[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-078":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":10},"nurse-111-1-產兒科護理學-078","nurse-111-1-maternal-pediatric-078",111,1,78,"小薇，13 歲，經檢查發現脊柱側彎角度 30 度，確診為脊柱側彎，有關醫療及護理措施，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"除洗澡及睡覺之外，都需穿著背架","需持續穿著背架直到骨成熟為止","需同步接受脊柱融合術","穿著背架時才可進行較劇烈的球類運動","B",null,[],"本題考點為青少年脊柱側彎的治療與護理原則。依側彎角度分級處置：20 度以下觀察追蹤、20 至 40 度以背架矯正、40 至 50 度以上才考慮手術；背架目的在骨骼成熟前阻止側彎惡化，故需持續穿戴直到骨成熟為止，選 B。A 錯在「洗澡及睡覺之外都要穿」，其實除短暫清潔外連睡覺也應穿戴，每日建議約 23 小時。C 錯在 30 度尚未達手術指標，不需同步脊柱融合術。D 錯在穿背架時應避免劇烈碰撞運動，且背架反而限制軀幹活動，並非運動時才穿。","特發性脊柱側彎的惡化與骨骼生長速率高度相關，青春期生長陡增期風險最高，故療效關鍵是「趁還在長高時矯正」；一旦 Risser sign 顯示髂骨骨骺完全癒合、骨齡成熟，側彎進展趨緩即可停用背架。背架（如 Boston brace）為被動矯正裝置，穿戴時數與療效成正比，建議每日約 23 小時。可連結 Cobb angle 測量法量化側彎角度、Adam's forward bend test 篩檢，以及手術（脊柱融合）保留給 40 至 50 度以上或快速惡化者。記憶口訣：二十觀察、二十到四十背架、四十以上開刀。",[24,26,28,30,32],{"term":25,"count":10},"特發性脊柱側彎",{"term":27,"count":10},"Cobb angle 分級",{"term":29,"count":10},"背架治療",{"term":31,"count":10},"骨骼成熟 Risser sign",{"term":33,"count":10},"脊柱融合術",[35,39,44,49,54,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-1-maternal-pediatric-079","有關成骨不全（osteogenesis imperfecta）病變的護理措施，下列敘述何者錯誤？",79,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-112-1-maternal-pediatric-015","陳女士因陣痛入院待產，目前子宮頸口開 2 公分，Oxytocin 使用，宮縮每 6～7 分鐘一次，每次 20～30 秒，宮縮壓力：40～50 mmHg。主訴陣痛厲害無法忍受，下列措施何者最適當？",15,112,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-112-2-maternal-pediatric-029","使用 New Ballard Score 評估足月兒成熟度與妊娠週數的最佳時間為：",29,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-113-2-maternal-pediatric-047","有關疫苗接種對象的敘述，下列何者最適當？",47,113,{"webId":55,"stem":56,"number":10,"year":57,"session":10},"nurse-115-1-maternal-pediatric-001","有關我國母嬰親善醫院之認證基準，下列敘述何者錯誤？",115,{"webId":59,"stem":60,"number":42,"year":61,"session":48},"nurse-106-2-maternal-pediatric-015","高女士已超過預產期 3 天，醫師建議入院引產，下列敘述何者正確？",106,"2026-09-04",1788510736080]