術(Ramstedt)。記憶:非膽汁、噴射吐、橄欖塊、鹼中毒。可連結:與膽汁性嘔吐(阻塞位於Vater壺腹以下如腸旋轉不良)鑑別。",[24,27,29,32],{"term":25,"count":26},"肥厚性幽門狹窄",3,{"term":28,"count":10},"代謝性鹼中毒",{"term":30,"count":31},"非膽汁性噴射嘔吐",1,{"term":33,"count":31},"胃蠕動波",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-2-maternal-pediatric-075","小雄，2 歲，因嘔吐、體溫 38.6℃而入院，母親主訴小雄昨日就開始嘔吐、解水樣綠色便多次，且進食量、尿量明顯減少，體重由 14 公斤降到 13.1 公斤。下列評估何者正確？",75,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-111-2-maternal-pediatric-011","陳女士，產後 1 小時後評估發現其子宮位置於臍上 2 指且偏向右側，其最有可能的原因為何？",11,111,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-112-1-maternal-pediatric-025","王女士，28 歲第一胎，產後 2 個月，月經尚未來，採純母乳哺餵。下列何項避孕措施最不推薦？",25,112,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-113-1-maternal-pediatric-013","蔡女士，初產婦，因產程遲滯而行剖腹生產，新生兒出生體重3,800公克。產婦計畫要完全哺餵母乳，擔心自己奶水不足，因為從生產至今已兩天，都沒有脹奶的感覺，而且新生兒幾乎是含著乳房入睡，放下來就哭。有關蔡女士對奶量的擔心，下列措施何者不適當？",13,113,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-114-2-maternal-pediatric-017","有關新生兒出生後一週內生理性體重減輕的常見原因，下列何者除外？",17,114,{"webId":60,"stem":61,"number":42,"year":62,"session":31},"nurse-106-1-maternal-pediatric-011","一位產婦入院待產，子宮頸口開 6 公分，因產痛難耐而要求醫護人員提供針灸止痛的措施時，下列有關護理師的反應何者較為合適？",106,"2026-09-04",1788510730341]