[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-074":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-112-2-產兒科護理學-074","nurse-112-2-maternal-pediatric-074",112,2,74,"王小弟，6 歲，因下腹部疼痛、噁心、嘔吐等現象到急診室求治，懷疑闌尾炎，有關闌尾炎的評估，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"柯林氏徵象（Kernig’s sign）","布魯伯氏徵象（Blumberg’s sign）","羅氏徵象（Rovsing’s sign）","墨菲氏徵象（Murphy’s sign）","C",null,[],"本題考點是闌尾炎的特異性身體評估徵象。羅氏徵象(Rovsing's sign)指按壓左下腹時,腸內氣體被推向右側,反而引發右下腹(麥氏點)疼痛,這種轉移性壓痛特異指向闌尾發炎，故選 C。柯林氏徵象(Kernig's sign)是屈髖伸膝引起阻力與疼痛，用於評估腦膜刺激徵象，不是腹部評估，A 錯。布魯伯氏徵象(Blumberg's sign)為反彈壓痛，屬一般腹膜刺激的表現，非闌尾炎專屬定位，B 相對不適當。墨菲氏徵象(Murphy's sign)是深吸氣時右上腹按壓疼痛，用於評估膽囊發炎，D 錯。","闌尾炎的評估可串成一組定位徵象：McBurney 點(肚臍到右髂前上棘連線外三分之一處)壓痛定位、Rovsing 徵象顯示轉移性壓痛、腰大肌徵象(Psoas sign)與閉孔肌徵象(Obturator sign)則反映發炎闌尾刺激鄰近肌肉。反彈痛(Blumberg)代表壁層腹膜受刺激，範圍較廣不專屬闌尾。記憶對比：Kernig 對腦膜、Murphy 對膽囊、Rovsing\u002FMcBurney 對闌尾，各有其臟器歸屬，考試常混在一起考鑑別。",[24,27,29,31,33],{"term":25,"count":26},"羅氏徵象 Rovsing's sign",1,{"term":28,"count":26},"麥氏點 McBurney point",{"term":30,"count":26},"布魯伯氏徵象 反彈痛",{"term":32,"count":26},"墨菲氏徵象",{"term":34,"count":26},"柯林氏徵象",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-2-maternal-pediatric-075","有關病童罹患腸套疊（Intussusception）之治療和護理措施，下列敘述何者正確？",75,{"webId":41,"stem":42,"number":43,"year":44,"session":26},"nurse-113-1-maternal-pediatric-041","有關嬰幼兒缺鐵性貧血（iron deficiency anemia）之敘述，下列何者正確？",41,113,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-113-3-maternal-pediatric-035","7 歲的小雄，面對爺爺過世，小雄一直吵著媽媽說爺爺在睡覺，要去找爺爺說話。有關和小雄談論死亡的敘述，下列何者不適當？",35,3,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-115-1-maternal-pediatric-033","依據皮亞傑（Piaget）理論，有關兒童對疾病概念之發展，兒童能瞭解疾病乃由器官功能不良造成，下列那一個階段正確？",33,115,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-106-2-maternal-pediatric-057","小明為小一學生，日前罹患水痘，校護對於小明返校上課的建議，下列何者適當？",57,106,{"webId":61,"stem":62,"number":63,"year":64,"session":26},"nurse-108-1-maternal-pediatric-011","丁女士使用催產素催生，胎兒監視器顯示胎心音早期減速，此時最合宜之措施為何？",11,108,"2026-09-04",1788510748637]