[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":63},"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-113-1-產兒科護理學-017","nurse-113-1-maternal-pediatric-017",113,1,17,"抱起新生兒放入磅秤測量體重，新生兒四肢出現對稱性的外展和伸直，大拇指與食指呈C字形，是下列那種反射表現？",{"A":14,"B":15,"C":16,"D":17},"擁抱反射（moro reflex）","驚嚇反射（startle reflex）","手掌抓握反射（palmer grasp reflex）","退縮反射（withdrawal reflex）","A",null,[],"本題考點在於新生兒原始反射的辨識。題幹描述四肢對稱性外展、伸直、大拇指與食指呈 C 字形，這是受到姿勢改變或突然移動刺激時出現的典型表現，屬擁抱反射（Moro reflex），故 A 正確。B 驚嚇反射（startle reflex）雖類似，但典型是對大聲響的反應且手肘屈曲、手掌握拳，與題幹的『外展、伸直、C 字形』表現不符。C 手掌抓握反射（palmar grasp）是刺激手掌時手指屈曲握住的反應，與外展伸直相反。D 退縮反射（withdrawal reflex）是肢體對疼痛刺激的回縮，非本題表現。判別關鍵在對稱外展伸直＋拇指食指 C 形，故正解為 A。","反射延伸：Moro reflex 是新生兒重要的原始反射，當頭部突然後仰或體位改變時，先出現雙臂對稱外展、伸直、手指張開呈 C 形，接著手臂內收如擁抱狀，常伴哭泣；約 3～6 個月消失。此反射對稱性具神經學意義——單側消失可能提示鎖骨骨折、臂神經叢損傷或偏癱；完全缺失則須警覺中樞神經異常。Moro 與 startle 的關鍵區別在於誘發方式與手部姿勢（Moro 手張開、startle 手握拳且較侷限）。可連結其他原始反射：覓食、吸吮、抓握、頸強直（fencing）反射的出現與消失時程。",[24,26,28,30],{"term":25,"count":10},"擁抱反射Moro reflex",{"term":27,"count":10},"新生兒原始反射",{"term":29,"count":10},"對稱性外展與C字形手勢",{"term":31,"count":10},"神經學評估意義",[33,37,42,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-1-maternal-pediatric-018","方小妹，39週頭產式出生，下列何者新生兒身體評估結果為異常發現？",18,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-113-3-maternal-pediatric-014","吳女士陰道生產，產後第 3 天表示：「坐著哺乳我的腰很痠」，下列何種產後運動最適合教導？",14,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-114-2-maternal-pediatric-008","王女士，G 1 P 0 ，懷孕 39 週，胎位為 LOA，目前已進入第二產程，胎頭已著冠。此階段，護理師應將杜卜勒（Doppler）置於王女士腹部何處最有機會聽診到清楚的胎心音？",8,114,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-maternal-pediatric-006","有關妊娠期泌尿系統的變化情形之敘述，下列何者正確？",6,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-maternal-pediatric-050","有關為白血病病童輸注紅血球濃縮液（packed RBC）的護理敘述，下列何者錯誤？",50,107,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-108-2-maternal-pediatric-004","有關生產教育的觀念，下列何者正確？①由醫護團隊主導生產過程，減少孕婦生產壓力 ②讓孕婦因應懷孕與分娩照護的過程 ③朝向以家庭為中心的照護 ④強調一定不要使用藥物性減痛方法",4,108,"2026-09-04",1788510750789]