[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-066":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-112-1-產兒科護理學-066","nurse-112-1-maternal-pediatric-066",112,1,66,"小宇，10 歲，患有主動脈狹窄（Coarctation of the Aorta, COA），入院時可能出現的臨床表徵，下列敘述何者不適當？",{"A":14,"B":15,"C":16,"D":17},"下肢比上肢血壓高 20 mmHg","股動脈搏動微弱","主訴頭痛、暈眩","主訴腳部冰冷","A",null,[],"本題考點為主動脈狹窄（COA）的血流動力學與臨床表徵。狹窄位於主動脈弓遠端，使血流受阻於上下半身之間。因此上肢（狹窄近端）血壓升高、下肢（遠端）血壓降低，且股動脈搏動微弱（B）、腳部冰冷（D）、上半身高血壓引起頭痛暈眩（C）皆正確。不適當者為 A：實際為「上肢血壓高於下肢」，非下肢高於上肢，方向相反，故選 A。","COA 典型體徵為「上肢高血壓、下肢低血壓」，上下肢血壓差常>20 mmHg，股動脈搏動減弱或延遲（相對於橈動脈的 radio-femoral delay）。長期上半身高壓可致頭痛、鼻出血；下半身灌流不足致下肢冰冷、間歇性跛行。X 光可見肋骨切跡（rib notching，側枝循環所致）。記憶：上強下弱。",[24,27,29,31],{"term":25,"count":26},"上下肢血壓差",2,{"term":28,"count":26},"股動脈搏動減弱",{"term":30,"count":10},"主動脈狹窄 COA",{"term":32,"count":10},"上半身高血壓",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-1-maternal-pediatric-067","小美，17 歲女性，為 A 型血友病帶因者，到院做遺傳諮詢，下列敘述何者最適當？",67,{"webId":39,"stem":40,"number":41,"year":9,"session":41},"nurse-112-3-maternal-pediatric-003","張女士，懷孕 30 週，主訴近期常感覺頻尿及偶有漏尿十分困擾，下列護理指導何者較不適當？",3,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-113-1-maternal-pediatric-047","有關兒童急性腹瀉時，下列護理處置何者最適當？",47,113,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-114-2-maternal-pediatric-045","有關骨肉瘤（osterosarcoma）的症狀及治療，下列敘述何者錯誤？",45,114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-1-maternal-pediatric-049","王小弟，10 歲，頭部外傷住加護病房治療，因病情穩定轉出至兒科病房，然病童仍躁動不安，欲拔除鼻胃管及靜脈注射留置針，經護理評估為了病人安全需給予約束，下列護理措施何者正確？",49,106,{"webId":58,"stem":59,"number":41,"year":60,"session":26},"nurse-107-2-maternal-pediatric-003","懷孕 8 週的婦女，經常反覆思考「繼續工作」或「擔任專職母親」，此種心境較屬於下列何種孕期心理反應？",107,"2026-09-04",1788510743010]