[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-maternal-pediatric-036":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":64},"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-112-3-產兒科護理學-036","nurse-112-3-maternal-pediatric-036",112,3,36,"以「斯佛門-安德生計分法」（Silverman Anderson score）評估早產兒呼吸窘迫情況，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"觀察早產兒呼吸時有無困難情形，滿分為 10 分","評估早產兒呼吸情形，分數愈高表示情況愈好","評估發現早產兒得 0 分表示嚴重呼吸困難","評估呼吸時腹部凹陷情形、鼻孔擴張程度及吸氣咕嚕聲","A",null,[],"本題考點在於斯佛門-安德生計分法（Silverman-Anderson score）的評分結構與臨床意義。此工具評估新生兒呼吸窘迫，共 5 個項目（上胸與下胸運動、劍突下凹陷、鼻翼搧動、呼氣呻吟），每項 0～2 分，滿分 10 分，故 A 正確。與 Apgar 相反，此分數愈高代表呼吸窘迫愈嚴重，因此 B（分數愈高愈好）與 C（0 分表示嚴重呼吸困難）方向皆錯，0 分代表無呼吸窘迫。D 錯在項目描述，評估的是「吸氣時」的胸腹反向運動與凹陷及「呼氣性」呻吟，而非「腹部凹陷、鼻孔擴張與吸氣咕嚕聲」的組合，故正解為 A。","記憶要點：Silverman-Anderson 與 Apgar 的計分方向恰好相反——Apgar 高分代表狀況好，Silverman 高分代表呼吸窘迫重。五項可用口訣記「胸胸劍鼻呻」（上胸、下胸、劍突下、鼻翼、呻吟）。臨床上用來量化 RDS 嚴重度並追蹤趨勢，常與血氧、血氣併用判斷是否需呼吸支持。",[24,27,29,31],{"term":25,"count":26},"Silverman-Anderson score",1,{"term":28,"count":26},"新生兒呼吸窘迫評估",{"term":30,"count":26},"與 Apgar 計分方向相反",{"term":32,"count":26},"滿分 10 分",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-maternal-pediatric-037","有關腮腺炎之照護措施，下列敘述何者錯誤？",37,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-113-2-maternal-pediatric-033","劉小弟，30 週又 2 天早產兒，於新生兒加護病房接受治療，強化親子依附關係的行為，下列敘述何者較適當？",33,113,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-114-1-maternal-pediatric-027","有關兒童遭受虐待的護理處置，下列敘述何者錯誤？",27,114,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-115-2-maternal-pediatric-025","鄭女士，因子宮脫垂入院治療，下列敘述何者正確？",25,115,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-107-1-maternal-pediatric-019","有關避孕方法原理的敘述，下列何者錯誤？",19,107,{"webId":60,"stem":61,"number":62,"year":63,"session":26},"nurse-108-1-maternal-pediatric-053","玲玲，14 歲，父母親離異後出現進食量少，餐後嘔吐。即使身體質量指數為 13，玲玲自覺很胖，故初次診斷厭食症而開始住院接受治療。有關維持營養的護理措施，下列何者最適合？",53,108,"2026-09-04",1788510745572]