[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-113-1-產兒科護理學-018","nurse-113-1-maternal-pediatric-018",113,1,18,"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？",{"A":14,"B":15,"C":16,"D":17},"胎頭變形（molding）","結膜下點狀出血","硬腭小白點（艾柏斯坦小珠Epstein's pearls）","耳朵上緣位於內外眼眥連線以下","D",null,[],"本題考點在於足月新生兒身體評估中正常與異常表現的區辨，屬反向題，須找出異常發現。異常發現為 D「耳朵上緣位於內外眼眥連線以下」。依新生兒評估，正常耳廓上緣應與內外眼角（眼眥）連線齊平或以上，若耳位偏低（low-set ears）常與染色體異常或腎臟泌尿系統畸形相關，屬異常，故 D 為答案。A 胎頭變形（molding）是經產道擠壓造成的暫時性顱骨重疊，數天可恢復，屬正常。B 結膜下點狀出血是生產時壓力造成的微血管破裂，會自行吸收，屬正常。C 硬腭小白點（Epstein's pearls，艾柏斯坦小珠）為上皮堆積形成的良性小囊，會自行消失，屬正常。故選 D。","評估延伸：耳位判定方法——畫一條由內眼角經外眼角延伸的假想線，正常耳廓上緣應觸及或高於此線；低位耳（連線以下）為軟指標（soft sign），常見於唐氏症、Turner 症候群及多種先天畸形，並與腎臟發育異常相關（因胚胎期耳與腎發育時間重疊），故發現低位耳需進一步評估。相對地，molding、結膜下出血、Epstein's pearls、粟粒疹、蒙古斑等都是新生兒常見的良性暫時性表現，衛教時應向家長說明會自行恢復以減輕焦慮。",[24,27,29,31],{"term":25,"count":26},"胎頭變形molding",2,{"term":28,"count":10},"新生兒身體評估",{"term":30,"count":10},"低位耳low-set ears為異常",{"term":32,"count":10},"Epstein's pearls正常表現",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-maternal-pediatric-019","下列何者為評估男性新生兒皮膚飽和度的最佳部位？",19,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-113-3-maternal-pediatric-015","王女士，初產婦，陰道生產，採純母乳哺育，產後 6 週重返職場的一週後，因發燒乳房紅腫熱痛求診，診斷為乳腺炎。下列的護理措施何者不適當？",15,3,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-114-2-maternal-pediatric-009","周女士，G 1 P 0 ，懷孕 39 週。兩小時前由配偶陪同入院待產，目前腹部上裝著電子胎兒監測器臥床休息中。配偶指著機器上的胎心率紀錄紙，問：「這要怎麼看？」。以臺灣目前最常使用的方式為例，下列的說明內容，何者最不適當？",9,114,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-maternal-pediatric-007","陳女士，妊娠 32 週，接受腹部超音波掃描發現胎兒身長體重與 1 個月前相同，估算約為 28 週，胎盤功能正常，所有檢查數值均在正常範圍，但陳女士體重並未增加。對此結果陳女士因焦慮而哭泣，下列何項敘述正確？",7,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-maternal-pediatric-051","有關第一型糖尿病（type I diabetes mellitus）的初期臨床表徵，下列敘述何者正確？",51,107,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-108-2-maternal-pediatric-005","有關運用廓清式呼吸之敘述，下列何者錯誤？",5,108,"2026-09-04",1788510750799]