[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-111-2-產兒科護理學-032","nurse-111-2-maternal-pediatric-032",111,2,32,"有關孕婦前置胎盤的症狀敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"腹部較少疼痛表現","常合併有胎位不正的現象","腹部呈現木板狀的堅硬","突發性鮮紅色陰道出血","C",null,[],"本題考點在前置胎盤與胎盤早期剝離的症狀鑑別。前置胎盤典型表現為「無痛性、突發性、鮮紅色陰道出血」，因胎盤附著於子宮下段近子宮頸口，出血時腹部柔軟、少疼痛，且常伴胎位不正。選項C「腹部呈現木板狀的堅硬」是胎盤早期剝離（abruptio placentae）的特徵而非前置胎盤，故C為錯誤敘述、即答案。考點在於木板狀硬腹屬胎盤早期剝離。選項A腹部較少疼痛正確，前置胎盤出血多無痛；選項B常合併胎位不正正確，因胎盤佔據下段妨礙胎頭入盆；選項D突發鮮紅色陰道出血正確，是前置胎盤的典型徵象。三個正確選項皆為前置胎盤特徵，唯C張冠李戴為胎盤早期剝離的表現。","產前出血兩大鑑別：前置胎盤＝無痛、鮮紅色、外出血、腹軟、常伴胎位不正，禁做陰道內診以免大出血；胎盤早期剝離＝突發劇痛、子宮硬如木板（板狀腹）、可為隱性出血、常伴子宮壓痛與胎兒窘迫、與高血壓／外傷相關。記憶口訣：「前置無痛紅、剝離痛硬板」。兩者皆屬產科急症，但表現與處置方向不同，是必考鑑別點。",[24,27,29,31,34],{"term":25,"count":26},"前置胎盤",7,{"term":28,"count":26},"胎盤早期剝離",{"term":30,"count":10},"無痛性陰道出血",{"term":32,"count":33},"板狀腹鑑別",1,{"term":35,"count":33},"產前出血",[37,41,46,50,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-2-maternal-pediatric-033","臍帶血中可作為胎兒在子宮內感染診斷之免疫球蛋白，下列何者正確？",33,{"webId":42,"stem":43,"number":44,"year":45,"session":33},"nurse-112-1-maternal-pediatric-049","強強，3 歲，因車禍住加護病房，剛住院時一直哭泣，對著護理師不斷地哭著說：「走開，我要媽媽……我要媽媽……」。根據兒童早期分離焦慮之反應屬於以下那一個階段？",49,112,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-112-2-maternal-pediatric-063","小祁，10 歲，男童，主訴眼睛發癢、持續打噴嚏但無發燒，診斷為過敏性鼻炎，下列護理措施何者最不適當？",63,{"webId":51,"stem":52,"number":53,"year":54,"session":55},"nurse-113-3-maternal-pediatric-031","一瓶 nystatin 懸浮液為 100,000 units\u002FmL，兒童罹患鵝口瘡需要一天四次服用，每次給予 250,000 units，請問應給予幾 mL？",31,113,3,{"webId":57,"stem":58,"number":59,"year":60,"session":33},"nurse-115-1-maternal-pediatric-035","小敏，8 歲，罹患肌肉失養症（muscular dystrophy），呼吸急促且有喘鳴聲，經門診入院求治，以家庭為中心的護理措施，下列敘述何者最不適當？",35,115,{"webId":62,"stem":63,"number":44,"year":64,"session":10},"nurse-106-2-maternal-pediatric-049","李小妹，4 歲，在幼兒園上課時，經常是笑口常開，對於新同學與老師、玩具或活動均可以很快地接受，此行為表現為嬰幼兒氣質評估中的那一種項目？",106,"2026-09-04",1788510739278]