[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-044":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":10},"nurse-111-1-產兒科護理學-044","nurse-111-1-maternal-pediatric-044",111,1,44,"有關新生兒搖晃症候群（Shaken Baby Syndrome）的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"屬於兒童虐待行為表現之一，須要通報","因外力劇烈晃動所造成，是一種可逆的傷害","初期會有嗜睡或煩躁不安","抱起新生兒時，應該給予頭頸部適當支撐","B",null,[],"本題考點是新生兒搖晃症候群的本質與嚴重度。依其病生理，劇烈晃動使腦部在顱腔內反覆撞擊、造成腦血管撕裂與硬腦膜下出血、瀰漫性軸突損傷，屬永久且不可逆的腦傷，故稱其為「可逆的傷害」明顯錯誤，選 B。A 正確，此為兒童虐待表現之一，依兒少保護規定屬責任通報事項。C 正確，初期腦壓變化常表現為嗜睡、餵食差或煩躁不安等非特異神經症狀。D 正確，嬰兒頸部肌肉尚未發育成熟、頭部相對過重，抱起時須充分支撐頭頸以避免晃動。","機轉核心在於嬰兒解剖特性：頭圍佔身體比例大、頸肌張力低、腦髓鞘化未完成且蜘蛛膜下腔較寬，晃動時腦部慣性位移大，橋靜脈易被扯斷形成硬腦膜下出血。典型三聯徵為硬腦膜下出血、視網膜出血與腦水腫。記憶點：一旦神經元與軸突斷裂即無再生，故預後常留癲癇、視障、發展遲緩甚至死亡，這正是題目強調「不可逆」的臨床意義。可延伸連結嬰兒腦壓升高的早期非特異表徵與兒虐通報流程。",[24,26,28,30,32],{"term":25,"count":10},"新生兒搖晃症候群",{"term":27,"count":10},"硬腦膜下出血",{"term":29,"count":10},"不可逆腦傷",{"term":31,"count":10},"兒虐責任通報",{"term":33,"count":10},"嬰兒頭頸支撐",[35,39,44,49,54,60],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-1-maternal-pediatric-045","林小弟，1 個月大，剛確診膽道閉鎖，父母正為是否接受手術猶豫不決。根據以家庭為中心的兒科護理特色，下列何者最適當？",45,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-111-2-maternal-pediatric-061","有關呼吸道融合病毒（Respiratory Syncytial Virus, RSV）的敘述，下列何者錯誤？",61,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-112-1-maternal-pediatric-075","小強，14 歲，因慢性腎衰竭進行腹膜透析治療中，有關護理指導的敘述，下列何者較不適當？",75,112,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-113-2-maternal-pediatric-013","有關產後情緒低落（postpartum blues）的定義及敘述，下列何者正確？",13,113,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-114-3-maternal-pediatric-017","有關產褥期女性生殖系統復舊，下列敘述何者正確？①子宮頸外口可完全恢復原本橢圓形樣貌 ②陰道皺褶約產後 3 週再出現 ③沒有哺乳婦女排卵和月經重現約產後 6～8 週 ④胎盤剝離部位之復舊於產後 3 週內完成",17,114,3,{"webId":61,"stem":62,"number":42,"year":63,"session":10},"nurse-106-1-maternal-pediatric-061","小英，6 歲大，診斷為肺炎，目前痰分泌物黏稠，胸部聽診發現左肺上葉前節有明顯的濕囉音，為小英執行胸腔物理治療，下列護理措施何者正確？",106,"2026-09-04",1788510735725]