[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-038":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-111-1-產兒科護理學-038","nurse-111-1-maternal-pediatric-038",111,1,38,"王女士，已婚，疑似有骨盆腔炎，有關評估其臨床徵候的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"下腹兩側鈍鈍悶痛","腹部腫大，腰圍變大","原發性月經過少","內診子宮頸有移動性疼痛","C","第38題答Ａ或Ｄ者均給分",[],"本題考點為骨盆腔發炎(PID)的臨床評估,惟須留意選項用詞。PID典型徵候為下腹持續性疼痛、發燒、異常分泌物,內診時常見子宮頸舉痛(cervical motion tenderness,即移動性疼痛)與附件壓痛;依官方答案為C。C所述「原發性月經過少」與PID的典型表現關聯性須審慎看待,惟依官方標準答案選C;A下腹兩側悶痛、D子宮頸移動性疼痛在臨床上常見於PID描述。因本題正解由官方判定為C,判讀時以官方答案為準,惟選項間鑑別度不高,故標示把握度較低。","PID核心診斷三聯徵常被列為:下腹痛、子宮頸舉痛、附件壓痛,伴發燒與異常分泌物,長期併發症含輸卵管沾黏、不孕與子宮外孕。本題官方答案為C,但C(原發性月經過少)與典型PID表現關聯薄弱,建議以官方標準答案作答並保留存疑;實務辨識仍以子宮頸舉痛與下腹痛為關鍵。因選項與標準病生理間存在落差,據實標記侷限。",[24,27,29,31],{"term":25,"count":26},"骨盆腔發炎 PID",2,{"term":28,"count":10},"子宮頸舉痛",{"term":30,"count":10},"下腹痛",{"term":32,"count":10},"官方答案判定",[34,38,42,47,52,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-1-maternal-pediatric-039","容易出現經前症候群的女性生命週期為那一時期？",39,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-111-2-maternal-pediatric-055","對於高胱胺酸尿症（homocystinuria, HCU）兒童的長期照護，下列何者錯誤？",55,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-maternal-pediatric-069","小勇，10 歲，罹患急性淋巴性白血病，目前接受化學治療中，有關其護理措施之敘述，下列何者錯誤？",69,112,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-113-2-maternal-pediatric-007","李女士，G 1 P 0 ，子宮收縮每 5 分鐘一次，每次持續 40～60 秒，收縮強度為中度，子宮頸口開 6 公分、變薄程度 60%、先露部位 0。下列護理措施何者不適當？",7,113,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-114-3-maternal-pediatric-011","有關待產婦採用腰椎硬膜外麻醉，下列敘述何者正確？",11,114,3,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-1-maternal-pediatric-055","依據娜姬（Nagy）死亡概念理論，下列何者不是 6 歲兒童對死亡的概念？",106,"2026-09-04",1788510735672]