[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-077":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-112-1-產兒科護理學-077","nurse-112-1-maternal-pediatric-077",112,1,77,"有關使用格拉斯哥氏昏迷量表（Glasgow Coma Scale, GCS）評估兒童意識程度，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"評估嬰幼兒時，不需要父母陪同，避免干擾評估正確性","評估兒童對於環境刺激的瞳孔、語言和運動反應","少於或等於 7 分定義為昏迷狀態","最高分 13 分表示正常","C",null,[],"本題考點為格拉斯哥昏迷量表（GCS）評估兒童意識的正確概念。正解 C：GCS 總分越低意識越差，臨床上分數越低代表昏迷程度越重，選項將「較低分定義為昏迷狀態」的方向正確。A 錯，評估嬰幼兒宜有父母陪同以減少恐懼、提高反應正確性；B 錯，GCS 評估的是「睜眼、語言、運動」三項反應而非瞳孔；D 錯，GCS 最高分為 15 分（正常）而非 13 分，故選 C。","GCS 三面向：睜眼（E，1–4）、語言（V，1–5）、運動（M，1–6），總分 3～15；分數越低意識障礙越重，臨床常以總分低者判為昏迷、需嚴密監測與保護呼吸道。嬰幼兒因語言運動未成熟另有兒童改良版。瞳孔反應屬另一項神經評估（動眼神經），與 GCS 分開。記憶：GCS 看 E-V-M，滿分 15。",[24,26,28,30],{"term":25,"count":10},"格拉斯哥昏迷量表 GCS",{"term":27,"count":10},"睜眼語言運動三項",{"term":29,"count":10},"總分 15 分",{"term":31,"count":10},"昏迷分數判定",[33,37,42,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-112-1-maternal-pediatric-078","有關雷氏症候群（Reye’s syndrome）的臨床表徵，下列敘述何者錯誤？",78,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-112-3-maternal-pediatric-014","婦女初次嘗試親餵母乳，向護理師表示：「我的乳頭是平的，還能親餵嗎？」，下列何項護理指導內容最適當？",14,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-113-2-maternal-pediatric-008","吳女士，G 1 P 0 ，懷孕 38 週，主述：「下面濕濕的，不知道是不是破水了？」。下列何種檢測可以確認破水？",8,113,2,{"webId":49,"stem":50,"number":51,"year":52,"session":41},"nurse-114-3-maternal-pediatric-006","有關無壓力試驗（NST），下列敘述何者正確？①觀察胎兒心跳型態的變化 ②至少要記錄 60 分鐘 ③建議第三孕期檢測 ④胎心率加速表示有缺氧情形",6,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-1-maternal-pediatric-060","有關嬰兒及兒童接受氧氣治療之相關敘述，下列何者正確？",60,106,{"webId":59,"stem":60,"number":40,"year":61,"session":47},"nurse-107-2-maternal-pediatric-014","楊女士目前子宮頸口全開且完全變薄，當子宮收縮時感到非常疼痛。有關此時生產疼痛的主要來源，下列何者正確？",107,"2026-09-04",1788510743110]